Tratamento cirúrgico de fratura orbitária blow-in: relato de caso

• DOI: 10.22533/at.ed.1252304126

• Palavras-chave: Fraturas orbitárias; Fixação óssea; Órbita.

• Keywords: Orbital fractures; Fracture fixation; Orbit.

• Abstract: The reconstruction of fractured structures occurs with the aid of biomaterials such as titanium mesh, which presents excellent biocompatibility and can be used as a bone substitute, besides providing support for the contents of the orbit. However, a limiting factor is the titanium mesh that may behave as a foreign body due to its relative rigidity. Objective: to present a clinical case of a patient who was a victim of physical aggression, presenting for one year and five months a fracture of the facial bones, classified as Blow-In. Results: Titanium mesh has many advantages, such as good histocompatibility, easy molding and processing, easy fixation and light weight, it is easily sterilized and readily available and inexpensive, characteristics that make it an ideal material for restoring fractures of the orbital wall. The use of titanium implants for reconstruction of orbital floor defects can greatly improve the aesthetic and functional results, and is considered one of the best options for reconstruction of the orbital floor. Conclusion: Blow-in orbital fractures should be treated on an individualized basis, taking into consideration their location and thus indicating the best treatment modality. In the present case, the surgery brought great benefit to the patient, reducing the reported signs and giving a favorable condition to the floor of the orbit. Reconstruction with titanium mesh is an excellent alternative in surgical treatment and is supported with high success rates in the literature.