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1.
Rev. Odontol. Araçatuba (Online) ; 43(2): 21-24, maio-ago. 2022. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1361989

ABSTRACT

Traumas na região da face são comuns devido a sua topografia e à grande exposição do local. As lesões na região maxilofacial são normalmente causadas devido a traumas por acidentes de trânsito, agressão física, acidentes cotidianos como queda da própria altura e de nível. O objetivo deste trabalho é relatar um caso clínico de trauma facial com a presença de corpo estranho impactado na face, bem como o tratamento cirúrgico empregado. Paciente do sexo feminino, 17 anos, foi regulada para o Hospital Geral Cleristón Andrade com histórico de queda de cavalo, cursando com fragmento de madeira (galho de arbusto) tranfixado em região maxilofacial. A paciente foi encaminhada ao centro cirúrgico para a remoção do galho de arbusto transfixado. O procedimento foi rápido, e sua remoção se deu por meio do movimento contrário ao mecanismo de trauma. Lesão como esta possui aspectos singulares e devem ser avaliados multidisciplinarmente na emergência. A remoção desses objetos deve ser realizada de forma a preservar as estruturas dentro do possível, levando em consideração também os fatores estéticos e funcionais envolvidos(AU)


Traumas in the face region are common due to its topography and the great exposure of the place. Injuries in the maxillofacial region are usually caused due to trauma from traffic accidents, physical aggression, everyday accidents such as falling from height and level. The aim of this paper is to report a clinical case of facial trauma with the presence of a foreign body impacted on the face, as well as the surgical treatment used. A 17-year-old female patient was treated at the Cleristón Andrade General Hospital with a history of falling from a horse, taking a wood fragment (shrub branch) transfixed in the maxillofacial region. The patient was referred to the operating room for removal of the transfixed bush branch. The procedure was quick, and its removal took place through a movement contrary to the trauma mechanism. Injuries like this have unique aspects and must be evaluated multidisciplinary in an emergency. The removal of these objects must be carried out in order to preserve the structures as much as possible, also taking into account the aesthetic and functional factors involved(AU)


Subject(s)
Humans , Female , Adolescent , Maxillofacial Injuries/surgery , Maxillofacial Injuries/therapy , Surgery, Oral , Facial Injuries , Maxillofacial Injuries
2.
Rev. Odontol. Araçatuba (Impr.) ; 42(3): 16-20, set.-dez. 2021. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1283908

ABSTRACT

As fraturas faciais em crianças são raras, já que os ossos faciais pediátricos têm maior elasticidade, menos pneumatização, tecido adiposo circundante mais espesso e mais estabilização da mandíbula e maxila pelos dentes não irrompidos. Em geral, lesões nos tecidos moles são mais comuns em crianças do que fraturas esqueléticas. Entre as fraturas faciais pediátricas, as fraturas da mandíbula são as mais comuns, sendo o côndilo a área mais acometida em pacientes pediátricos. O côndilo é considerado o principal centro de crescimento da mandíbula em crianças, assim é de suma importância a definição do tratamento adequado, pautado em diversos critérios de avaliação, com o intuito de erradicar possíveis complicações advindas da fratura condilar. Assim o objetivo deste estudo é relatar um caso de fratura de côndilo unilateral em uma criança, na qual realizou-se abordagem cirúrgica com fixação interna, afim de elucidar e discutir as possíveis condutas terapêuticas acerca de tratamentos a serem aplicados, visto que esses ainda são bastante controversos na literatura e os resultados das diversas condutas são os mais diversos, apresentando variados aspectos que interferem na evolução dos pacientes(AU)


Facial fractures in children are rare, since pediatric facial bones have greater elasticity, less pneumatization,thicker surrounding adipose tissue and more stabilization of the jaw and jaw by unerupted teeth.In general, soft tissue injuries are more common in children than skeletal fractures.Among pediatric facial fractures, mandible fractures are the most common, with condyl being the most affected area in pediatric patients.The condyl is considered the main center of mandible growth in children, so it is of Paramount importance to define the appropriate treatment, based on several evaluationcriteria, in order to eradicate possible complications resulting from the condilar fracture.Thus, the aim of this study is to report a case of unilateral condyl fracture in a child, in which a surgical approach with internal fixation was performedin order to elucidate and discuss the possible therapeutic approaches about treatments to be applied, since these are still quite controversial in the literature and the results of the various behaviors are the most diverse,presenting several aspects that interfere in the evolution of patients(AU)


Subject(s)
Humans , Male , Child, Preschool , Jaw Fractures , Mandibular Condyle/surgery , Mandibular Condyle/injuries , Oral Surgical Procedures , Fractures, Bone , Facial Bones , Facial Injuries , Mandibular Condyle
3.
Braz. j. oral sci ; 20: e211223, jan.-dez. 2021. ilus
Article in English | LILACS, BBO | ID: biblio-1254623

ABSTRACT

Aim: Verify the accuracy of objective assessments compared to subjective tests in detecting changes in somatosensory perception in individuals affected by maxillofacial trauma. Methods: The review (PROSPERO n ° CRD42019125546) used the databases: MEDLINE, Cochrane, EMBASE, LILACS and other bibliographic resources. Prospective and retrospective studies that used objective and subjective methods of assessing facial sensitivity in maxillofacial fractures were included. There was no restriction on language or publication date. Risk of bias was assessed using the QUADAS-2. Data extraction and analysis were performed using a form developed for the study. Results: 21 studies were included. The clinical objective examination mainly includes assessments of: tactile sensitivity (95.24%) and nociceptive sensitivity (57.14%). The subjective assessment was based on the patient's report, spontaneously (61.90%), guided by structured questionnaires (33.33%) and/or using scales (9.52%) to measure the degree of impairment. In risk of bias assessment, were observed no adequate interpretation and classification of changes in subjective sensitivity, subject to inappropriate analysis of the data. In addition, the studies bring several instruments without standardization for assessing sensory modalities. Conclusion: The objective assessment is a complement to the subjective assessment, using the touch assessment as the main parameter in the profile of the facial peripheral integrity, associated or not with nociceptive assessment. Lack of consensus on the indication of specific instruments for testing is a limiting factor. Thus, based on the studies, is proposed a minimum battery of sensitivity assessment to obtain an overview of the patient's peripheral nervous situation


Subject(s)
Zygomatic Fractures , Sensation Disorders , Somatosensory Disorders , Facial Injuries , Systematic Reviews as Topic , Jaw Fractures
4.
Rev. argent. cir. plást ; 27(2): 67-70, 20210000. graf, fig
Article in Spanish | LILACS, BINACIS | ID: biblio-1357667

