Treatment of Naso-Orbito-Etmoidal Type III Fracture in Adolescents - Case Report

ABSTRACT: The naso-orbito-ethmoidal region is composed of delicate bones and when fractured may result in significant aesthetic-functional impairment. Diagnosis through clinical and imaging findings is extremely important for surgical planning. This study aims to report a case of type III fracture o...

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Autores principales:	Rocha,J. L. S, Cavalieri-Pereira,L, Brancher,G. Q. B, Altafin,L, Cerezetti,L, Mirandola,C
Lenguaje:	English
Publicado:	Universidad de La Frontera. Facultad de Medicina 2020
Materias:	internal fixation of fractures reduction open facial bones facial injuries
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000200167
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spelling	oai:scielo:S0718-381X20200002001672020-02-27Treatment of Naso-Orbito-Etmoidal Type III Fracture in Adolescents - Case ReportRocha,J. L. SCavalieri-Pereira,LBrancher,G. Q. BAltafin,LCerezetti,LMirandola,C internal fixation of fractures reduction open facial bones facial injuries ABSTRACT: The naso-orbito-ethmoidal region is composed of delicate bones and when fractured may result in significant aesthetic-functional impairment. Diagnosis through clinical and imaging findings is extremely important for surgical planning. This study aims to report a case of type III fracture of the naso-orbito-ethmoidal region. Patient D.R.S., female, 13 years old, attended the emergency department of Hospital dos Fornecedores de Cana de Piracicaba (HFCP) - SP with complaint of pain in the fronto-nasal region and respiratory distress after trauma in face of baseball bat. Physical examination showed edema and short blunt injury in the region of the nasal dorsum and frontal region, bilateral periorbital hematoma, hyposphagma in right eye and traumatic telecanthus. When analyzing the computed tomography, it was observed fracture of the nasal bones, also affecting the medial wall of the orbit. The procedure was osteosynthesis of the fractures and reconstruction of the nasal dorsum. The fracture traces were exposed from coronal access, reduction of fractures and use of calvarial bone graft for nasal dorsum reconstruction. The fracture and the graft were fixed with plates of 1,6mm. Postoperative computed tomography analysis showed good graft positioning, but there was still a slight sinking of the left lateral wall of the nose. In a second moment another surgical intervention was done to reduce this wall and an internal containment device was installed. Currently the patient is in a state of observation and a follow-up period of 665 days. In cases of complex nasoorbito-ethmoidal fractures early diagnosis and treatment is essential to minimize sequelae and provide a better aesthetic and functional result.info:eu-repo/semantics/openAccessUniversidad de La Frontera. Facultad de MedicinaInternational journal of odontostomatology v.14 n.2 20202020-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000200167en10.4067/S0718-381X2020000200167
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	internal fixation of fractures reduction open facial bones facial injuries
spellingShingle	internal fixation of fractures reduction open facial bones facial injuries Rocha,J. L. S Cavalieri-Pereira,L Brancher,G. Q. B Altafin,L Cerezetti,L Mirandola,C Treatment of Naso-Orbito-Etmoidal Type III Fracture in Adolescents - Case Report
description	ABSTRACT: The naso-orbito-ethmoidal region is composed of delicate bones and when fractured may result in significant aesthetic-functional impairment. Diagnosis through clinical and imaging findings is extremely important for surgical planning. This study aims to report a case of type III fracture of the naso-orbito-ethmoidal region. Patient D.R.S., female, 13 years old, attended the emergency department of Hospital dos Fornecedores de Cana de Piracicaba (HFCP) - SP with complaint of pain in the fronto-nasal region and respiratory distress after trauma in face of baseball bat. Physical examination showed edema and short blunt injury in the region of the nasal dorsum and frontal region, bilateral periorbital hematoma, hyposphagma in right eye and traumatic telecanthus. When analyzing the computed tomography, it was observed fracture of the nasal bones, also affecting the medial wall of the orbit. The procedure was osteosynthesis of the fractures and reconstruction of the nasal dorsum. The fracture traces were exposed from coronal access, reduction of fractures and use of calvarial bone graft for nasal dorsum reconstruction. The fracture and the graft were fixed with plates of 1,6mm. Postoperative computed tomography analysis showed good graft positioning, but there was still a slight sinking of the left lateral wall of the nose. In a second moment another surgical intervention was done to reduce this wall and an internal containment device was installed. Currently the patient is in a state of observation and a follow-up period of 665 days. In cases of complex nasoorbito-ethmoidal fractures early diagnosis and treatment is essential to minimize sequelae and provide a better aesthetic and functional result.
author	Rocha,J. L. S Cavalieri-Pereira,L Brancher,G. Q. B Altafin,L Cerezetti,L Mirandola,C
author_facet	Rocha,J. L. S Cavalieri-Pereira,L Brancher,G. Q. B Altafin,L Cerezetti,L Mirandola,C
author_sort	Rocha,J. L. S
title	Treatment of Naso-Orbito-Etmoidal Type III Fracture in Adolescents - Case Report
title_short	Treatment of Naso-Orbito-Etmoidal Type III Fracture in Adolescents - Case Report
title_full	Treatment of Naso-Orbito-Etmoidal Type III Fracture in Adolescents - Case Report
title_fullStr	Treatment of Naso-Orbito-Etmoidal Type III Fracture in Adolescents - Case Report
title_full_unstemmed	Treatment of Naso-Orbito-Etmoidal Type III Fracture in Adolescents - Case Report
title_sort	treatment of naso-orbito-etmoidal type iii fracture in adolescents - case report
publisher	Universidad de La Frontera. Facultad de Medicina
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000200167
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Treatment of Naso-Orbito-Etmoidal Type III Fracture in Adolescents - Case Report

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