Consequences in patients with zygomatic fractures treated with semirigid osteosynthesis

Authors

  • José Manuel Díaz Fernández Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Santiago de Cuba
  • Yaribel Yáñez Crombet Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Santiago de Cuba
  • Cibelis Vázquez Pérez Clínica Estomatológica Provincial Docente “Mártires del Moncada”, Santiago de Cuba

Keywords:

zygomatic fracture, semirigid osteosynthesis, postsurgical sequelae, surgical access.

Abstract

A descriptive, cross-sectional and randomized study of 102 patients with fractures of the zygomatic complex, treated with semirigid osteosynthesis in the Maxillofacial Surgery Service of “Saturnino Lora Torres” Teaching Clinical Surgical Provincial Hospital was carried out in Santiago de Cuba, from January, 2005 to December, 2011, aimed at characterizing them according to demographic and therapeutic variables in the presurgical, intrasurgical and postsurgical phases. In the case material there was a prevalence of traffic accidents as causal mechanisms of the lesions (55.8%), depression of the zygomatic eminence and presence of palpable bony steps in the lower and/or lateral orbitary edge as main symptoms (92.1%, respectively), and the  scleral exhibition as postsurgical complication (55.2%), among others; also, the value of the  presurgical time increased the risk of sequelae and the subciliary approach was  associated with a higher risk of scleral exhibition  for approaching to the lower edge and/or orbitary floor. On the other hand, either enophthalmos or y pophthalmos are of difficult solution and have a significant tendency of becoming postsurgical sequelae. 

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Author Biography

José Manuel Díaz Fernández, Hospital Provincial Docente Clinicoquirúrgico “Saturnino Lora Torres”, Santiago de Cuba

especialista II grado en cirugía maxilo facial del hospital provincial saturnino lora. profesor consultante. master en atencion de urgencias estomatológicas.

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Published

2017-07-10

How to Cite

1.
Díaz Fernández JM, Yáñez Crombet Y, Vázquez Pérez C. Consequences in patients with zygomatic fractures treated with semirigid osteosynthesis. MEDISAN [Internet]. 2017 Jul. 10 [cited 2025 Jun. 2];21(7). Available from: https://medisan.sld.cu/index.php/san/article/view/500

Issue

Vol. 21 No. 7 (2017): MEDISAN

Section

Original Articles

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