ABSTRACT

Introducción. Hasta un 90% de las mordeduras de animales son producidas por perros. Los niños son la población más vulnerable frente a las mordeduras ya que suelen afectar una mayor proporción de superficie corporal. Objetivo. Analizar la casuística de mordeduras de perro y su repercusión en nuestro entorno. Métodos. Estudio observacional, descriptivo, retrospectivo de un período de 8 años, que incluyó a todos los pacientes de 0 a 18 años con diagnóstico de mordedura de perro. Resultados. Se incluyeron 183 pacientes con diagnóstico de mordedura de perro. El promedio de edad fue de 6,1 años, y el grupo etario más afectado fue el de los niños de 3 a 5 años (38,3%). El tratamiento quirúrgico fue dividido en pacientes que requirieron rafia por planos (84,6%), colgajos (11,4%), injertos (3,4%) y puntos de aproximación (1%). Se reportaron 8 pacientes con complicaciones (4,4%). Conclusión. Los niños de 3 a 5 años son los más afectados por mordeduras de perro y la zona de cabeza y cuello es la más común. Un porcentaje importante de pacientes requirieron colgajos e injertos con buenos resultados.


Introduction. Up to 90% of animal bites are produced by dogs. Children are the most vulnerable population because bites tend to affect greater body surface area. Outcome. Analyze dog bites cases and their impact on our environment. Methods. An observational, descriptive, retrospective study during an 8 year period was carried out, which included all patients from 0 to 18 years with a diagnosis of dog bite. Results. A total of 183 patients with a diagnosis of dog bite were found. The average age was 6.1 years, and the age group most affected was children from 3 to 5 years old (38.3%). Surgical treatment was divided into: patients who required suture by planes (84.6%), flaps (11.4%) and grafts (3.4%) and approximation stitches (1%). Complications were reported in 8 patients (4.4%). Conclusion. Children from 3 to 5 years old are the most affected by dog bites, the head and neck area is the most common. A significant percentage of patients required flaps and grafts with good results.


Subject(s)
Humans , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Wounds and Injuries/surgery , Bites and Stings/therapy , Epidemiology, Descriptive , Retrospective Studies , Vaccination , Neck Injuries/therapy , Transplants/surgery , Lower Extremity/injuries , Upper Extremity/injuries , Dogs/injuries , Facial Injuries/therapy , Wound Closure Techniques , Anti-Bacterial Agents/therapeutic use
5.
Rev. Ciênc. Plur ; 7(2): 88-106, maio 2021. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1282971

ABSTRACT

Introdução:Estudos retrospectivos sobre trauma facial são importantes para quantificar sua demanda para os serviços de saúde, além de contribuir parao planejamento de ações de educação e prevenção. Objetivo:Este estudo teve por objetivo traçar o perfil epidemiológico do trauma facial em um hospital regional do interior da Bahia. Metodologia:Realizou-se um estudo descritivo, transversal, por meio de análise retrospectiva dos prontuários de pacientes vítimas de trauma facial, atendidos no Hospital Geral Prado Valadares, em Jequié-Bahia,Brasil,durante o período de janeiro de 2012 a dezembro de 2014.A análise estatística foi descritiva, sendo calculada em proporções e frequências absolutas e relativas.Para a comparação entre as variáveis foi realizado o teste do Qui-quadrado ou teste exato de Fisher.Resultados:Foram analisados 499 prontuários e observou-se que o sexo masculino (81,6%) e a etnia parda (50,3%) foram os mais acometidos pelo trauma facial. A faixa etária de maior prevalência foi de 25 a 34 anos (25,5%).O principal fator etiológico foi o acidente por motocicleta (30,1%) e houve elevada prevalência de traumatismo cranioencefálico (33,5%).Conclusões:No período estudado, verificou-se que indivíduos do sexo masculinoeadultos jovens foram os mais acometidos pelo trauma facial. Os traumas relacionados aos acidentes de motocicletae quedaforam os mais prevalentes (AU).


Introduction:Retrospective studies on facial trauma are important to quantify their demand for health services, in addition to contributing to the planning of education and prevention actions. Objective:This study aimed to trace the epidemiological profile of the facial trauma at a regional hospital in the interior of Bahia. Methodology:A descriptive, cross-sectional study was carried out through the retrospective analysis of medical records of patients who were victims of facial trauma, attended at the Prado Valadares General Hospital, Jequié-Bahia, Brazil, during the period from January 2012 to December 2014. The statistical analysis was descriptive, being calculated in absolute and relative proportionsand frequencies. The Chi-square test or Fisher's exact test were used to compare the variables.Results:499 medical records were analyzed and it was observed that males (81.6%) and mixed race (50.3%) were the most affected by facial trauma. The most prevalent age group was 25 to 34 years old (25.5%). The main etiological factor was the motorcycle accident (30.1%) and there was a high prevalence of traumatic brain injury (33.5%). Conclusions:During the study period, it was found that male individuals and young adults were the most affected by facial trauma. Traumas related to motorcycle accidents and falls were the most prevalent (AU).


Introducción: Los estudios retrospectivos sobre trauma facial son importantes para cuantificar su demanda de servicios de salud, además de contribuir a la planificación de acciones de educación y prevención. Objetivo: Este estudio tuvo como objetivo rastrear el perfil epidemiológico del trauma facial en un hospital regional del interior de Bahía. Metodología: Se realizó un estudio descriptivo, transversal, mediante un análisis retrospectivo de las historias clínicas de pacientes con trauma facial atendidos en el HospitalGeral Prado Valadares, en Jequié-Bahia, Brasil, desde enero de 2012 a diciembre de 2014. El análisis estadístico fue descriptivo, siendo calculado en proporciones y frecuencias absolutas y relativas. Para comparar las variables se utilizó la prueba de Chi-cuadrado o la prueba exacta de Fisher. Resultados:se analizaron 499 historias clínicas y se observó que los hombres (81,6%) y mestizos (50,3%) fueron los más afectados por el traumatismo facial. Elgrupo de edad más prevalente fue el de 25 a 34 años (25,5%). El principal factor etiológico fue el accidente de motocicleta (30,1%) y hubo una alta prevalencia de traumatismo craneoencefálico (33,5%). Conclusiones: Durante el período de estudio, se encontró que los hombres y los adultos jóvenes fueron los más afectados por el trauma facial. Los traumatismos relacionados con accidentes de motocicleta y caídas fueron los más prevalentes (AU).


