Prototyping for the treatment of late zygomatic-orbital fracture: A case report

Amanda Lúcio do Ó Silva; Isabella Jardelino Dias; Rafael Grotta Grempel; Hécio Henrique Araújo de Morais; Nadja Maria da Silva Oliveira Brito; Daliana Queiroga de Castro Gomes

doi:10.1016/j.ijscr.2017.06.065

Prototyping for the treatment of late zygomatic-orbital fracture: A case report

Int J Surg Case Rep. 2017:38:91-94. doi: 10.1016/j.ijscr.2017.06.065. Epub 2017 Jul 11.

Authors

Amanda Lúcio do Ó Silva¹, Isabella Jardelino Dias², Rafael Grotta Grempel³, Hécio Henrique Araújo de Morais⁴, Nadja Maria da Silva Oliveira Brito³, Daliana Queiroga de Castro Gomes¹

Affiliations

¹ Department of Dentistry, State University of Paraíba, Campina Grande, PB, Brazil.
² Department of Dentistry, State University of Paraíba, Campina Grande, PB, Brazil. Electronic address: isabella_jdias@hotmail.com.
³ Department of Dentistry, State University of Paraíba, Campina Grande, PB, Brazil; Nucleus for Strategic Technologies Applied to Health, State University of Paraíba, Campina Grande, PB, Brazil; Department of Surgery, Dom Luiz Gonzaga Fernandes Emergency and Trauma Hospital, Campina Grande, PB, Brazil.
⁴ Department of Surgery, Dom Luiz Gonzaga Fernandes Emergency and Trauma Hospital, Campina Grande, PB, Brazil; Department of Dentistry, State University of Rio Grande do Norte, Caicó, RN, Brazil.

Abstract

Introduction: Zygomatic-orbital complex fractures are the most common facial traumas that can result in severe esthetic and functional sequelae. Surgical correction of these fractures is a delicate approach and prototyping is an excellent tool to facilitate this procedure.

Presentation of case: A 27-year-old man, a motorcycle accident victim, was hospitalized in the intensive care unit for 30days. After this period, facial fractures were treated surgically, leaving sequelae such as enophthalmos, dystopia and loss of projection of the zygomatic arch. A second intervention was planned after one year for reconstruction of the orbit with the help of prototyping. Better outcomes were achieved than in the first intervention.

Discussion: This report permits to compare the result of conventional surgery and the use of a prototype in the same patient. Noticeably better outcomes were achieved with the second approach. Prototyping made the surgical procedure more predictable and reduced operative time because of the possibility of using preshaped titanium plates.

Conclusions: Prototyping was found to be an excellent option to overcome the deficiencies of the conventional technique, recovering the functional and esthetic characteristics of the patient's face and ensuring a markedly satisfactory outcome.

Keywords: Case report; Fracture fixation; Orbit; Orbital fractures; Prototyping.