Tratamento cirúrgico de drenagem de hematoma subperiosteal de órbita: relato de caso/ Surgical treatment of subperiosteal hematoma of the orbit: case report
DOI:
https://doi.org/10.34117/bjdv7n8-548Keywords:
Fraturas Orbitárias, Hematoma, Fratura da Base do crânio.Abstract
Os hematomas subperiosteais de órbita (HSPO) quando são resultantes de trauma de face, associam-se principalmente a fraturas do complexo naso-órbito-etmoidal e clinicamente aparecem associados a edema acentuado, exoftalmia proeminente, deslocamento ínfero-lateral do globo ocular e oftalmoplegia. Os principais sintomas são fortes queixas álgicas e diminuição da acuidade visual. O diagnóstico precoce do HSPO proporcionando uma intervenção rápida é o que garante um prognóstico favorável – sem riscos de amaurose, meningite e óbito, principais preocupações. Esse estudo objetiva reportar o caso de um paciente de 16 anos, vítima de acidente motociclístico, cursando com trauma de face e HSPO tratado cirurgicamente para drenagem do hematoma e osteossíntese das fraturas faciais.
References
ALKATAN, H. M. et al. Clinical, radiological and histopathological characteristics of surgically removed orbital hematic cysts: A case series. Saudi journal of ophthalmology, v. 32, n. 1, p. 45-51, 2018.
BANERJEE, R. et al. Management of nasoorbitoethmoidal fracture: an institutional experience. Indian Journal of Otolaryngology and Head & Neck Surgery, v. 71, n. 2, p. 225-232, 2019;
BARIL, S. E.; YOON, M. K. Naso-orbito-ethmoidal (NOE) fractures: a review. International ophthalmology clinics, v. 53, n. 4, p. 149-155, 2013;
BISSON, J.I.; SHEPHERD, Jonathan P. Psychological reactions of victims of violent crime. The British Journal of Psychiatry, v. 167, n. 6, p. 718-720, 1995;
BUCHANAN, E. P. et al. Zygomaticomaxillary complex fractures and their association with naso-orbito-ethmoid fractures: a 5-year review. Plastic and reconstructive surgery, v. 130, n. 6, p. 1296-1304, 2012;
CHAVES, J. B.L. et al. Hematoma subperiosteal de órbita: relato de caso. Arq. bras. oftalmol, p. 693-697, 2007;
CRUZ, G. A. O.; Fraturas do terço superior da face. Barros JJ, Manganello-Souza LC, eds. Traumatismo buco-maxilo-facial. 2a ed. São Paulo: Roca, p. 319-31, 2000;
EROL, B.t; TANRIKULU, R.; GÖRGÜN, B. Maxillofacial fractures. Analysis of demographic distribution and treatment in 2901 patients (25-year experience). Journal of Cranio-Maxillofacial Surgery, v. 32, n. 5, p. 308-313, 2004;
GILLUM, W.N.; ANDERSON, R. L. Reversible visual loss in subperiosteal hematoma of the orbit. Surg oftálmico v.12, n. 3, p. 203-9, 1981;
HWANG, K.; YOU, S. H. Analysis of facial bone fractures: An 11-year study of 2,094 patients. Indian journal of plastic surgery: Official publication of the Association of Plastic surgeons of India, v. 43, n. 1, p. 42, 2010;
KELLEY, P. et al. Two hundred ninety-four consecutive facial fractures in an urban trauma center: lessons learned. Plastic and reconstructive surgery, v. 116, n. 3, p. 42e-49e, 2005;
MARKOWITZ, B. L. et al. Management of the medial canthal tendon in nasoethmoid orbital fractures: the importance of the central fragment in classification and treatment. Plastic and reconstructive surgery, v. 87, n. 5, p. 843-853, 1991;
MARTINEZ, A. Y. et al. Trends in maxillofacial trauma: a comparison of two cohorts of patients at a single institution 20 years apart. Journal of Oral and Maxillofacial Surgery, v. 72, n. 4, p. 750-754, 2014;
MOTAMEDI, M. H. K. et al. Pattern of maxillofacial fractures: a 5-year analysis of 8,818 patients. Journal of trauma and acute care surgery, v. 77, n. 4, p. 630-634, 2014;
PAWAR, S. S.; RHEE, John S. Frontal sinus and naso-orbital-ethmoid fractures. JAMA facial plastic surgery, v. 16, n. 4, p. 284-289, 2014;
RODEN, K. S. et al. Changing characteristics of facial fractures treated at a regional, level 1 trauma center, from 2005 to 2010: an assessment of patient demographics, referral patterns, etiology of injury, anatomic location, and clinical outcomes. Annals of plastic surgery, v. 68, n. 5, p. 461-466, 2012;
ROJAS, M. C.; ELIASON, J. A.; FREDRICK, D. R. Needle aspiration of a traumatic subperiosteal haematoma of the orbit. British journal of ophthalmology, v. 86, n. 5, p. 593-594, 2002;
SEIGEL, R. S. et al. Subperiosteal hematomas of the orbit: angiographic and computed tomographic diagnosis. Radiology, v. 143, n. 3, p. 711-714, 1982;
VAN BEEK, G. J.; MERKX, C. A. Changes in the pattern of fractures of the maxillofacial skeleton. International journal of oral and maxillofacial surgery, v. 28, n. 6, p. 424-428, 1999;
WALTER, J. R.; LEENHOUTS, J. A.; COULTHARD, S. W. Clinical picture and management of subperiosteal hematoma of the orbit. Journal of Pediatric Ophthalmology and Strabismus, v. 13, n. 3, p. 136-138, 1976;
WALTERS, J. T.R.; BISSON, J. I.; SHEPHERD, J. P. Predicting post-traumatic stress disorder: validation of the Trauma Screening Questionnaire in victims of assault. Psychological medicine, v. 37, n. 1, p. 143-150, 2007;
WOO, K.I.; KIM, Y.D. Subperiosteal hematoma of the orbit associated with sinusitis. Korean journal of ophthalmology: KJO, v. 11, n. 2, p. 118-122, 1997;