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Middle Aged , Violence/prevention & control , Accidental Falls/prevention & control , Brazil/epidemiology , Accidents, Traffic/prevention & control , Facial Injuries/diagnosis , Chi-Square Distribution , Medical Records/statistics & numerical data , Epidemiology , Epidemiology, Descriptive , Cross-Sectional Studies/methods , Brain Injuries, Traumatic , Health Services
6.
Odontol. Clín.-Cient ; 20(2): 7-13, abr.-maio 2021. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1369084

ABSTRACT

A violência interpessoal tem se configurado como um grave problema social e de saúde pública, em que lesões na região bucomaxilofacial são importantes consequências. O objetivo desse estudo foi analisar o perfil das vítimas de violência interpessoal que tiveram lesões na região maxilofacial e foram atendidas no hospital da Restauração em Recife, Pernambuco-Brasil durante o ano de 2017. Foi realizada uma pesquisa retrospectiva e exploratória baseada nas informações contidas nos prontuários do hospital e em seguida foi utilizado o software Statistical Package for the Social Sciences (SPSS) para análise das medidas descritivas. No período de um ano foram encontrados 455 prontuários, de forma que 87,9% corresponderam ao sexo masculino e 12,1% ao feminino. Do total, 34,9% tinham idade entre 20-29 anos e 43,3% foram vítimas de força corporal/espancamento. O tipo de trauma mais frequente foi fratura dos ossos maxilofaciais (45,3%). Outrossim, o dia e horário mais comum de atendimento foi o domingo (23,1%) no período noturno (58,2%). Homens jovens com traumas dos ossos maxilofaciais foi o principal perfil encontrado no estudo, sendo necessário o fortalecimento de políticas públicas a fim de evitar o aumento de casos nessa população... (AU)


Interpersonal violence has been configured as a serious social and public health problem in which injuries on the maxillofacial region are important consequences. This study aimed to analyze the profile of interpersonal violence victims who had maxillofacial injuries and were treated at Hospital Da Restauração in Recife, Pernambuco-Brazil during 2017. A retrospective and exploratory research was conducted based on information from the medical records of the hospital and then the Statistical Package for the Social Sciences (SPSS) Software was used for descriptive measures analysis. In the period of one year, 455 medical records were found, in which 87,9% corresponded to male and 12,1% to female. Of the total, 34,9% were aged between 20-29 years old and 43,3% were victims of physical strength/beating. The most frequent type of trauma was fracture of the maxillofacial bones (45,3%). Otherwise, the most common day and time of treatment at the hospital was on Sundays (23,1%) and in the evening (58,2%). Young men with trauma on the maxillofacial bones was the main profile found in this study, requiring the strengthening of public policies to avoid the increase in cases in this population... (AU)


Subject(s)
Humans , Male , Female , Violence , Mandible/surgery , Maxillofacial Injuries , Wounds and Injuries , Medical Records , Public Health , Fractures, Bone , Facial Injuries , Maxilla/surgery
7.
Rev. cuba. estomatol ; 58(1): e2949, ene.-mar. 2021. graf
Article in English | LILACS, CUMED | ID: biblio-1156423

ABSTRACT

Introduction: Facial injuries are a common occurrence at the emergency room. Treatment for this type of trauma is complex in terms of re-establishing good oral and facial function, plus aesthetics. Objective: This paper aims to report a clinical case of aesthetic and functional rehabilitation using triamcinolone in a patient affected on the face by a fireworks explosion. Case report: A 26-year-old man was admitted to the oral and maxillofacial surgery service of the Sergipe Urgency Hospital presenting trauma after the explosion of a "Firework rocket" in his face. The patient had extensive soft tissue injury in gingival mucosa, right labial commissure, and tongue. There was also inferior incisive avulsion and dentoalveolar fracture. His clinical and tomographic evaluation presented comminuted mandibular fracture. After eighteen days he was discharged and sent to the dentistry service of the Federal University of Sergipe for aesthetic and functional rehabilitation of his facial damages. Two months later, the patient attended a University dental service to begin aesthetic and postoperative functional rehabilitation. First, the necrotic bone was removed, following intralesional infiltration of hexacetonide triamcinolone 20mg/mL into the scar of the labial region and the commissure of the lips was performed. Each application was performed after twenty days of interval. Later, lingual frenectomy and glossosplasty were done for improving his lingual mobility and then hexacetonide triamcinolone 20mg/mL infiltrations were also done in the tongue base in the following sessions. Conclusions: After five infiltrations, it was observed an improvement in the scar appearance and texture, which also had a lower contracture, as well as a lingual motricity improvement(AU)


Introducción: Las lesiones faciales son frecuentes en el servicio de emergencia. El tratamiento para este tipo de trauma es complejo en términos de restablecer una buena función bucal y facial, además de la estética. Objetivo: Reportar un caso clínico de rehabilitación estética y funcional a través del uso de hexacetónido de triamcinolona en un paciente afectado por una explosión de fuegos artificiales en su rostro. Caso clínico: Hombre de 26 años ingresado en el servicio de cirugía oral y maxilofacial del Hospital de Urgencia de Sergipe por presentar un traumatismo después de la explosión contra su rostro de un cohete de fuegos artificiales. El paciente tenía una lesión extensa de partes blandas en la mucosa gingival, comisura labial derecha y lengua. También hubo avulsión incisiva inferior y fractura dentoalveolar. A través de la evaluación clínica y de tomografía, fue posible observar fragmentación múltiple ósea en el sitio de la fractura, compatible con fractura mandibular conminuta. Después de dieciocho días fue dado de alta y enviado al servicio de odontología de la Universidad Federal de Sergipe para la rehabilitación estética y funcional de sus daños faciales. Dos meses después, el paciente asistió al servicio dental de la universidad para comenzar la rehabilitación funcional estética y posoperatoria. Primero, se retiró el hueso necrótico, luego se realizó la infiltración intralesional de hexacetónido de triamcinolona 20 mg/mL en la cicatriz de la región labial y se realizó la comisura de los labios; con un intervalo de 20 días entre cada aplicación. Posteriormente, se realizaron frenectomía lingual y glososplastia, para mejorar su movilidad lingual, y luego se realizaron infiltraciones de 20 mg/mL de hexacetónido de triamcinolona en la base de la lengua en las sesiones siguientes. Comentarios principales: Después de cinco infiltraciones se observó una mejora en el aspecto y la textura de la cicatriz, que también tenía una contractura más baja, así como una mejora de la motricidad lingual(AU)


Subject(s)
Humans , Male , Adult , Triamcinolone/therapeutic use , Explosions/prevention & control , Facial Injuries/diagnosis , Mandibular Fractures/therapy , Reconstructive Surgical Procedures/rehabilitation , Emergency Service, Hospital
8.
Rev. cir. traumatol. buco-maxilo-fac ; 21(1): 6-14, jan.-mar. 2021. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1248376

