Abstract

DIAZ FERNANDEZ, José Manuel; YANEZ CROMBET, Yaribel  and  VAZQUEZ PEREZ, Cibelis. Sequelae in patients with zygomatic fractures treated with semirigid osteosynthesis. MEDISAN [online]. 2017, vol.21, n.7, pp.834-841. ISSN 1029-3019.

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 hypophthalmos are of difficult solution and have a significant tendency of becoming postsurgical sequelae

Keywords : zygomatic fracture; semirigid osteosynthesis; postsurgical sequelae; surgical access.

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