The pandemic status of the Novel Coronavirus 2019 has affected many countries around the world, due to the high virulence of the SARS-CoV-2, the recommended protocol to prevent infection is social isolation. The purpose of this study was to compare the number of patients admitted and their epidemiological data on a Level 1 Trauma Hospital after the declaration of the pandemic status and the first week of mandatory lockdown, with the same period of time in the last year. This was a retrospective study of medical records from the patients admitted in the Oral and Maxillofacial Surgery of the Joa ˜o XXIII Hospital, between the March 24 and March 31 of 2020 and the same period of the last year. There was a 52.27% decrease in the total number of patients and 76.34% decrease in the total consultations of the service of oral and maxillofacial surgery during the lockdown. All the groups presented a decrease in significance with motor vehicle accidents events, the group 11 to 20 years old presented an increase on the correlation with violence (P ¼ 0.019) and falls (P ¼ 0.002). When comparing both sex with the etiologies, the male one presented an increase in the correlation with violence and falls. The female sex presented correlations only with the minor causes. No valid significance was observed when comparing females with violence events. The lockdown is an effective way to reduce the transmission of the COVID-19, the hospital usage and occupation.
INTRODUÇÃO: A órbita é composta por 7 ossos articulados que fornecem suporte ao globo ocular. A parede medial e o assoalho são as paredes mais susceptíveis a fraturas, podendo resultar em alterações funcionais importantes, como déficit visual, diplopia e oftalmoplegia, que impactam diretamente na qualidade de vida desses pacientes.
OBJETIVO: Descrever uma reconstrução de fratura em assoalho orbital utilizando um biomodelo prototipado em um paciente com trauma de face.
MÉTODOLOGIA: Foi relatado o caso de um paciente de 48 anos com fratura de teto e assoalho orbital a direita devido a acidente de trabalho (peça de alta pressão), resultando em diplopia e oftalmoplegia. O paciente foi submetido à reconstrução do assoalho orbital com auxílio de um protótipo personalizado para otimizar os resultados.
RESULTADOS: O paciente apresentou regressão completa do quadro de oftalmoplegia e uma melhora considerável do quadro de diplopia.
CONCLUSÃO: As reconstruções orbitárias representam grandes desafios ao Cirurgião Buco-maxilo-facial devido à alta complexidade anatômica presente. Além disso, pequenas discrepâncias são suficientes para causar distúrbios funcionais e estéticos significativos.
Palavras-chaves: Fratura orbital; Reconstrução de assoalho orbital; Protótipo de assoalho orbital
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