Resumo

AGUIAR, Leonardo Toledo; MORAES, Rogério Bonfante  e  LUZ, João Gualberto de Cerqueira. Symptomatology of fractures of the zygomatic complex. Analysis of a series of patients. Rev. cir. traumatol. buco-maxilo-fac. [online]. 2012, vol.12, n.2, pp. 73-80. ISSN 1808-5210.

The purpose of this study was to evaluate signs and symptoms presented by a series of patients attended in a hospital clinic with a diagnosis of fracture of the zygomatic complex. Fifty consecutive patients with a diagnosis of unilateral fractures of the zygomatic complex were studied. Demographic data and symptomatology were obtained. Patients were asked about the presence of any symptoms. a subsequent physical examination included visual inspection and bimanual palpation of the face for the presence of specific signs. The data obtained were statistically analyzed and possible correlations among factors were evaluated. The most frequent signs were: step deformity of bone margin (100%), flattening of cheek (94%), periorbital ecchymosis (90%), facial asymmetry (86%), oedema (82%), epistaxis (68%), and subconjuntival ecchymosis (52%). The most frequent symptoms were: pain (82%), infraorbital anesthesia (70%), and pain on mouth opening (58%). There were few correlations between personal data or classification of the fractures and specific signs or symptoms. Statistical analyses showed a correlation only for subconjunctival ecchymosis with gender (p=0.032), and for diplopia with fracture of the orbital floor (p=0.031). It was concluded that there are signs and symptoms that can be considered typical of fractures of the zygomatic complex and that there are few correlations between the factors studied.

Palavras-chave : Cirurgia Maxilofacial; Osteotomia; Fixação Interna Rígida.