ABSTRACT

Um dos principais atendimentos feitos pelos serviços de urgência e emergência são os traumas faciais, responsáveis por grandes impactos na vida dos pacientes por causarem morbidades e superlotação em hospitais. Desta forma o presente estudo teve como objetivo realizar um levantamento dos atendimentos de Cirurgia e Traumatologia buco-maxilofaciais em um hospital regional. Foi realizado um levantamento retrospectivo analisando 1333 prontuários dos pacientes atendidos no serviço de Cirurgia e Traumatologia Buco-Maxilo-Facial do Hospital Regional de Presidente Dutra - Maranhão - Brasil, independente da etiologia para o atendimento, no período de março de 2015 a agosto de 2018. A amostra foi constituída por 1333 prontuários, o gênero masculino foi o mais acometido (n=1099) (82%); a faixa etária entre 21 a 30 anos foi a mais prevalente em ambos os gêneros; os acidentes de trânsito foram a principal causa dos traumas faciais, sendo a mandíbula a região mais afetada com 401 casos (30,1%); o procedimento cirúrgico mais realizado foram as osteossínteses, totalizando 57,4%, e o Tempo de internação médio foi de 1 a 5 dias. A principal etiologia das cirurgias foi fratura, devido a acidentes automobilísticos ocasionado pela falta de aplicação e fiscalização das leis de trânsito, contribuindo assim, para o aumento da morbimortalidade e dos custos hospitalares... (AU)


Introduction: One of the main services provided by emergency and emergency services is facial trauma, responsible for great aesthetic, functional and emotional impacts on individuals lives, as well as causing morbidity and overcrowding in hospitals. In this way, the present study aimed to perform a survey of the operations of buco-maxillofacial Surgery and Traumatology in a large regional hospital in the interior of Maranhão. Methods: a retrospective survey was carried out, analyzing the patients medical records at the Department of Oral and Maxillofacial Surgery and Traumatology of the Presidente Dutra-MA Regional Hospital, regardless of the etiology for care, in the period from March 2015 to August 2018. Results: The sample consisted of 1333 medical records, the male gender was the most affected (n = 1099) (82%); the age group between 21 and 30 years was the most prevalent in both genders; traffic accidents were the main cause of facial trauma, with the jaw being the most affected region with 401 cases (30.1%); the most frequent surgical procedure was osteosynthesis, totaling 57.4% and the mean length of hospital stay was 1 to 5 days. Conclusão: The main etiology of the surgeries was a fracture, due to automobile accidents caused by the lack of application and inspection traffic laws, thus contributing to the increase of morbidity and mortality in hospital costs... (AU)


Subject(s)
Humans , Adolescent , Adult , Middle Aged , Facial Injuries , Ambulatory Care , Health Services Accessibility , Facial Injuries/epidemiology
9.
Article in Portuguese | LILACS | ID: biblio-1284362

ABSTRACT

Introdução: O trauma decorrente de causas externas é um problema de saúde em várias regiões do mundo. Além de altos índices de mortalidade e morbidade, os traumas de face resultam em impactos estéticos, estruturais e psicológicos na vida do indivíduo e na sociedade, gerando, também, um alto custo com gastos hospitalares. Objetivo: Relatar o caso de um paciente com trauma de face por acidente ciclístico, com alterações na funcionalidade do sistema estomatognático. Metodologia: Foi realizada avaliação fonoaudiológica por meio do Protocolo de Avaliação Preliminar (PAP), para observação do aspecto das estruturas orais, funções do sistema estomatognático, voz e reflexos protetivos de vias aéreas superiores. Na sequência, foi aplicado o Protocolo de Avaliação do Risco para Disfagia (PARD), para avaliação direta da deglutição. Resultados: Na avaliação dos órgãos fonoarticulatórios foi observado alterações de sensibilidade, mobilidade e redução significativa de força. Na avaliação direta da deglutição foi observada dificuldade na captação do alimento, escape anterior de alimento, elevação laríngea reduzida e múltiplas deglutições. Conclusão: O paciente foi classificado com Disfagia Orofaríngea leve a moderada, mantendo dieta via oral com consistência adaptada e orientação para continuidade de terapia fonoaudiológica. Devido ao alto número de casos semelhantes ao relatado nos hospitais de urgência e emergência, constata-se a necessidade de avaliação do sistema estomatognático para promover a melhor abordagem aos pacientes com trauma de face


Introduction: Trauma due to external causes is a health problem in several regions of the world. In addition to high rates of mortality and morbidity, facial traumas result in aesthetic, structural and psychological impacts on the individual's life and on society, also generating a high cost of hospital expenses. Objective: Report the case of a patient with facial trauma due to a cycling accident, with changes in the functionality of the stomatognathic system. Methodology: Speech therapy evaluation was carried out through the Preliminary Evaluation Protocol, to observe the appearance of oral structures, functions of the stomatognathic system, voice and protective reflexes of the upper airways. Then, the Risk Assessment Protocol for Dysphagia was applied, for direct swallowing assessment. Results: In the evaluation of Organs phonoarticulatory organs, changes in sensitivity, mobility and significant reduction in strength were observed. In the direct evaluation of swallowing, difficulty in capturing food, previous escape of food, reduced laryngeal elevation and multiple swallowing were observed. Conclusion: The patient was classified with Mild to Moderate Oropharyngeal Dysphagia, maintaining an oral diet with consistency adapted and guidance for continuing speech therapy. Due to the high number of cases similar to that reported in urgent and emergency hospitals, there is a need to evaluate the stomatognathic system to promote the best approach to patients with facial trauma.


Subject(s)
Humans , Adult , Young Adult , Stomatognathic System/injuries , Deglutition Disorders , Facial Injuries , Deglutition Disorders/rehabilitation , Glasgow Coma Scale , Emergency Service, Hospital/statistics & numerical data , Mandibular Fractures
10.
Chinese Journal of Traumatology ; (6): 389-393, 2021.
Article in English | WPRIM | ID: wpr-922703

ABSTRACT

Leopard attacks on humans are reported most often from the Indian subcontinent. The bite wounds are complex injuries infected with polymicrobial inoculum and may present as punctures, abrasions, lacerations or avulsions. The presentation and acceptable treatment of these injuries vary according to the wound. We hereby describe the clinical presentation and treatment of a male victim with leopard bite injuries on the head and neck region. As bite injuries are commonly found on and around the face, maxillofacial surgeons should be familiar with the therapy. Through thorough clinical and radiological examination, it is essential to prevent missing any hidden injuries, which can easily turn lethal. To benefit the rural population, more health facilities need to be established in remote areas.


