Tactics of surgical treatment at traumatic injuries of maxillo-zygomatic-orbital complex and the lower edge of the orbit.

The maxilla-facial traumatic injuries, zygomatic - orbital complex and orbit lower edge injuries are characterized by dislocation of bone fragments, causing not only the anatomo-functional disorders but well-expressed deformity/ abnormality of the patient. 28 patients with traumatic fractures of zygomatic - alveolar complex and orbit lower edge have been studied and got surgical treatment by the authors. At admission to the hospitals, all the patients were the subjects to a classic comprehensive / complex examination including a Spiral Computed Tomography, with 3D reconstruction (three-dimensional) (in 3 projections). All the patients underwent surgical treatment under endotracheal anesthesia that included osteosynthesis of zygomatic bone body and arch and plasty of orbit lower edge. Osteosynthesis of zygomatic bone body and arch was conducted with titanium plates and screws (hanging zygomatic arch by steel wires), restoration of bony wall was carried out by prosthesis of titanium (net) plate made individually (auto-graft, taken from calvaria bone was used for restoration of orbit lower edge defect in 2 cases). According to the study materials no complications of transplanted grafts like purulency, removal reaction, or dislocation were observed. The obtained data have proved over again, that endoprothesis made of medical titasnium are effective for treatment of the patients with middle third facial traumatic injuries.