Treatment of non-comminuted zygomatic complex fracture without inferior orbital rim fixation

2007 ◽  
Vol 36 (11) ◽  
pp. 1077
Author(s):  
G.M. Lalwani
Keyword(s):  
Complex Fracture ◽  
Orbital Rim

scholarly journals Estabilização de fratura de complexo zigomático-orbitário com dois pontos de fixação: relato de caso

2019 ◽  
Vol 8 (8) ◽  
Author(s):  
Mateus Barros Cavalcante ◽  
Caio Pimenteira Uchôa ◽  
Caroline Brígida Sá Rocha ◽  
Luiz Henrique Soares Torres ◽  
Valfrido Antônio Pereira Filho ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Comparative Evaluation ◽  
Anatomical Study ◽  
Comparison Of Methods ◽  
Orbital Fractures ◽  
Complex Fracture ◽  
Complex Fractures ◽  
Orbital Rim ◽  
Zygomatic Fractures ◽  
Zygomaticomaxillary Complex

Introdução: o zigoma articula-se com quatro ossos e é de extrema importância na força e estabilidade do terço médio da face. Por sua projeção anterior na face, torna-se um osso bastante susceptível aos traumas. Fraturas podem resultar em sequelas funcionais significantes e estéticas. Objetivo: relatar um caso clínico de fratura de zigoma, bem como debater sobre possíveis formas de fixação, suas indicações e sequencia cirúrgica. Materiais e métodos: paciente gênero masculino, 26 anos de idade e com histórico de agressão física. Ao exame clínico e de imagem, constatou-se fratura de complexo zigomático-orbitário direito, que foi tratado com osteossíntese em dois pontos de fixação. Resultados: a abordagem de fixação da fratura nas suturas zigomático-frontal e zigomático-maxilar foi satisfatória e concedeu estabilidade e projeção anteroposterior na face. Paciente segue em acompanhamento de seis meses sem apresentar sequelas ou complicações. Conclusões: o manejo das fraturas do complexo zigomático-maxilar ainda é discutido e controverso na literatura. Porém a abordagem com fixação de dois pontos se mostrou precisa, menos invasiva e com menor custo.Descritores: Zigoma; Fixação de Fratura; Traumatologia.ReferênciasNagaprasad N, Praveen Harish G, Reddy GSG. Clinical Study of Isolated Zygomatic Fractures. Int J Contemp Med Res. 2016;3(7):1983-86.Jardim ECG, Santiago Junior JF, Melo RL, Mendonça JCG, Faverani LP, Garcia Júnior IR et al. Combinação de técnicas para tratamento cirúrgico de fratura do complexo zigomático-maxilar: relato de caso. Arch Health Invest. 2013; 2(3):33-6.Sassi LM, Dissenha JL, Bezeruska C, Guebur MI, Hepp V, Radaelli RL et al. Fraturas de zigomático: revisão de 50 casos. Rev Bras Cir Cabeça Pescoço. 2009; 38:246-7.Mendonça JCG, Crivelli DMB. Tratamento de fratura cominutiva do complexo zigomático orbitário com utilização de fio de aço: relato de caso. Rev Bras Cir Cabeça Pescoço. 2012;41(2):93-5.Oliveira JAGP. Fratura do arco zigomático: relato de caso utilizando o acesso pré-auricular. Rev Cir Traumatol Bucomaxilofac. 2009; 9(1):47-52.Oliva MA. Acesso subciliar para fraturas do complexo zigomático-orbitári. Rev Bras Cir Cabeça Pescoço. 2013;42(2):106-8.Meslemani D, Kellman RM. Zygomaticomaxillary complex fractures. Arch Facial Plast Surg. 2012; 14(1):62-6Rana M, Warraich R, Tahir S, Igbal A, von See C, EcKardt AM et al. Surgical treatment of zygomatic bone fracture using two points fixation versus three point fixation– a randomised prospective clinical trial. Trials 2012; 13:36Ellis E 3rd, Kittidumkerng W. Analysis of treatment for isolated zygomatic maxillary complex fractures. J Oral Maxillofac Surg. 1996; 54(4):386-400.Ellis E 3rd, Daniel Perez. An algorithm for the treatment of isolated zygomatico-orbital fractures. J Oral Maxillofac Surg. 2014;72(10):1975-83.Tripathi N, Goyal M, Mishra B, Dhasmana S. Zygomatic complex fracture: A comparative evaluation of stability using titanium and bio‑resorbable plates as one point fixation. Nat J Maxillofac Surg. 2013;4(2):181-87.Yonehara Y, Hirabayashi S, Tachi M, Ishii H. Treatment of zygomatic fractures without inferior orbital rim fixation. J Craniofac Surg. 2005;16(3):481-85.Eski M, Sahin I, Deveci M, Turegun M, Isik S Sengezer M. A retrospective analysis of 101 zygomatico-orbital fractures. J Craniofac Surg. 2006;17(6):1059-64.Chrcanovic BR, Cavalcanti YS, Reher P. Temporal miniplates in the frontozygomatic area-an anatomical study. J Oral Maxillofac Surg. 2009;13(4):201-6.Davidson J, Nickerson D, Nickerson B. Zygomatic fractures: comparison of methods of internal fixation. Plast Reconstr Surg. 1990;86(1):25-32.Kim ST, Godh, Jung JH. Comparison of one point fixation with two point fixation in treating tripod fractures of zygoma, J Oral Maxillofac Surg. 2011; 69(11):2848-52Kovács AF, Ghahremani M. Minimization of zygomatic complexfracture treatment. Int J Oral Maxillofac Surg. 2001; 30(5):380-83.Nasr WF, ElSheikh E, El-Anwar MW, Sweed AH, Bessar A, Ezzeldin N. Two-versus three-point internal fixation of displaced zygomaticomaxillary complex fractures. Craniomaxillofac Trauma Reconstr. 2018;11(4):256-64.