Subject(s)
Animals , Bites and Stings/therapy , Facial Injuries/therapy , Head , Humans , Male , Neck Injuries/therapy , Panthera
11.
Rev. CEFAC ; 23(2): e0521, 2021. tab, graf
Article in English | LILACS | ID: biblio-1250696

ABSTRACT

ABSTRACT No reports about treatments applied by orofacial motricity experts, in craniofacial trauma, were found in the specialized literature. However, their knowledge, added to that of the aesthetic area, would be useful in the rehabilitation of scars. The aim of this work is to describe the mixed use of orofacial motor skills, muscle balance massage and scar management in a patient with soft tissues facial trauma. During the initial evaluation, a decrease in the vertical and horizontal oral opening and in the mimic movements, facial asymmetry and marked scars that affected the oral phase of swallowing, chewing (bolus formation), lip mobility, compromising speech intelligibility and, significantly, aesthetics, were observed. Myofunctional therapy lasted 12 months, during which the patient underwent three surgeries. The process was divided into an intensive phase (six months, two weekly sessions) and a follow-up phase (six months, one weekly session), which ended when the indicators evaluated at the beginning were stable, showing improvements in scars condition and appearance, as well as in orofacial functions, including pre-post therapy self-perception and greater muscular mobility, reflecting a management with an integrative approach.


RESUMEN En la literatura especializada no se encontraron reportes sobre tratamientos aplicados por expertos en motricidad orofacial en traumas craneofaciales, sin embargo, sus conocimientos, sumados a los del área estética serían útiles en la rehabilitación de cicatrices. El objetivo del trabajo es describir el uso mixto de técnicas de motricidad orofacial, masaje de equilibrio muscular y manejo de cicatrices en un paciente con trauma facial en tejidos blandos. En la evaluación inicial se observó: disminución en la apertura oral vertical y horizontal y de los movimientos de la mímica, asimetría facial y marcadas cicatrices que afectaban la fase oral de la deglución, la masticación (formación del bolo), la movilidad labial, comprometiendo la inteligibilidad del habla y de modo significativo la estética. La terapia miofuncional duró 12 meses, en medio de la cual el paciente tuvo tres intervenciones quirúrgicas. El proceso se dividió en una fase intensiva (seis meses con dos sesiones semanales) y otra de seguimiento (seis meses con una sesión semanal), que concluyó al estabilizarse los indicadores evaluados al inicio, evidenciándose mejoras en el estado y apariencia de las cicatrices, en las funciones orofaciales, incluida la autopercepción pre -post terapia, y mayor movilidad de la musculatura, asumiendo un manejo con enfoque integrador.


Subject(s)
Humans , Male , Middle Aged , Myofunctional Therapy , Facial Injuries/rehabilitation , Treatment Outcome , Combined Modality Therapy , Massage
12.
Int. j. odontostomatol. (Print) ; 14(4): 590-595, dic. 2020. graf
Article in Spanish | LILACS | ID: biblio-1134544

ABSTRACT

RESUMEN: Las fracturas panfaciales son aquellas que afectan de forma simultánea al tejido óseo de dos o más tercios del rostro. El manejo inicial de estos pacientes es resolver o estabilizar las urgencias médico - quirúrgicas que puedan presentar, debido a que la gran mayoría de estas fracturas están asociadas a traumatismos de alta energía cinética, las que determinan la presencia de lesiones concomitantes que pueden comprometer la vida del paciente. El tratamiento quirúrgico de las fracturas panfaciales puede abarcar desde la intervención quirúrgica inicial de control de daños, estabilización, reducción y fijación quirúrgica de los segmentos fracturados mediante osteosíntesis hasta intervenciones mediatas para la reconstrucción de los tejidos afectados por el traumatismo. Para el tratamiento de las fracturas panfaciales existe una sistemática quirúrgica que tiene por objeto contener y/o minimizar daños agudos y permitir una reducción morfológica y funcional. Reportamos un caso clínico de fractura panfacial cuyo tratamiento siguió esta sistemática terapeútica.


ABSTRACT: Panfacial fractures affect bone tissue in two or more thirds of the face simultaneously. The initial management of these patients is to resolve or stabilize the medical-surgical emergencies that they may present. Most of these fractures are associated to trauma of high kinetic energy, which determine the presence of concomitant inju- ries that can compromise the life of the patient. The surgical treatment of panfacial fractures may include from the initial surgical intervention of damage control, stabilization, reduction and surgical fixation of fractured segments through osteosynthesis, to mediate the reconstruction of tissues affected by the trauma. For the treatment of panfacial fractures there is a surgical approach that aims to contain and/or minimize acute damage and allow for morphological and functional reduction. We report a clinical case of panfacial fracture whose treatment followed this therapeutic approach.


Subject(s)
Humans , Male , Young Adult , Skull Fractures , Facial Injuries/surgery , Tomography, X-Ray Computed , Facial Bones
13.
Rev. cuba. estomatol ; 57(3): e2978, jul.-set. 2020. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1126524

ABSTRACT

RESUMEN Introducción: La utilización de herramientas pronósticas que permitan valorar la gravedad del trauma, la supervivencia y mortalidad de los lesionados, permite la estratificación de los pacientes y la toma de decisiones acertadas para el tratamiento más efectivo en el área hospitalaria. Objetivo: Realizar una revisión bibliográfica sobre las herramientas pronósticas más utilizadas en la atención de urgencia para detectar la gravedad del trauma maxilofacial. Métodos: Se realizó una revisión bibliográfica desde octubre de 2018 hasta enero de 2019. Fueron examinados libros y artículos publicados en revistas de impacto, en idioma español, inglés y portugués, con atención prioritaria a aquellos que tuvieran cinco años o menos. Se consultaron las bases de datos MEDLINE, EBSCO, PubMed, SciELO, ClinicalKey, utilizando los descriptores: "Trauma Severity Indices", "Maxillofacial Injuries", "Traumatology", "Indexes". Se recuperaron dos libros y 50 artículos, aunque la revisión se circunscribió solamente a los 33 que mejor describían los elementos estudiados. Análisis e integración de la información: El puntaje Cooter David, el de gravedad de lesiones maxilofaciales, la escala de severidad de lesiones faciales, la de severidad de fracturas faciales y el modelo ZS, son los principales instrumentos utilizados en el pronóstico de gravedad existentes de la región facial. Conclusiones: Constan en la literatura escalas, índices y puntajes para pronosticar la gravedad del trauma maxilofacial en la urgencia, cada una exhibe ventajas que las convierte en una herramienta coadyuvante de la atención del trauma; sin embargo, poseen también desventajas que complejizan su aplicación en el medio hospitalario. Entre las herramientas más utilizadas está la escala de severidad de lesiones faciales; fácil de aplicar en los servicios de urgencia, pero con deficiencias a la hora de tratar los componentes de tejido blando y óseo. En Cuba hay escasas evidencias de la utilización de estos instrumentos en la especialidad de cirugía maxilofacial(AU)


