Search

Zygomatico-maxillary fractures are the most frequent fractures of the middle face. Their functional and aesthetic repercussions pose a great challenge to the practitioner. Their management is a challenge, which raises an altercation between the authors, between orthopedic and surgical indications, and the different surgical approaches. We report a retrospective workup study of 262 cases of zygomaticomaxillary fractures, in 4 years, managed in our department to evaluate and compare the different postoperative results of these fractures treated by orthopedic reduction and/or by osteosynthesis.

Introduction The association hyperthyroidism–exophtalmia is pathognomonic of the Graves disease. Classically, the treatment is based on a pluridisciplinary approach with a precise chronology. Surgical management of dysthyroid orbitopathy is not based on consensus. When confronted with such particular situations; it can be proposed to treat surgically at the same time the endocrine disease and the ophthalmologic complications. Observation The authors report the case of a 67 -year-old man suffering from Graves’ disease with severe bilateral exophthalmia, treated by orbital decompression with a good result after ten months. Discussion This non-conventional approach highlighted by the authors can be useful in particular situations when the medical environment is not optimal. It helps prevent ocular complications caused by Graves' disease and improves the prognosis of patients with low capacities for the survey.