scholarly journals A complex fracture of the hyoid bone and the larynx after a bicycle accident - case report and review of literature

2021 ◽  
pp. 105922
Author(s):  
Lava Taha ◽  
Matti Sievert ◽  
Felix Eisenhut ◽  
Heinrich Iro ◽  
Maximilian Traxdorf ◽  
...  
Keyword(s):  
Case Report ◽  
Hyoid Bone ◽  
Review Of Literature ◽  
Bicycle Accident ◽  
Complex Fracture ◽  
Accident Case

Numerical simulation of complex fracture geometry caused by hydrodynamics in shale with pre-existing weak planes

2021 ◽  
Vol 199 ◽  
pp. 108306
Author(s):  
Yongquan Hu ◽  
Qiang Wang ◽  
Jinzhou Zhao ◽  
Shengnan Chen ◽  
Daiqiang Li ◽  
...  
Keyword(s):  
Numerical Simulation ◽  
Fracture Geometry ◽  
Complex Fracture

scholarly journals Resurrection of the genus Homalopteroides (Teleostei: Balitoridae) with a redescription of H. modestus (Vinciguerra 1890)

Zootaxa ◽  
2012 ◽  
Vol 3586 (1) ◽  
pp. 329 ◽  
Author(s):  
ZACHARY S. RANDALL ◽  
LAWRENCE M. PAGE
Keyword(s):  
Lateral Line ◽  
Head Length ◽  
Pectoral Fin ◽  
Caudal Fin ◽  
Dorsal Fin ◽  
Interorbital Width ◽  
Fin Rays ◽  
Orbital Rim ◽  
Pectoral Fin Rays ◽  
Pelvic Fin

The genus Homalopteroides Fowler 1905 is resurrected and distinguished from the genus Homaloptera van Hasselt 1823based on a combination of characters including a unique mouth morphology, dorsal-fin origin over pelvic fin,≤60 lateral-line scales, and≤30 predorsal scales. Species included in Homalopteroides are H. wassinkii (Bleeker 1853), H. modestus(Vinciguerra 1890), H. rupicola (Prashad & Mukerji 1929), H. smithi (Hora 1932), H. stephensoni (Hora 1932), H. weberi(Hora 1932), H. tweediei (Herre 1940), H. indochinensis (Silas 1953), H. nebulosus (Alfred 1969), H. yuwonoi (Kottelat1998), and possibly H. manipurensis (Arunkumar 1999). Homalopteroides modestus (Vinciguerra 1890) is a poorlyknown species that was originally described from the Meekalan and Meetan rivers of southern Myanmar. It occurs in theSalween, Mae Khlong, and Tenasserim basins, and can be distinguished from all other species of Homalopteroides by thecombination of caudal-fin pattern (black proximal and distal bars, median blotch), 15 pectoral-fin rays, pectoral-fin lengthgreater than head length, 5½–6½ scales above and 5–6 scales below the lateral line (to the pelvic fin), 39–44 total lateral-line pores, no axillary pelvic-fin lobe, pelvic fin not reaching anus, orbital length less than interorbital width in adult, and maxillary barbel reaching to or slightly past the anterior orbital rim.