ABSTRACT Introduction: The usage of prognostic tools that allow assessing trauma severity, as well as injury survival and mortality, allows patient stratification and making right decisions for the most effective treatment in the hospital area. Objective: To carry out a bibliographic review about the prognostic tools most widely used in emergency care to identify maxillofacial trauma severity. Methods: A bibliographic review was carried out from October 2018 to January 2019. We examined books and articles published in high-impact magazines, in Spanish, English and Portuguese, with priority attention on those five years old or less. We consulted the MEDLINE, EBSCO, PubMed, SciELO, Clinical Key databases using the descriptors Trauma Severity Indices, Maxillofacial Injuries, Traumatology, and Indexes. Two books and 50 articles were retrieved, although the review was limited to only 33 which described best the elements studied. Information analysis and integration: The Cooter-David scoring system, the maxillofacial injury severity score, the facial injury severity scale, the facial fracture severity scale, and the ZS model are the main instruments used for existing severity forecast in the facial region. Conclusions: There literature includes scales, indexes and scoring systems for predicting the maxillofacial trauma severity in the emergency department, each one showing advantages that make them an adjunct tool for trauma care; however, they also have disadvantages that complicate their application in the hospital setting. The facial injury severity scale is among the most widely used tools, as far as it is easy to apply in the emergency services, but with deficiencies for treating soft tissue and bone components. In Cuba, there is little evidence about the use of these instruments in the specialty of maxillofacial surgery(AU)


Subject(s)
Humans , Trauma Severity Indices , Emergency Medical Services/methods , Facial Injuries/therapy , Maxillofacial Injuries/etiology , Periodicals as Topic , Databases, Bibliographic , Survivorship
14.
Rev. cir. traumatol. buco-maxilo-fac ; 20(3): 34-38, jul.-set. 2020. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1253240

ABSTRACT

Introdução: A face é a região do corpo humano mais projetada o qual propicia a lesões traumáticas com importantes sequelas. Esta, desempenha funções estéticas e funcionais como as expressões faciais. As reconstruções dos tecidos devem ser realizadas com a finalidade de restabelecer a funcionalidade, assimetria e o contorno da região. Devese dar importância as características dos tecidos moles lesionados, o qual deve ser reconstituído com a aparência mais próxima ao local da lesão. O presente trabalho tem como objetivo relatar a reconstrução do lábio superior e do alvéolo-dentário imediatamente após um acidente ciclístico. Relato de caso: Paciente do sexo masculino, 26 anos de idade, normossistêmico, compareceu ao serviço de emergência de Cirurgia e Traumatologia Buco-Maxilo-Facial devido a uma queda de bicicleta, a qual teria sido ocasionada pela quebra do garfo, o qual evoluiu com laceração em lábio superior e fratura dentro-alveolar. Foi realizado a reconstrução do lábio superior e alvéolos dentários. O paciente evoluiu 45 dias do pós-operatório com discreta cicatriz e função preservada. Considerações finais: Os traumas por bicicleta podem ter graves consequências orofaciais. Constata-se a indispensável avaliação profissional quanto as características dos tecidos moles e dento-alveolares, possibilitando ao paciente o retorno estético e funcional... (AU)


Introduction: The face is the region of the most projected human body which leads to traumatic injuries with important sequelae. It performs aesthetic and functional functions such as facial expressions. Tissue reconstructions should be performed with the purpose of restoring the functionality, asymmetry and contour of the region. The characteristics of lesioned soft tissues should be considered, which should be reconstituted with the appearance closest to the lesion site. The aim of the present study is to report the reconstruction of the upper lip and the dental alveolus immediately after a cycling accident. Case report: Male patient, 26 years of age, normossemic, attended the emergency service of Buco-Maxillo-Facial Surgery and Traumatology due to a bicycle fall, which would have been caused by the fork breaking, which evolved with laceration in the lip superiority and in-alveolar fracture. A reconstruction of the upper lip and dental alveoli was performed. The patient evolved 45 days postoperatively with discrete scar and preserved function. Final considerations: Bicycle traumas can have serious orofacial consequences. It is necessary to evaluate the professional characteristics of the soft and dentoalveolar tissues, allowing the patient to return aesthetic and functional... (AU)


Subject(s)
Humans , Male , Adult , Surgical Flaps , Wounds and Injuries , Reconstructive Surgical Procedures , Tooth Socket , Lacerations , Fractures, Bone , Facial Injuries , Lip , Accidents , Cicatrix , Emergencies , Facial Expression
15.
Braz. dent. j ; 31(5): 548-556, Sept.-Oct. 2020. tab
Article in English | LILACS, BBO | ID: biblio-1132333

ABSTRACT

Abstract The aims of this investigation were to describe the profile of men and women victims of violence and identify factors associated with the severity of facial trauma. A retrospective study was carried out from 762 records of victims attended at the Institute of Legal Medicine and Dentistry located in a metropolitan region of Northeastern Brazil. The dependent variable was type of facial trauma suffered by victims. Independent variables were the sociodemographic characteristics of victims, characteristics of aggressors and circumstances of violence. Descriptive, bivariate (c2 test) and multivariate statistics were made through logistic regression. Level of significance was set at p < 0.05. The mean age of victims was 29.78 years (SD=13.33). Based on the final regression model, male subjects [odds ratio (OR)=2.22, 95% CI=1.08-4.57, p=0.030], assaulted by other male subjects (OR=4.88; 95% CI=1.12-21.26; p=0.035) through instrument (OR=6.67; 95% CI=2.85-15.60; p<0,001) or mixed aggressions (OR=4.34; 95% CI=1.44-13.02; p=0.009) were more likely to exhibit facial bone fractures or dentoalveolar fractures. The findings highlight that men and women present important victimization differentials in relation to interpersonal violence and facial trauma. Victim's gender, aggressor's gender and mechanism of aggression may exert influence on facial trauma patterns.


Resumo Os objetivos desta investigação foram descrever o perfil de homens e mulheres vítimas de violência e identificar fatores associados à gravidade do trauma facial. Foi realizado um estudo retrospectivo de 762 prontuários de vítimas atendidas no Instituto de Medicina Legal e Odontologia de uma região metropolitana do Nordeste do Brasil. A variável dependente foi o tipo de trauma facial sofrido pelas vítimas. Variáveis ​​independentes foram as características sociodemográficas das vítimas, características dos agressores e circunstâncias de violência. Estatísticas descritivas, bivariadas (teste c2) e multivariadas foram feitas por meio de regressão logística. O nível de significância foi fixado em p<0,05. A idade média das vítimas foi de 29,78 anos (DP =13,33). Com base no modelo de regressão final, os indivíduos do sexo masculino [odds ratio (OR)=2,22, IC 95%=1,08-4,57, p=0,030], agredidos por outros sujeitos do sexo masculino (OR=4,88; IC 95%=1,12-21,26; p=0,035) por meio de instrumentos (OR=6,67; IC 95%=2,85-15,60; p<0,001) ou agressões mistas (OR=4,34; IC 95%=1,44-13,02; p=0,009) foram mais propensos a apresentar fraturas de ossos faciais ou fraturas dentoalveolares. Os achados apontam que homens e mulheres apresentam importantes diferenciais de vitimização em relação à violência interpessoal e trauma facial. O gênero da vítima, o gênero do agressor e o mecanismo de agressão podem exercer influência sobre os padrões de trauma facial.


