Pereira Rafael M A, Barbosa Otávio C, Basílio Ana Flávia P, Santana Anna Cecilia S, Paula Douglas M De, Marangon Helvécio
School of Dentistry, University Center of Patos de Minas, Patos de Minas, Minas Gerais, Brazil.
Ann Maxillofac Surg. 2020 Jul-Dec;10(2):495-500. doi: 10.4103/ams.ams_87_20. Epub 2020 Jul 2.
Trauma in the face region has a very varied etiology and can be associated with several important structures. Isolated fractures in the orbit region correspond to about 4 to 16% of all facial fractures and this incidence increases to 30 to 55% if we take into account fractures that expand to extraorbital regions. The present clinical report aims to describe the case of a male patient, 21-years-old, victim of a motorcycle accident with facial trauma and traumatic brain injury due to frontal collision. Clinical and imaging examinations showed multiple fractures in the face with herniation of brain mass to the orbital region and consequent extrusion of the eyeball. Surgical procedures were performed to reduce and fix fractures and multidisciplinary treatment aimed at preserving vision and brain integrity. Thus, the surgical approach and the multidisciplinary treatment led to an excellent prognosis attested by the one-year postoperative period.
面部区域的创伤病因非常多样，且可能与多个重要结构相关。眼眶区域的孤立性骨折约占所有面部骨折的4%至16%，如果将扩展至眶外区域的骨折考虑在内，这一发生率会增至30%至55%。本临床报告旨在描述一名21岁男性患者的病例，该患者因 frontal collision（此处可能有误，根据语境推测可能是frontal collision，意为正面碰撞）遭遇摩托车事故，导致面部创伤和创伤性脑损伤。临床和影像学检查显示面部多处骨折，脑实质疝入眼眶区域并导致眼球突出。进行了手术以复位和固定骨折，并采取多学科治疗以保护视力和脑完整性。因此，手术方法和多学科治疗带来了极佳的预后，术后一年的情况证明了这一点。
