Marão Heloisa Fonseca, Gulinelli Jéssica Lemos, Pereira Cassiano Costa Silva, Carvalho Abrahão Cavalcante Gomes de Souza, Faria Paulo Esteves Pinto, Magro Filho Osvaldo
Division of Oral and Maxillofacial Surgery, Department of Surgery and Integrated Clinic, Dental School of Araçatuba (UNESP), Araçatuba, São Paulo, Brazil.
J Craniofac Surg. 2010 May;21(3):748-50. doi: 10.1097/SCS.0b013e3181d7f1b5.
Traumatic injuries treatment of the fronto-naso-orbito-ethmoidal region has been one of the most challenging treatments within maxillofacial surgery, particularly of extensive orbital defects, very common in this type of pathologic condition. A 48-year-old man involved in a car collision presented an extensive bilateral fracture of the orbit medial wall, nasal bones, the nasal septum, and the frontal anterior table. The clinical and tomographic findings concluded the diagnosis of a maxilla and fronto-naso-orbito-ethmoidal fracture. Among the variety of biomaterials, the titanium mesh was elected because of the extension and magnitude of the bone defect, obtaining this way esthetic and functional results with better prognosis.
额鼻眶筛区域创伤性损伤的治疗一直是颌面外科中最具挑战性的治疗之一，尤其是广泛的眼眶缺损，在这类病理状况中非常常见。一名48岁男性因车祸导致眼眶内侧壁、鼻骨、鼻中隔和额骨前板广泛双侧骨折。临床和断层扫描结果确诊为上颌骨及额鼻眶筛骨折。在多种生物材料中，由于骨缺损的范围和程度，选择了钛网，从而获得了美观和功能方面的效果，预后更佳。