Subject(s)
Humans , Male , Female , Adult , Crime Victims , Facial Injuries/epidemiology , Violence , Brazil/epidemiology , Retrospective Studies
16.
Rev. Odontol. Araçatuba (Impr.) ; 41(2): 22-27, maio-ago.2020. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1102666

ABSTRACT

As fraturas panfaciais acometem concomitantemente os terços superior, médio e inferior da face, decorrentes de acidentes automobilísticos, arma de fogo, atropelamento, agressão física, entre outros. Essas fraturas geralmente envolvem osso frontal, zigomático, maxila, mandíbula e ossos nasais, necessitando assim, fixação interna rígida através do uso de miniplacas e parafusos com o propósito de estabilizar as estruturas fraturadas, dar suporte aos tecidos moles e evitar deformidades estéticas da face. O objetivo deste trabalho é relatar o manejo cirúrgico de um caso clinico atendido em um hospital público de Salvador/BA, no qual a vítima apresenta ampla laceração na face e fratura exposta do terço médio da face. O tratamento executado sob anestesia geral foi redução dos cotos ósseos fraturados, fixação com miniplacas e parafusos, reconstrução imediata dos tecidos moles acometidos(AU)


Panfacial fractures affect concomitantly the upper, middle, lower third of the face, resulting from automobile accidents, firearms, hit-and-run, physical aggression, among others. These fractures usually involve frontal bone, zygomatic, maxilla, jaw and nasal bones, thus requiring rigid internal fixation through the use of miniplates and screws in order to stabilize fractured structures, support soft tissues avoiding aesthetic face deformities. The objective of this work is to report the surgical management of a clinical case attended in a public hospital in Salvador/BA, in which the victim has wide laceration of the face and exposed fracture of the middle third of the face. Treatment performed under general anesthesia was reduction of fractured bone stumps, fixation with miniplates and screws, immediate reconstruction of the affected soft tissues(AU)


Subject(s)
Humans , Male , Facial Bones/injuries , Facial Injuries , Reconstructive Surgical Procedures , Face/surgery
17.
Medicina (Ribeirao Preto) ; 53(2)jul. 2020. ilus
Article in Portuguese | LILACS | ID: biblio-1358308

ABSTRACT

RESUMO: Modelo de estudo: Relato de Caso. Importância do problema: As fraturas panfaciais recebem essa denominação quando os terços faciais apresentam fraturas concomitantes. Com frequência, essas lesões estão relacionadas a danos importantes aos tecidos moles, cominuição e perda de segmentos ósseos e/ou dentários, que podem gerar má oclusão e graves deformidades faciais, visto que etiologia de tal condição se deve à acidentes de alta dissipação de energia. O tratamento das fraturas panfaciais com o uso de fixação interna rígida permite restaurar as funções mastigatórias, bem como os contornos faciais. Comentários: O objetivo desse trabalho é relatar a reconstrução de uma fratura panfacial, envolvendo a mandíbula e com elevado grau de cominuição do complexo zigomático orbitário e do arco zigomático, em uma paciente do sexo feminino, em que acesso hemicoronal e retromandibular foram escolhidos para reconstrução e reestruturação do complexo facial. Conclusão: O correto manejo das fraturas panfaciais, é um dos grandes desafios do cirurgião buco maxilo facial, visto o nível de dificuldade para reestabelecer de maneira satisfatória as condições estéticas e funcionais existentes previamente ao trauma. Diferentes sequências de tratamento vêm sendo propostas, podendo ser utilizadas com sucesso após análise adequada do caso clínico e correta indicação. (AU)


ABSTRACT: Study model: Case Report. Importance of the problem: Panfacial fractures receive this designation when the facial thirds have concomitant fractures. Frequently, these lesions are related to important soft tissue damage, comminution, and loss of bone and/or dental segments, which may lead to malocclusion and severe facial deformities, since the etiology of such condition is due to accidents of high energy dissipation. The treatment of the panfacial fractures with the use of rigid internal fixation allows restoring the masticatory functions, as well as the facial contours. Comments: This study aimed to report the reconstruction of a panfacial fracture, involving the mandible and with a high degree of comminution of the zygomatic or zygomatic arch, in a female patient, whose hemicoronal and retromandibular access were chosen for reconstruction and restructuring of the facial complex. Conclusion: The correct management of panfacial fractures is one of the greatest challenges of the maxillofacial surgeon, given the level of difficulty to satisfactorily reestablish the aesthetic and functional conditions existing before the trauma. Different treatment sequences have been proposed to be used successfully after adequate analysis of the clinical case and correct indication. (AU)


Subject(s)
Humans , Female , Adult , Zygoma , Facial Bones , Facial Injuries , Oral and Maxillofacial Surgeons , Fracture Fixation, Internal , Malocclusion , Mandible
18.
Odontoestomatol ; 22(35): 30-37, jul. 2020.
Article in Spanish | LILACS | ID: biblio-1103040

ABSTRACT

El trauma facial presenta características importantes que repercuten en el diagnóstico y tratamiento de niños y adolescentes. Objetivo: Analizar el cuadro epidemiológico del trauma facial en niños y adolescentes en un hospital de la región sur de Brasil. Materiales e métodos: Se realizó un estudio de corte transversal analítico entre los años de 2000 hasta 2010 en el Hospital São Vicente de Paulo, Passo Fundo, Brasil. Identificando los agentes etiológicos, género, fracturas faciales y la existencia de injurias corporales asociadas a los traumatismos faciales. Resultados: Los traumatismos faciales fueron más frecuentes en el grupo de adolescentes (75.6%) en comparación con la población pediátrica (24.3%). La mandíbula fue el hueso más afectado (33.5%). El traumatismo craneano fue la lesión asociada más frecuente en la población pediátrica (33%). Conclusión: Los hombres presentan mayor prevalencia de trauma facial, siendo que los adolescentes tienden a ser más afectados.


