Reduction of zygomatic arch fracture under local anesthesia – case report

Vol. 11 – Number 41 – 2019 IMPLANT DENTAL NOTEBOOK Case report Page 52-56 Reduction of zygomatic arch fracture under local anesthesia – case report Lucas da Silva Barreto¹ Victor Hugo Moraes Salviano² Bruna Pedral Sampaio de Souza Dantas¹ Larissa Oliveira Ramos Silva² Edval Reginaldo Tenório Jr.¹ Ravy Carvalho³ Abstract Fractures of the zygomatic arch are usually caused by direct trauma and reflect aesthetic and functional damages, and the correct diagnosis must be made by means of clinical and radiographic examination in order to carry out the appropriate treatment and avoid the presence of post-traumatic sequelae. The objective of this work is to report a case of isolated fracture of the zygomatic arch, to describe the means of diagnosis and closed treatment of this type of fracture. Patient HVS, male gender, 38 years old, victim of physical aggression attended the Service of Oral and Maxillofacial Surgery and Traumatology of UFBA/OSID through the emergency of the state general hospital (Salvador/Bahia) approximately one hour after the trauma. Antissepsis was performed with topical iodine, superficial local anesthesia, and cutaneous incision with scalpel blade nº 15. After the access was performed the introduction of the Barros hook and closed reduction of the fracture. Parallel to the report, it has done a research in the scientific literature to support the methods and techniques used in diagnosis and treatment. It is observed from the clinical case that it is possible to reduce zygomatic arch fractures isolated under local anesthesia with close access to closed reduction fracture in order to avoid increased morbidity of procedures and reduce the burden on the public service. Descriptors: Local anesthesia, zygomatic fractures, surgical instruments. ¹ Specialization student at CTBMF – UFBA. ² Internal of the CTBF Service – UFBA. ³ Esp. at CTBMF – Bahiana School of Medicine.