title: Ocular reconstruction after zygomatic complex fracture with retention of a foreign body.
abstract: Facial injuries with the retention of foreign bodies inside the tissues, both in soft and hard ones, can cause major functional and aesthetic damage. Among the different etiological agents, cutting tools, fragments of a firearm, the splinter of wood, steel, or iron, launched by misuse, or even caused by defects in equipment, are the main cause of these injuries. The aim of this study was to discuss the peculiarity of the multidisciplinary approach in caring of a 33-year-old man, victim of an accident at work, by the rupture of an emery disc and consequent penetration of the fragments in violation of the tissues in the orbital and zygomatic region of the left side, with perforation of the eyeball and orbital-zygomatic fracture. Urgent treatment consisted of debridement of wounds, bleeding control, removal of foreign bodies, fracture reduction with rigid internal fixation, and suture, performed by the oral and maxillofacial surgical team. Reconstruction of orbital tissues by the ophthalmology team consisted of suture of the injuries. About 1 month after the trauma, phthisis bulbi was noted, and the patient underwent a new procedure under general anesthesia for eye evisceration and installation of an alloplastic prosthesis associated with the homogenous sclera. Facial harmony was restored, especially in aesthetics and function of the zygomatic-orbital complex.
authors.affiliation: Oral and Maxillofacial Surgery with the Bauru Hospital Association and UNESP, Araçatuba Dental School, São Paulo, Brazil.
authors.forename: Leonardo Perez
authors.initials: LP
authors.lastname: Faverani
authors.forename: Marcos Maurício
authors.initials: MM
authors.lastname: Capelari
authors.forename: Gabriel
authors.initials: G
authors.lastname: Ramalho-Ferreira
authors.forename: José Carlos Oliveira
authors.initials: JC
authors.lastname: Gomes-Filho
authors.forename: André Luís da Silva
authors.initials: AL
authors.lastname: Fabris
authors.forename: Clóvis
authors.initials: C
authors.lastname: Marzola
authors.forename: Gustavo Lopes
authors.initials: GL
authors.lastname: Toledo
authors.forename: João Lopes
authors.initials: JL
authors.lastname: Toledo-Filho
mesh_terms: D000062:Accidents, Occupational; D000328:Adult; D001766:Blindness / Q000209:etiology; D003646:Debridement; D005128:Eye Diseases / Q000209:etiology; D017234:Eye Evisceration; D005130:Eye Hemorrhage / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000601:surgery*; D005137:Eye, Artificial; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods; D005624:Frontal Bone / Q000293:injuries; D006470:Hemorrhage / Q000601:surgery; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000293:injuries; D009917:Orbital Fractures / Q000601:surgery*; D010348:Patient Care Team; D019651:Plastic Surgery Procedures / Q000379:methods*; D012887:Skull Fractures / Q000601:surgery; D015051:Zygomatic Fractures / Q000601:surgery*