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Órgano de difusión de la Asociación Latinoamericana de Cirugía y Traumatología Bucomaxilofacial (ALACIBU)

2025, Number 3

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Lat Am J Oral Maxillofac Surg 2025; 5 (3)

Prevalence of orbito-zygomatic fractures in the Maxillofacial Surgery Service of the Hospital Universitario de Caracas

Rodríguez ES, Suárez C, Guevara GHA

Language: Spanish
References: 13
Page: 77-82
PDF size: 307.25 Kb.


ABSTRACT

This retrospective study analyzes the prevalence of orbito-zygomatic fractures treated at the Maxillofacial Surgery Service of the Hospital Universitario de Caracas between 2000 and 2023. A total of 18 confirmed cases were included, excluding panfacial fractures and complex Le Fort patterns. Most patients were male (61%), with the predominant age group being 21 to 40 years. The main causes were motor vehicle accidents and physical assaults. According to Zingg's classification, type B fractures those involving all four zygomatic buttresses were the most frequent. Common symptoms included edema, dystopia, diplopia, and Rowe and Sturla signs. Observation was the most frequently used treatment, followed by open and closed reduction. Reported complications included persistent dystopia, surgical site infection, and aesthetic dissatisfaction. These findings align with previous regional studies and underscore the importance of timely diagnostic and therapeutic approaches to minimize functional and aesthetic sequelae in this type of trauma.


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