| Autor: |
Isya Wahdini, Siti, Dachlan, Ishandono, Seswandhana, Rosadi, Hutagalung, Magda Rosalina, Putri, Indri Lakhsmi, Afandy, Dwiki |
| Zdroj: |
International Journal of Surgery Case Reports; 2019, Vol. 62, p35-39, 5p |
| Abstrakt: |
• Zygomatic complex fractures can involve surrounding structures and cause serious ophthalmic and aesthetic complications. • Radiological investigations is very useful in diagnosing and planning the reconstruction surgery. • The goal of fracture reconstructions is to restore the appearance and skeletal anatomy before injury instead of bone healing. • Immediate reconstruction is recommended to prevent more complications. • 3-D model reconstruction can provide better accuracy but takes longer time. Zygomatic complex fracture is one of the most frequently occuring injuries to facial structures and often involves damage to the surrounding structures, including the orbital floor and/or medial orbital wall. These complicated injuries can cause both serious opthalmic and aesthetic complcations that make reconstructions more difficult. A 22 year old male presented with facial asymmetry. On examination, there were neglected fractures of left orbitozygomaticomaxillary complex with various compications. We performed lateral orbitotomy, bone graft, medial and lateral cantopexy with 3D reconstruction models as a guidance. There were some appearance improvements including improved orbital dystopia and corrected facial asymmetry. However, his vision could not be corrected because the reconstruction was too late. Several examinations before reconstruction of the injury has to be done, especially radiological examinations to decide proper diagnosis and reconstruction plans. Some complications may make difficulties in establishing precise time for surgery. Three-dimensional (3-D) reconstrucion model can help increase accuracy of the reconstruction but consume more time. Severe maxillofacial fracture should be treated immediately to avoid further complications. Multidisciplinary examinations can provide more accurate preliminary recommendations particularly when combine with properly calibrated CT scan imaging. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Supplemental Index |
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