Functional and aesthetic correction of fronto-naso-orbito-ethmoidal fracture sequel – case report

Vol. 12 – Number 46 – 2021 IMPLANT DENTISTRY NOTEBOOK Case report Page 70-75 Functional and aesthetic correction of fronto-naso-orbito-ethmoidal fracture sequel – case report Dimas Albertiny Barradas de Sousa Varela1 Priscila Vital Fialho2 Mariana Mendes de Carvalho2 Victor Hugo Moraes Salviano3 Carlos Vinicius Moreira2 Alexandre Martins Seixas4 Abstract Fronto-naso-orbito-etmoidal fractures, known as FNOE fractures, are the result of blunt trauma of high energy in the middle and upper third of the face. Presenting an approximate frequency of 5% to 15% of facial trauma in children and adults, respectively, FNOE fractures are found more commonly after motor vehicle accidents, physical aggression, falls or cycling accidents. The diagnosis and treatment of FNOE fractures are difficult to perform and, for this reason, the performance of a thorough clinical examination associated with a good imaging evaluation is of great importance in these traumas, as incorrect diagnosis and inadequate or late treatment generally result in aesthetic and functional. The treatment of this type of fracture must be defined after the identification of the extension, type of fracture, and affected structures in order to restore function and shape of the middle face. This study aimed to report a case of sequelae of FNOE fracture where there were aesthetic and respiratory complaints, treated with coronal access and subsequent reduction of nasal bones fracture and aesthetic correction of the nasal dorsum and glabella with the use of polymethylmethacrylate cement (PMMA). It was concluded that the early diagnosis of FNOE fractures is of great importance to avoid sequelae, with coronal access being a good access option for the surgical correction of these sequelae and the biocompatibility and handling characteristics, as well as the low cost of cement PMMA is a good option for grafting in corrections of craniofacial deformities. Descriptors: Polymethylmethacrylate, depressed fracture skull, complication. 1 CD., Resident of the Buccomaxillofacial Surgery and Traumatology Service – UFBA / HGE / HSA / OSID. 2 Oral and Maxillofacial Surgeon. 3 CD., Intern of the Buco-Maxillofacial Surgery and Traumatology Service, Faculty of Dentistry – UFBA / HGE. 4 Titular member of the Brazilian College of Oral and Maxillofacial Surgery, Coord. of the Buccomaxillofacial Surgery and Traumatology Service – HO / BA. DOI: 10.24077/2021;1246-7075