Conheça o trabalho do Dr. Daniel Gaziri

Um breve currículo do cirurgião bucomaxilofacial, que atende em consultório próprio em Londrina

Casos tratados

Veja como os pacientes recuperaram a auto estima após o tratamento das deformidades na face

Tratamento especializado

O Dr. Daniel Gaziri é um dos poucos profissionais habilitados para tratar de casos complexos no Paraná

Como saber quais são os casos indicados?

Saiba como identificar os sintomas dos problemas que podem ser tratados pelo Dr. Daniel

O caso de Érica Pedrão Brito

Ela teve uma deformidade no crânio após ser atacada por índios, num caso que teve muita repercussão em Londrina

sexta-feira, 1 de junho de 2012

Assessment for Treatment of Tripod Fractures of the Zygoma With Microcompressive Screws

Artigo publicado no Journal of Oral and Maxillofacial Surgery, Volume 70, 6ª edição , Páginas e378-e388, Junho de 2012

Link do artigo: http://www.joms.org/article/S0278-2391%2812%2900194-2/abstract

Purpose

The present prospective study sought to evaluate a new rigid internal fixation device called a “neck screw,” which was applied to patients presenting with a tripod fracture of the zygomaticomaxillary complex.

Patients and Methods

Seventeen patients with tripod fractures received surgical treatment from 2007 to 2010, and had their zygomaticomaxillary complex monofragments fixed using the neck screw protocol. The adequacy of fracture reduction, stability of the zygomatic monofragment after fixation, cosmetic outcomes, and postoperative complications were used to determine the efficacy of this protocol. The stability provided by the neck screw was evaluated by computed tomography (CT) scans by comparing the immediate postoperative distances between the fractured bone segments (control group) with those distances measured on CT scans obtained 5 weeks later (late group).

Results

The average distance observed between the fractured ends on the immediate postoperative CT scan was less than 0.58 mm, demonstrating adequate fracture reduction. No significant changes were seen in these postoperative values after 5 weeks (Wilcoxon test, P = 1.0000), demonstrating no displacement of the zygomaticomaxillary complex monofragment after fixation using the neck screw.

Conclusions

The proposed surgical treatment proved efficient in 17 patients. The fixation stability provided by the neck screw was confirmed by subsequent CT scan measurements, statistical analysis, and clinical follow-up during the postoperative period, in which patients showed no significant associated complications, facial asymmetry, enophthalmos, or diplopia.