Behavior of maxillo-malar fractures
Keywords:
maxillo-malar fracture, zigomatic-orbital fracture, orbital complex fracture, facial trauma, maxillofacial trauma.Abstract
Introduction: malar bone is one of the most affected bones in facial traumas. It is often fractured and its treatment is common for the maxillofacial surgeon.
Objective: to determine the behavior of the maxillo-malar fractures according to age, sex, signs and symptoms, type of fracture, cause, and therapeutic modality used.
Methods: a descriptive transversal prospective study was conducted in patients attended with maxillo-malar fractures in the Service of Maxillofacial Surgery of "Calixto García" University Hospital during the period November 2008-May 2011. The results were shown in simple and double-entry tables and percentage was used as summary measure.
Results: the behavior by age groups showed 18 patients from 31 to 40 years, 14 from 14 to 50 years, 12 from 18 to 30 years, 11 from 51 to 60 years and 8 of 60 years or older; 44 patients (69.8 %) were male. Physical aggression was the cause of the 41.3 % of fractures, traffic accidents reported the 25.4 %, falls the 19 % and sports accidents reported the 14. 3 % of the cases. 100 % of the patients reported to have pain and the 96.8 % presented facial asymmetry. Grade III fractures were present in the 50.8 %, the 31.8 % had Grade II fractures, and 9,5 and 7.9 % had Grade IV and I fractures, respectively. A combined therapeutic technique was applied in 24 patients. Eyeball tail was used in 16 patients and only in one patient, the coronal approach was decided.
Conclusions: of the 63 patients, the male and aged between 31 and 40 years showed the highest number; the most frequent type of fracture was the Grade III one, and physical aggressions followed by traffic accidents were identified as the main causes. The most observed signs and symptoms were pain and facial asymmetry. The most used therapeutic modality was the combined one.
Key words: maxillo-malar fracture, zigomatic-orbital fracture, orbital complex fracture, facial trauma, maxillofacial trauma.
Downloads
Published
How to Cite
Issue
Section
License
Authors retain all rights to their works, which they can reproduce and distribute as long as they cite the primary source of publication.
The Rev Cubana Estomatol is subject to the Creative Commons Attribution-Non-Commercial 4.0 International License (CC BY-NC 4.0) and follows the publication model of SciELO Publishing Schema (SciELO PS) for publication in XML format.
You are free to:
- Share — copy and redistribute the material in any medium or format.
- Adapt — remix, transform, and build upon the material.
The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
- You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
- No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
Download PDF
