Orbitozygomatic fracture: a surgical approach

Due to its projection, one of the most affected regions it is the zygomatic complex, which in many cases of fractures, because of the direct action of forces, weakens and result in loss of your normal convex curvature. Therefore, the goal of this paper is to report the surgical approach of a case: a secundary facial trauma due to fisical assault, attended in Maria Aparecida Pedrossian College Hospital (HUMAP). Male patient, white, victim of trauma, search the Emergency Room with swollen left hemiface, ecchymosis and facial asymmetry with eyelid occlusion, hyposfagma, in which the complementary tests of image showed bone orbitozygomatic fracture. Because of the complex fractures, as well as ocular complication possibility, it was necessary to associate knowledge of many specialties, such as: Oral and maxillofacial surgery, Cardiology and Ophthalmology. In virtue of the big displacement of fractures the option of treatment was surgical procedure of reduction and setting of the fractures under general anesthesia using subtarsal, subciliar and intraoral surgical accesses. For which access done, the settings were made using Titanium plates and screws of the system 1.5 mm. In this case, because of its orbital floor extension and involvement,three points of proper fixation was necessary and, despite your complexity, the case showed success of therapy used. (author)