Tendências na abordagem de fraturas de assoalho orbitário
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Resumo
Objetivo: Identificar as técnicas e materiais utilizados no tratamento de fraturas do assoalho orbitário. Métodos: Trata-se de uma revisão integrativa, com artigos publicados entre 2012 e 2024, sem restrição de idioma e com texto completo disponível. A questão norteadora baseada na estratégia PICOS foi: quais os avanços nos acessos e implantes para fraturas do soalho orbitário? A coleta dos dados concluiu em maio de 2024, cuja a base de dados foi PubMed/MedLine por meio de descritores MeSH e seus sinônimos: “Orbital Floor Fractures” e “Therapeutics”, relacionados às fraturas de assoalho orbitário e seus tratamentos, com o operador booleano AND. Resultados: Dos 39 artigos elegíveis demonstraram que o acesso transconjuntival foi o mais utilizado para reconstrução das fraturas e dentre os materiais, os enxertos autógenos predominaram, com destaque para o enxerto de do osso da crista ilíaca. Considerações finais: O acesso transconjuntival e os enxertos autógenos, principalmente de crista ilíaca, são as técnicas e materiais mais utilizados no tratamento de fraturas do assoalho orbitário. Equipamentos de apoio, como endoscópio e navegação guiada, demonstram potencial crescente no tratamento deste tipo de fraturas faciais.
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