A retrospective study of zygomatico-orbital complex and/or zygomatic arch fractures over a 71-month period

Autor(es)

Bertelli Trivellato, Priscila Faleiros ^[1] ; Manfrin Arnez, Maya Fernanda ^[1] ; Sverzut, Cassio Edvard ^[1] ; Trivellato, Alexandre Elias ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Sch Dent Ribeirao Preto, Dept Oral & Maxillofacial Surg & Periodontol, BR-14040904 Ribeirao Preto, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: DENTAL TRAUMATOLOGY; v. 27, n. 2, p. 135-142, APR 2011.
• Citações Web of Science: 14

Resumo

Background/Aim: The aim of this retrospective study was to evaluate the epidemiology, treatment, and complications of zygomatico-orbital complex (ZOC) and/or zygomatic arch (ZA) fractures either associated with other facial fractures or not over a 71-month period. Material and methods: This survey was performed in three hospitals of Ribeirao Preto in Sao Paulo, Brazil, from August 2002 to July 2008. The records of 1575 patients with facial trauma were reviewed. There were 140 cases of ZOC and ZA fractures either associated with other facial fractures or not. Data regarding gender, age, race, addictions, day of trauma, etiology, signs and symptoms, oral hygiene condition, day of initial evaluation, hospital admission, day of surgery, surgery approach, pattern of fractures, treatment performed, post-operative antibiotic therapy, day of hospital discharge, and post-operative complications were collected. The data were subjected to descriptive statistical analyses. Results: The most frequent fractures affected Caucasian men and occurred during the fourth decade of life. The most frequent etiology was traffic accident, and symptoms and signs included pain and edema. Type I fractures were the main injury observed, and the treatment of choice was always rigid internal fixation. Post-operative antibiotic therapy was solely employed when there was an indication. Complications were observed in 13.1% of the cases. Conclusions: The treatment protocol yielded suitable post-operative results and also showed success rates comparable to published data around the world. (AU)

• Processo FAPESP: 06/50017-3 - Estudo retrospectivo da epidemiologia e do tratamento de fratura do complexo zigomático-orbitário e/ou arco zigomático no período de 40 meses
• Beneficiário: Thais Parizi Goncalves
• Modalidade de apoio: Bolsas no Brasil - Iniciação Científica