Reconstruction of the Zygomatic Arch in the Fracture of the Zygomatic-Orbital Complex by Coronal Access with Preauricular Extension: Case Report

Abstract

The orbital complex (CZO) is an aesthetic and functional unit of the facial skeleton that defines the shape of the middle third of the face in the anteroposterior and latero-lateral direction. Among the facial bones it is the second most affected by fractures, behind only the nasal bones. Therefore, the treatment of complex fractures of the zygomatic bone represents a challenge for the Bucomaxilofacial surgeon, due to the presence of displacement of the zygomatic body and the communication of the orbital walls that can generate significant sequelae to the patient. The reduction and stabilization when the complex is displaced, are very important for the restoration of facial symmetry and its functionality. Accurate diagnosis and appropriate means of treatment help to reduce postoperative complications and sequelae. Therefore, the objective of this work is to report a clinical case of a male patient, leukoderma who presented a fracture in the orbit-zygomatic-maxillary complex with proposed treatment of zygomatic arch osteosynthesis using mini plates and screws. The present study demonstrates the success of the surgical treatment of reconstruction of the zygomatic arch from the functional and aesthetic point of view without signs of postoperative complications and with periodic controls after one year.