Post-traumatic facial deformity associated with a complication caused by orbital silastic 35 years after implantation

Introduction: skeletal craniofacial abnormalities without surgery or improper handling may result in important secondary deformity aesthetic and functional implications that should be considered for treatment. Objective: to present a case in which a complication occurred within 35 years of the plac...

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Main Authors: Denia Morales Navarro, Geisa Rodríguez Robaina
Format: Article
Language:English
Published: Editorial Ciencias Médicas 2015-06-01
Series:Revista Cubana de Estomatología
Subjects:
Online Access:http://www.revestomatologia.sld.cu/index.php/est/article/view/810
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author Denia Morales Navarro
Geisa Rodríguez Robaina
author_facet Denia Morales Navarro
Geisa Rodríguez Robaina
author_sort Denia Morales Navarro
collection DOAJ
description Introduction: skeletal craniofacial abnormalities without surgery or improper handling may result in important secondary deformity aesthetic and functional implications that should be considered for treatment. Objective: to present a case in which a complication occurred within 35 years of the placement of silastic the orbital floor fracture of the zygomatic complex IV degree; associated with posttraumatic deformity. Case report: a male patient aged 67 who reported having been treated to have redness of the eye and secretions. He reports that 35 years was operated by the presence of a fracture "in the left eye" and to put silastic, having no problems so far in this area. At physical examination facial facial asymmetry given by light enoftalmo the left eye, with pupillary gap, decreased eyelid opening, Antimongoloid trait, with erythema of the conjunctiva, chemosis and abundant secretions were detected. Súpero-limiting outward movement was found. The presence of a fistula in the pouch of the lower eyelid is confirmed. It is diagnosed as post-traumatic facial deformities complicated by the silastic reaction to a foreign body, for which he underwent surgery with removal of the material, performing reconstruction with titanium mesh and with excellent results. Conclusions: traumatic injuries of the face are usually associated with high functional and aesthetic sequelae. Add to that the complications from the use of biomaterial implants, determining the therapeutic behavior can be challenging. Man posing of this case to transmit the experience to other familiar or colleagues with this rare clinical situation.
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spelling doaj.art-b61916d283c840618a244fb1625f4a702022-12-21T17:58:35ZengEditorial Ciencias MédicasRevista Cubana de Estomatología0034-75071561-297X2015-06-015245964155Post-traumatic facial deformity associated with a complication caused by orbital silastic 35 years after implantationDenia Morales Navarro0Geisa Rodríguez Robaina1Facultad de Estomatología. Universidad de Ciencias Médicas de La HabanaHospital “Leopoldito Martínez”. MayabequeIntroduction: skeletal craniofacial abnormalities without surgery or improper handling may result in important secondary deformity aesthetic and functional implications that should be considered for treatment. Objective: to present a case in which a complication occurred within 35 years of the placement of silastic the orbital floor fracture of the zygomatic complex IV degree; associated with posttraumatic deformity. Case report: a male patient aged 67 who reported having been treated to have redness of the eye and secretions. He reports that 35 years was operated by the presence of a fracture "in the left eye" and to put silastic, having no problems so far in this area. At physical examination facial facial asymmetry given by light enoftalmo the left eye, with pupillary gap, decreased eyelid opening, Antimongoloid trait, with erythema of the conjunctiva, chemosis and abundant secretions were detected. Súpero-limiting outward movement was found. The presence of a fistula in the pouch of the lower eyelid is confirmed. It is diagnosed as post-traumatic facial deformities complicated by the silastic reaction to a foreign body, for which he underwent surgery with removal of the material, performing reconstruction with titanium mesh and with excellent results. Conclusions: traumatic injuries of the face are usually associated with high functional and aesthetic sequelae. Add to that the complications from the use of biomaterial implants, determining the therapeutic behavior can be challenging. Man posing of this case to transmit the experience to other familiar or colleagues with this rare clinical situation.http://www.revestomatologia.sld.cu/index.php/est/article/view/810deformidad postraumáticasilasticbiomaterialmalla de titanio.
spellingShingle Denia Morales Navarro
Geisa Rodríguez Robaina
Post-traumatic facial deformity associated with a complication caused by orbital silastic 35 years after implantation
Revista Cubana de Estomatología
deformidad postraumática
silastic
biomaterial
malla de titanio.
title Post-traumatic facial deformity associated with a complication caused by orbital silastic 35 years after implantation
title_full Post-traumatic facial deformity associated with a complication caused by orbital silastic 35 years after implantation
title_fullStr Post-traumatic facial deformity associated with a complication caused by orbital silastic 35 years after implantation
title_full_unstemmed Post-traumatic facial deformity associated with a complication caused by orbital silastic 35 years after implantation
title_short Post-traumatic facial deformity associated with a complication caused by orbital silastic 35 years after implantation
title_sort post traumatic facial deformity associated with a complication caused by orbital silastic 35 years after implantation
topic deformidad postraumática
silastic
biomaterial
malla de titanio.
url http://www.revestomatologia.sld.cu/index.php/est/article/view/810
work_keys_str_mv AT deniamoralesnavarro posttraumaticfacialdeformityassociatedwithacomplicationcausedbyorbitalsilastic35yearsafterimplantation
AT geisarodriguezrobaina posttraumaticfacialdeformityassociatedwithacomplicationcausedbyorbitalsilastic35yearsafterimplantation