do Ó Silva Amanda Lúcio, Dias Isabella Jardelino, Grempel Rafael Grotta, de Morais Hécio Henrique Araújo, da Silva Oliveira Brito Nadja Maria, de Castro Gomes Daliana Queiroga
Department of Dentistry, State University of Paraíba, Campina Grande, PB, Brazil.
Department of Dentistry, State University of Paraíba, Campina Grande, PB, Brazil.
Int J Surg Case Rep. 2017;38:91-94. doi: 10.1016/j.ijscr.2017.06.065. Epub 2017 Jul 11.
Zygomatic-orbital complex fractures are the most common facial traumas that can result in severe esthetic and functional sequelae. Surgical correction of these fractures is a delicate approach and prototyping is an excellent tool to facilitate this procedure.
A 27-year-old man, a motorcycle accident victim, was hospitalized in the intensive care unit for 30days. After this period, facial fractures were treated surgically, leaving sequelae such as enophthalmos, dystopia and loss of projection of the zygomatic arch. A second intervention was planned after one year for reconstruction of the orbit with the help of prototyping. Better outcomes were achieved than in the first intervention.
This report permits to compare the result of conventional surgery and the use of a prototype in the same patient. Noticeably better outcomes were achieved with the second approach. Prototyping made the surgical procedure more predictable and reduced operative time because of the possibility of using preshaped titanium plates.
Prototyping was found to be an excellent option to overcome the deficiencies of the conventional technique, recovering the functional and esthetic characteristics of the patient's face and ensuring a markedly satisfactory outcome.
颧眶复合体骨折是最常见的面部创伤，可导致严重的美学和功能后遗症。这些骨折的手术矫正方法精细，而原型制作是辅助该手术的绝佳工具。
一名27岁男性，摩托车事故受害者，在重症监护病房住院30天。在此之后，对其面部骨折进行了手术治疗，但留下了眼球内陷、移位以及颧弓突出度丧失等后遗症。一年后计划进行第二次干预，借助原型制作重建眼眶。此次干预取得了比第一次手术更好的效果。
本报告有助于比较同一患者接受传统手术和使用原型制作的结果。明显可以看出，第二种方法取得了更好的效果。由于可以使用预成型钛板，原型制作使手术过程更可预测，并缩短了手术时间。
发现原型制作是克服传统技术缺陷的极佳选择，可恢复患者面部的功能和美学特征，并确保取得明显令人满意的结果。