O trauma facial apresenta características importantes que refletem no diagnóstico e tratamento de crianças e adolescentes. Objetivo: Analisar o quadro epidemiológico do trauma facial em crianças e adolescentes em um hospital da região sul do Brasil. Materiais e métodos: Realizou-se um estudo de coorte transversal analítico entre os anos 2000 e 2010, no Hospital São Vicente de Paulo, Passo Fundo, Brasil. Foram identificados os agentes etiológicos, gênero, fraturas faciais e a presença de lesões associadas aos traumatismos faciais. Resultados: Os traumatismos faciais foram mais frequentes no grupo de adolescentes (75.6%), comparado com a população pediátrica (24.3%). A mandíbula foi o osso mais acometido (33.5%). O traumatismo craniano foi a lesão associada mais frequente na população pediátrica (33%). Conclusão: Os homens apresentaram maior prevalência do trauma facial, sendo o grupo de adolescentes o mais acometido.


Facial trauma has major characteristics that affect the diagnosis and treatment of children and adolescents. Objective: To analyze the epidemiology of facial trauma in children and adolescents in a hospital in the south of Brazil. Materials and methods: An analytical crosssectional cohort study was conducted between 2000 and 2010 at Hospital Sao Vicente de Paulo, Passo Fundo, Brazil. Various factors were identified: etiological agents, gender, facial fractures and the existence of body injuries associated with facial trauma. Results: Facial injuries were more common than in the adolescent group (75.6%) compared to the pediatric population (24.3%). The jaw was the most affected bone (33.5%). Cranial trauma was the most common associated lesion in the pediatric population (33%). Conclusion: Men have a higher prevalence of facial trauma and adolescents tend to be more affected.


Subject(s)
Humans , Child , Adolescent , Child , Adolescent , Facial Injuries , Brazil , Facial Bones
19.
Rev. cir. traumatol. buco-maxilo-fac ; 20(2): 5-11, abr.-jun. 2020. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1253401

ABSTRACT

Introdução: A reconstrução óssea de defeitos craniofaciais é um processo desafiador. Diferentes técnicas operatórias e materiais reconstrutores são utilizados para reestabelecer a forma ideal do crânio. Materiais aloplásticos vem ganhando popularidade nas reconstruções orbitárias devido à sua facilidade de uso, com grande variedade de formas e tamanhos disponíveis. O objetivo deste estudo foi avaliar as reconstruções dos defeitos ósseos orbitários após traumatismos craniofaciais. Metodologia: Trata-se de um estudo observacional, que avaliou pacientes vítimas de traumatismo crânioencefálico com envolvimento orbitário e necessidade de reconstrução por meio de material aloplástico de titânio, atendidos no período de março de 2015 a junho de 2016, no Hospital da Cidade de Passo Fundo, Rio Grande do Sul,Brasil.Resultados: 13 pacientes foram incluídos no estudo e analisados de acordo com idade, gênero, etiologia do trauma,tipos de fratura que envolveram os defeitos craniofaciais e o material utilizado na reconstrução. O exame clínico avaliou a estabilidade da reconstrução, o resultado estético e funcional e a ocorrência de infecção pós-operatória. Tomografias Fan-Beam foram tomadas no pré e pós-operatório. Conclusões:Os resultados obtidos mostram que a escolha do material aloplástico de titânio é segura, e oferece excelente taxa de sucesso estético e funcional, corroborando com a literatura existente... (AU)


Introduction: Bone reconstruction of craniofacial defects is a challenging process. Different surgical techniques and reconstructing materials are used to reestablish the ideal shape of the skull. Alloplastic materials have been gaining popularity in orbital reconstructions due to their ease of use, with a wide variety of shapes and sizes available. The aim of this study was to evaluate the reconstruction of orbital bone defects after craniofacial trauma. Methodology: This is an observational study that evaluated patients who were victims of traumatic brain injury with orbital involvement and the need for reconstruction by means of titanium alloplastic material, treated from March 2015 to June 2016, at the Hospital da Cidade de Passo Fundo, Rio Grande do Sul, Brazil. Results: 13 patients were included in the study and analyzed according to age, gender, trauma etiology, types of fracture involving craniofacial defects and the material used in reconstruction. The clinical examination evaluated the stability of the reconstruction, the aesthetic and functional result and the occurrence of postoperative infection. Fan-Beam tomography were taken before and after surgery. Conclusions: The results obtained show that the choice of titanium alloplastic material is safe and offers an excellent rate of aesthetic and functional success, corroborating the existing literature... (AU)


Subject(s)
Humans , Male , Female , Skull , Titanium , Facial Injuries , Mandibular Reconstruction , Brain Injuries, Traumatic , Wounds and Injuries , Bone and Bones , Tomography , Fractures, Bone
20.
Rev. cir. traumatol. buco-maxilo-fac ; 20(1): 27-29, jan.-mar. 2020. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1253536

ABSTRACT

Introdução: Todo tipo de trauma facial requer uma avaliação detalhada, a fim de compreender o histórico da lesão e possíveis sequelas. O trauma óculo-orbital não está entre as lesões mais frequentes na epidemiologia do trauma facial, embora esteja associado a altos índices de morbidade e sequelas graves, sendo necessário um acompanhamento multidisciplinar. O objetivo do presente estudo foi relatar um caso clínico de trauma óculo-orbitário severo ocasionado por arma de fogo. Relato do caso: Paciente de 19 anos foi atendido em um serviço de cirurgia bucomaxilofacial, vítima de trauma por arma de fogo, com a presença de um objeto metálico incomum na órbita esquerda e região temporal. Exame clínico e tomografia computadorizada foram realizados, confirmando uma trajetória extracraniana do objeto. O paciente foi submetido à cirurgia sob anestesia geral, e o objeto foi removido pelo orifício de entrada na região orbitária esquerda. Após avaliação oftalmológica, as funções do olho esquerdo não puderam ser recuperadas. Considerações Finais: O diagnóstico correto e o tratamento rápido são imperativos para restaurar a função e a estética agradável na região traumatizada... (AU)


Introduction: Any type of facial trauma requires a detailed evaluation in order to understand lesion history and possible sequelae. Oculoorbital trauma is not between the most frequent injuries within facial trauma epidemiology, although, it is associated to high morbidity rates and severe sequelae, so that a multidisciplinary follow-up is necessary. To report a clinic case of severe oculo-orbital trauma caused by firearm. Case Report: Patient, 19 years-old, attended the oral and maxillofacial surgery service victim of trauma by gunshot with the presence of an unusual metallic object in the left orbit and temporal region. Clinical exam and computed tomography scan were performed, confirming an extra-cranial trajectory of the object. Patient was submitted to surgery under general anesthesia and the object was removed through the entrance orifice in the left orbital region. After ophthalmologic evaluation, functions of the left eye could not be recovered. Final considerations: Correct diagnosis and rapid treatment are imperative to restore function and pleasant esthetics in the traumatized region... (AU)


Subject(s)
Humans , Male , Adult , Orbit , Temporal Lobe , Wounds and Injuries , Wounds, Gunshot , Eye Injuries , Lifting , Facial Injuries , Foreign Bodies , Tomography
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