Reconstrução cirúrgica tardia de fratura fronto-naso-órbito-etmoidal

Abstract

Because of the anatomical position of fron- to - naso - orbital - ethmoid complex and the enormous amount of energy required to create a fracture in this area, these injuries are often severe to c ranioencephalic association. Additional tests are essential for a correct diagnosis and surgical planning. Various tr eatment modalities have been proposed for recon- struction of this type of fracture, including fixation of bone fragments with mini - plates and screws, reconstruction with bone grafts, filling with porous polyethylene and / or methyl methacrylate and titanium mesh implant. The method chosen for each specific case seeks, in general, properly restore the frontal bone architecture, the correct distance intercantal, the projection of the nasal dorsum, leveling the eyeball and check the patency of the duct frontonasal. Late treatment of these fractures can develop difficult to solve sequelae. The aim of this study is to report a treatment fronto-naso-orbital-ethmoid fracture describing the surgical steps performed, discussing its advantages and disadvantages, as well as showing satisfactory cosmetic result.