Reconstrução de fratura de assoalho orbital com uso de enxerto autógeno de cartilagem auricular: relato de caso

Autores

  • Jose Carlos Garcia de Mendonça
  • Murilo Moura Oliveira
  • Danilo Chizzolini Mazocatto
  • Ellen Cristina Gaetti Jardim

Resumo

Fraturas do assoalho orbital representam a maioria das fraturas de terço médio da face. Diversas complicações podem ocorrer em decorrência de tal injúria, incluindo enoftalmia, diplopia, parestesia infraorbital, restrição de movimentação ocular e diminuição da acuidade visual. O presente trabalho objetiva relatar um caso clínico de um paciente com fratura de assoalho orbital, tratado com o uso de enxerto de cartilagem auricular. Os resultados obtidos demonstram adequado resultado estético e funcional, bem como integridade e boa adaptação do enxerto, visualizados em uma tomografia computadorizada em 12 meses de pós-operatório.

Descritores: Fraturas Orbitárias; Transplante; Cartilagem da Orelha.

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Referências

Ellis E 3rd, el-Attar A, Moos KF. An analysis of 2,067 cases of zigomatico-orbital fracture. J Oral Maxillofac Surg. 1985;43(6):417–28

Erling BF, Iliff N, Robertson B, Manson PN. Footprints of theglobe: a practical look at the mechanismof orbital blowout fractures,with a revisit to the work of Raymond Pfeiffer. Plast Reconstr Surg. 1999;103(4):1313–6

Tong L, BauerRJ, Buchman SR. Acurrent 10-year retrospective survey of 199 surgically treated orbital floor fractures in a nonurban tertiary care center. Plast Reconstr Surg. 2001;108(3): 612-21.

Carr RM, Mathog RH. Early and delayed repair of orbitozygomatic complex fractures. J Oral Maxillofac Surg 1997;55(3):253-58.

Howard G, Osguthorpe JD. Concepts in orbital reconstruction. Otolaryngol Clin North Am 1997;30(4):541-62.

Rinna C, Ungari C, Saltarel A, Cassoni A, Reale G. Orbital floor restoration. J Craniofac Surg. 2005;16(6):968-72.

Blake GB, MacFarlane MR, Hinton JW. Titanium in reconstructive surgery of the skull and face. Br J Plast Surg. 1990;43(5):528-35.

Laxenaire A, Levy J, Blanchard P, Lerondeau JC, Tesnier F, Ascheffer P. Silastic implants and reconstruction of the orbital floor: Review of twenty years’ experience. Ann Chir Plast Esthet. 1996;41(6):631-8.

Morrison AD, Sanderson RC, Moos KF. The use of silastic as an orbital implant for reconstruction of orbital wall defects: Review of 311 cases treated over 20 years. J Oral Maxillofac Surg. 1995;53(4):412-7.

Emery JM, Von Noorden GK, Schlernitzauer DA. Orbital floor fractures: Long term follow-up of cases with and without surgical repair. Trans Am Acad Ophthal Otolarynogol. 1971;75(4):802-12.

Polley JW, Ringer SL. The use of Teflon in orbital floor reconstruction following blunt facial trauma: a 20-year experience. Plast Reconstr Surg. 1987;79(1):39-43.

Maves MD, Matt BH. Calvarial bone grafting of facial defects. Otolaryngol Head Neck Surg. 1986;95(4):464-70.

Johnson PE, Raftopoulos I: In situ splitting of a rib graft for reconstruction of the orbital floor. Plast Reconstr Surg.1999;103(6):1709-11.

Constantian MB. Use of auricular cartilage in orbital floor reconstruction. Plast Reconstr Surg. 1982;69(6):951-5.

Lai A, Gliklich RE, Rubin PA. Repair of orbital blow-out fractures with nasoseptal cartilage. Laryncoscope. 1998;108(5):645-50.

Li KK. Repair of traumatic orbital wall defects with nasal septal cartilage: report of five cases. J Oral Maxillofac Surg1997;55(10):1098-102.

Talesh TK, Babaee S, Vahdati SA, Tabeshfar SH. Effectiveness of a nasoseptal cartilaginous graft for repairing traumatic fractures of inferior orbital wall. Br J Oral Maxillofac Surg. 2009;47(1):10-3.

Baino F. Biomaterials and implants for orbital floor repair. Acta Biomater. 2011;7(9):3248-66.

Bayat M, Momen-Heravi F, Khalilzadeh O, Mirhosseni Z, Sadeghi-Tari A. Comparison of conchal cartilage graft with nasal septal cartilage graft for reconstruction of orbital floor blowout fractures. Br J Oral Maxillofac Surg. 2010;48(8):617-20.

Özyazgan I, Eskitasçioglu T, Baykan H, Çoruh A. Repair of traumatic orbital wall defects using conchal cartilage. Plast Reconstr Surg. 2006;117(4):1269-76.

Talesh TK, Babaee S, Vahdati SA, Tabeshfar SH. Effectiveness of a nasoseptal cartilaginous graft for repairing traumatic fractures of inferior orbital wall. Br J Oral Maxillofac Surg. 2009;47(1):10-3.

Kraus M, Gatot A, Fliss DM. Repair of traumatic inferior orbitalwall defects with nasoseptal cartilage. J Oral Maxilofac Surg. 2001;59(12):1397-400.

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Publicado

2015-07-04

Como Citar

Mendonça, J. C. G. de, Oliveira, M. M., Mazocatto, D. C., & Gaetti Jardim, E. C. (2015). Reconstrução de fratura de assoalho orbital com uso de enxerto autógeno de cartilagem auricular: relato de caso. ARCHIVES OF HEALTH INVESTIGATION, 4(1). Recuperado de https://www.archhealthinvestigation.com.br/ArcHI/article/view/870

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