ABSTRACT
O propósito deste trabalho é analisar a frequência, incidências e etiologia das fraturas de face, na região de abrangência do Hospital Risoleta Tolentino Neves, em Belo Horizonte ? MG entre janeiro de 2007 e dezembro de 2009. O osso nasal foi o mais comumente fraturado, seguido da mandíbula, malar, arco zigomático e maxila.
The purpose of this paper is to analyze the frequency, incidence and etiology of face fracture, in the region of the Hospital Risoleta Tolentino Neves, in Belo Horizonte - MG, between January 2007 and December 2009. The nasal bone was the most commonly fractured, followed by the jaw, cheekbone, zygomatic arch and maxilla.
Subject(s)
Humans , Male , Female , Adult , Facial Bones/injuries , Facial Injuries/epidemiology , Facial Injuries/etiology , Brazil , Retrospective StudiesABSTRACT
Relata-se o caso de paciente atendido no Pronto-Socorro com fratura exposta cominutiva grave de mandíbula, com perda óssea importante causada por projétil de arma de fogo. Foi submetido àa operação de urgência, sendo necessário o uso de placas de fixação e reconstrução. Apresentou evolução demorada, com período de internação hospitalar de 28 dias. À alta, apresentava deformidade facial e dificuldade na movimentação da mandíbula e articulação de palavras. Devido ao tratamento com cirurgia precoce e ao uso de recursos adequados, o paciente obteve bons resultados estéticos e funcionais no controle ambulatorial.
Mandible fractures are among the most common lesions encountered in the trauma centers. They are usually caused by assault or gunshot and the risk factors include low socioeconomic level, drug abuse and unemployment, being male young adults the most frequent victims. This report is about a patient who was brought to the emergency room with a severe gunshot comminuted mandible fracture. He was submitted to an early surgical repair, in which fixation and reconstruction plates were needed. There was a 28 day in-hospital stay and the patient showed facial deformation and difficulty in word pronunciation at discharge. Due to the aggressive management with early surgical repair and adequate resources the patient presented with good functional and aesthetical results in the follow up.