Presentation
Fall from his own height with facial trauma.
Patient Data
On the right side, a fracture with sinking towards the anterior wall of the right maxillary sinus is observed, associated with a comminuted, mounted fracture of the posterior-lateral wall, which causes subsidence of the floor of the orbit. The bow of the zygomatic arch with a continuity solution. Diastasis of the front malar suture to this level. Everything described in relation to a complex fracture of the right middle third of the face that involves the zygomatic arch, the maxillary sinus and the floor of the orbit.
Post-septal, extraconal emphysema changes. There is no entrapment of the lower rectus muscle of the orbit.
Case Discussion
The detection of fractures of the facial zygomatic complex, with orbital compromise, is essential for surgical planning that optimizes the early recovery of patients, reducing complications mainly related to soft tissue, nerve and eye damage.