scholarly journals Using a tightRope® to treat a complex fracture of the trapezium

2014 ◽  
Vol 96 (7) ◽  
pp. e36-e38 ◽  
Author(s):  
ME Shenouda ◽  
A Mohan ◽  
T Sarkhel
Keyword(s):  
Functional Recovery ◽  
Index Finger ◽  
Scaphoid Fracture ◽  
Percutaneous Fixation ◽  
Complex Fracture ◽  
Trapezium Fracture

We present the case of a 23-year-old man with a combined scaphoid fracture and comminuted trapezium fracture, treated surgically with percutaneous fixation of the scaphoid fracture and concomitant Arthrex Mini TightRope® stabilisation of base of thumb metacarpal to base of index finger metacarpal. The patient made a good functional recovery, returning to usual activities within six weeks. We suggest that this technique could be used to treat complex trapezium fractures that cannot be reconstructed with surgery.

Mapping complex fracture systems as termite mounds—a fast-marching approach

2011 ◽  
Vol 30 (5) ◽  
pp. 496-501 ◽  
Author(s):  
Hao Guo ◽  
Kurt J. Marfurt ◽  
Jiang Shu
Keyword(s):  
Fast Marching ◽  
Termite Mounds ◽  
Complex Fracture ◽  
Fracture Systems

scholarly journals Quantitative analysis of the surgical exposure and surgical freedom between transcranial and transorbital endoscopic anterior petrosectomies to the posterior fossa

2019 ◽  
Vol 131 (2) ◽  
pp. 569-577 ◽  
Author(s):  
Raywat Noiphithak ◽  
Juan C. Yanez-Siller ◽  
Juan Manuel Revuelta Barbero ◽  
Bradley A. Otto ◽  
Ricardo L. Carrau ◽  
...  
Keyword(s):  
Posterior Fossa ◽  
Additional Benefit ◽  
Range Of Movement ◽  
Statistical Comparison ◽  
Anterior Transpetrosal Approach ◽  
Surgical Exposure ◽  
Orbital Wall ◽  
Anterior Petrosectomy ◽  
Surgical Corridor ◽  
Orbital Rim

OBJECTThis study proposes a variation of the transorbital endoscopic approach (TOEA) that uses the lateral orbit as the primary surgical corridor, in a minimally invasive fashion, for the posterior fossa (PF) access. The versatility of this technique was quantitatively analyzed in comparison with the anterior transpetrosal approach (ATPA), which is commonly used for managing lesions in the PF.METHODSAnatomical dissections were carried out in 5 latex-injected human cadaveric heads (10 sides). During dissection, the PF was first accessed by TOEAs through the anterior petrosectomy, both with and without lateral orbital rim osteotomies (herein referred as the lateral transorbital approach [LTOA] and the lateral orbital wall approach [LOWA], respectively). ATPAs were performed following the orbital approaches. The stereotactic measurements of the area of exposure, surgical freedom, and angles of attack to 5 anatomical targets were obtained for statistical comparison by the neuronavigator.RESULTSThe LTOA provided the smallest area of exposure (1.51 ± 0.5 cm2, p = 0.07), while areas of exposure were similar between LOWA and ATPA (1.99 ± 0.7 cm2 and 2.01 ± 1.0 cm2, respectively; p = 0.99). ATPA had the largest surgical freedom, whereas that of LTOA was the most restricted. Similarly, for all targets, the vertical and horizontal angles of attack achieved with ATPA were significantly broader than those achieved with LTOA. However, in LOWA, the removal of the lateral orbital rim allowed a broader range of movement in the horizontal plane, thus granting a similar horizontal angle for 3 of the 5 targets in comparison with ATPA.CONCLUSIONSThe TOEAs using the lateral orbital corridor for PF access are feasible techniques that may provide a comparable surgical exposure to the ATPA. Furthermore, the removal of the orbital rim showed an additional benefit in an enhancement of the surgical maneuverability in the PF.

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