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Maxillofacial traumas.

Giulio Gasparini1, Alessandra Brunelli, Andrea Rivaroli

  • 1Maxillo-facial Department of the University of Rome, La Sapienza, Rome, Italy. giuliogasparini@yahoo.it

The Journal of Craniofacial Surgery
|September 10, 2002
PubMed
Summary
This summary is machine-generated.

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An unusual craniofacial trauma involving orbital penetration by an indicator switch required a multidisciplinary approach for diagnosis and surgical repair. Successful reconstruction led to good functional and aesthetic outcomes, with only minor enophthalmos noted later.

Area of Science:

  • Ophthalmology
  • Oral and Maxillofacial Surgery
  • Trauma Surgery

Background:

  • Craniofacial traumas frequently affect the orbital region.
  • Orbital injuries pose significant challenges in diagnosis and management.

Observation:

  • An unusual case of an indicator switch penetrating the left upper oral vestibule to the medial-upper orbital wall is reported.
  • The object's trajectory presented a complex diagnostic and surgical scenario.

Findings:

  • A multidisciplinary team approach was crucial for accurate diagnosis and optimal surgical planning.
  • Surgical removal of the indicator switch and reconstruction of orbital walls using rigid internal fixation were performed.
  • The patient achieved good aesthetic and functional results post-surgery.

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Implications:

  • This case highlights the importance of a comprehensive approach in managing rare craniofacial and orbital penetrations.
  • Effective surgical reconstruction can restore orbital function and aesthetics, even in complex trauma cases.
  • Long-term follow-up is essential to monitor for potential complications like enophthalmos.