I traumi del complesso orbito-maxillo-malare da sport

Orbitomaxillomandibular Complex Injuries Sport-related INTRODUCTION - Zigomatic region is the lateral highest part of the face, and it is mainly involved in sports-related injuries. There is a disjunction between malar bone and the other osseous segments (frontal bone, maxilla, temporal bone, sphenoid bone), and malar bone rotates on the longitudinal and sagittal axis with orbital deformation. Frequent clinical aspects are conjunctival hemorrhage, and reduction or lose of infraorbital sensibility. Sometimes we can have double vision; only in few cases there is eyeball retraction. MATERIALS AND METHODS - 35 cases: 27 males and 8 females, aged between 16 and 34 years old. Injuries occur during football (21), rugby (9), skiing (5). 14 were simple fractures and the surgical treatment performed by eyebrow approach ( in 5 cases we used a miniplate in frontomalar region). 21 were dislocated fractures; in 15 cases of these we used eyebrow and oral approaches and in the other 6 cases eyebrow, oral and subeyelid approaches. In all 21 cases we used titanium miniplates. RESULTS AND CONCLUSION - Results of surgical treatment were satisfactory. Sensibility’s disorders disappeared in different times from 5-20 days to 6-8 months. The quick rehabilitation was possible for simple sporting activities (8-10 days). Otherwise for professional sporting activities it taked longer (the average was 30-40 days). REFERENCES 1. Kaufman BR, Heckler FR: Sports-related facial injuries. Clin Sports Med 1997;16(3):543-62. 2. Maladiere E,Bado F,Meningaud JP,Guilbert F,Bertrabd JC: Aetiology and incidence of facial fractures sustained during sports: prospective study of 140 patients. Int J Oral Maxillofac Surg 2001; 30(4):291-5 3.Cutilli T, Di Emidio P, Berto R, Ascani G, Corbacelli A: La via orbitaria esterna nel trattamento delle fratture orbito-maxillo-malari in anestesia loco-regionale in regime di Day-Hospital. Atti V Congr Naz Soc It Chir Amb e di Day Surgery - Chieti 26-28 ottobre 2000,Minerva Medica Ed Torino (2000):313-315.