Surgical treatment of orbitary zygomatic fractures associated with transoperative tomography: case report

Abstract

Objective: Fractures of the orbital zygomatic complex (CZO) is the most common of facial fractures. This region is characterized by the prominence of the zygomatic bone, which makes it vulnerable to middle-third trauma of the face. The injuries that affect this region can result in damage to soft tissues, bones and dental elements, patients usually have loss of projection of the face as a result of the sinking of the zygome. The most common causes are related to car accidents, physical aggression and falls. Case report: This study aims to report the clinical case of a 65-year-old male patient who suffered a fall from his own height. The diagnosis was a CZO fracture on the left side. The team of surgery and traumatology buccalmaxillofacials chose to perform the reduction and rigid internal fixation of the bone fragments of the lower orbital margin, lateral wall of the orbit and zygomatic pillar with a system of plates and screws, then the patient underwent transoperative tomography to evaluate the adaptation of the plates. Conclusion: The surgery performed in a hybrid room ensures greater precision in delicate and complex cases involving the orbit, this technology consists of a three-dimensional x-ray equipment and has a similar operation to tomography from the overlapping of the images in the system. This study can serve as a source of reference in the incessant search for professional improvement, aiming to achieve a comprehensive mastery of both theoretical and practical conducts and specific treatments applicable to the situation in focus.