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Removal of Foreign Bodies in Orbit-Zygomatic-Maxillary Complex

Pessoa Neto, José Valdir DDS*; Cetira Filho, Edson Luiz DDS, MSc; Sampaio, Fernando Delgado MD; Mello, Manoel de Jesus Rodrigues DDS, MSc, PhD; Menezes Junior, José Maria Sampaio DDS, MSc

doi: 10.1097/SCS.0000000000005604
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Trauma is one of the leading causes of death worldwide. Due to its anatomy and position in the facial skeleton, the orbit becomes a region susceptible to trauma which may also involve the penetration of foreign bodies (FBs). These events can have serious repercussions depending on their extent due to the proximity of the orbit with other noble structures of the face and skull. Because of this, a system of prehospital management of traumas must be established, in order to promote a better prognosis for patients. The present study aims to report the case of a patient suffering from a motorcycle accident with multiple fragments of FBs in the region of orbit-zygomatic-maxillary complex. The emergency surgical removal of the fragments was performed by a multidisciplinary team, involving Ophthalmology and Oral and Maxillofacial Surgery and Traumatology (OMST). Wound cleansing and debridement were performed with subsequent removal of the foreign bodies by the OMST team, in addition to the reduction and fixation of related fractures. As for Ophthalmology, the evisceration of the affected eye was performed due to its anatomical and functional impairment. The patient is 12 months postoperatively, with no aesthetic or functional complaints regarding OMST. The anatomical knowledge of the traumatized region, besides the establishment of the conduct regarding the removal of possible associated foreign bodies are required so that the success of the treatment can be obtained, aiming to minimize the damages to the patient.

*Program on Oral and Maxillofacial Surgery, Batista Memorial Hospital

Federal University of Ceará

Institute Doctor José Frota Hospital, Fortaleza, Ceará, Brazil.

Address correspondence and reprint requests to Edson Luiz Cetira Filho, DDS, MSc, Rua Monsenhor Furtado, 1273, Rodolfo Teófilo, Fortaleza, CE 60430-355, Brazil; E-mail: edson.cetira@hotmail.com

Received 3 March, 2019

Accepted 28 March, 2019

The authors report no conflicts of interest.

© 2019 by Mutaz B. Habal, MD.