Infraorbital Nerve Surgical Decompression for Chronic Infraorbital Nerve Hyperesthesia

Bailey, Kristi; Ng, John D.; Hwang, Peter H.; Saulny, Stanley M.; Holck, David E. E.; Rubin, Peter A. D.

doi:10.1097/iop.0b013e31802dd3fc

Cited by 15 publications

(24 citation statements)

References 4 publications

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“…This is in agreement with the statement of Bailey et al. (44) that surgical decompression of the ION can provide a significant symptomatic improvement in patients with chronic ION hyperalgesia secondary to nerve compression.…”

Section: Discussionsupporting

confidence: 93%

Investigation of infraorbital nerve injury following zygomaticomaxillary complex fractures

Sakavičius¹,

Juodžbalys²,

Kubilius³

et al. 2008

J of Oral Rehabilitation

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The aim of this study was to investigate the severity of infraorbital nerve injury following zygomaticomaxillary complex fractures and to estimate the treatment methods facilitating its functional recovery. A total of 478 patients with unilateral zygomaticomaxillary complex fractures were treated. Infraorbital nerve sensory disturbances were diagnosed in 64.4% of the patients. Injury of the infraorbital nerve was expressed as asymmetry index, which was calculated as a ratio between the affected side and the intact side electric pain detection thresholds at the innervation zone skin before treatment and 14 days, 1, 3, 6 and 12 months postoperatively. A mean asymmetry index of 0.6 +/- 0.03 and 1.9 +/- 0.5 was registered for 57 (11.9%) patients with hyperalgesia and for 251 (52.5%) patients with hypoalgesia, respectively. As a result of retrospective analysis of infraorbital nerve sensory disturbances and its functional recovery, infraorbital nerve injury severity was classified as mild, moderate and severe. It was found that the dynamics and outcome of the functional infraorbital nerve recovery depend on the severity of the injury and the presence of infraorbital canal damage. Function was completely recovered within 3 months after treatment in cases with mild nerve injury. In moderate cases, complete recovery was seen within 6 months and in 34.6% of the severe cases, within a 12-month period after treatment when infraorbital nerve decompression was performed according to the stated indication. Treatment based on infraorbital nerve injury classification offers a better prognosis for complete recovery of the infraorbital nerve function.

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Section: Discussionsupporting

confidence: 93%

Investigation of infraorbital nerve injury following zygomaticomaxillary complex fractures

Sakavičius¹,

Juodžbalys²,

Kubilius³

et al. 2008

J of Oral Rehabilitation

View full text Add to dashboard Cite

show abstract

“…Data from the 32 included papers (Sutula & Weiter 1980;Przybyla & La Piana 1982;Messmer et al 1984;Prusinski et al 1985;Glatt et al 1993;Kristinsson et al 1997;Nicolodi et al 1997;Christmas et al 1998;Shah-Desai et al 2000;Abr amoff et al 2001;Gayre et al 2001;Jordan & Bawazeer 2001;Ng et al 2001;Park et al 2001;Asensio et al 2003;Jordan et al 2003Jordan et al , 2004aS€ or€ os et al 2003;You et al 2003;Jordan 2004;Thakker et al 2005;Custer & McCaffery 2006;Bailey et al 2007;Roed Rasmussen et al 2009;Jain et al 2010;Piscitelli et al 2011;Rasmussen et al 2011;Sharma et al 2011;Hope-Stone et al 2015;Shams et al 2015;Galindo-Ferreiro et al 2016) were extracted into a table with core characteristics of these studies (author(s), number of patients with PSP, enucleation or evisceration, contributory instruments, cause of pain, treatment modality, treatment outcome and quality assessment, Table 1). Supplementary File 1 contains an extensive tabulation of characteristics of study populations, details of clinical appearance of the patients, instruments used and results.…”

Section: Resultsmentioning

confidence: 99%

“…The level of compression can be investigated by palpation, followed by imaging procedures. However, this is an invasive procedure with risk of calcified scar tissue with subsequent recurrence of the pain (Bailey et al 2007). However, this is an invasive procedure with risk of calcified scar tissue with subsequent recurrence of the pain (Bailey et al 2007).…”

Section: Compression Of the Infraorbital Nervementioning

confidence: 99%

“…However, this is an invasive procedure with risk of calcified scar tissue with subsequent recurrence of the pain (Bailey et al 2007). Stidd et al 2012 found that peripheral nerve stimulation by percutaneous electrodes was effective in the treatment of (Glatt et al 1993;Bailey et al 2007). Stidd et al 2012 found that peripheral nerve stimulation by percutaneous electrodes was effective in the treatment of (Glatt et al 1993;Bailey et al 2007).…”

Section: Compression Of the Infraorbital Nervementioning

confidence: 99%

“…Compression of the sensory infraorbital nerve (branch of n.V) may lead to pain and sensation anomalies (hypoand hyperesthesia) in the socket (Glatt et al 1993;Bailey et al 2007). The level of compression can be investigated by palpation, followed by imaging procedures.…”

Section: Compression Of the Infraorbital Nervementioning

confidence: 99%

See 2 more Smart Citations

Persistent socket pain postenucleation and post evisceration: a systematic review

Hogeboom

Mourits

Ket

et al. 2018

Acta Ophthalmologica

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Redesign and treatment planning orbital floor reconstruction using computer analysis anatomical landmarks

Özer

Gövsa

Kazak

et al. 2015

Eur Arch Otorhinolaryngol

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Orbital floor fractures are one of the most commonly encountered maxillofacial fractures due to their weak anatomical structure. Restoration of the orbital floor following a traumatic injury or a tumor surgery is often difficult due to inadequate visibility and lack of knowledge on its anatomical details. The aim of this study is to investigate the locations of the inferior orbital fissure (IOF), infraorbital groove (G), and infraorbital foramen (Fo) and their relationship with the orbital floor using a software. Measurements from the inferior orbital rim (IOR) using the Fo, the IOF, G, and the optic canal (OC) were calculated in 268 orbits as reference points. The surgical landmarks from the G and the OC, the G and the IOF, the G and the intersection point were measured as 31.6 ± 6, 12.9 ± 4, and 12 ± 5 mm, respectively. The mean distances between the G and the IOR, the Fo and the IOF, and the Fo and the OC were found as 8.3 ± 2.1, 28.7 ± 3.5, and 53.6 ± 5.9 mm, respectively. The mean angles were calculated as OC-IOF-G 68.1° ± 16.4°; intersection-G-IOF as 61.4° ± 15.8°; IOF-OC-G as 19° ± 5.5°; OC-G-intersection as 31.5° ± 11.9°, G-intersection-OC as 129.5°, IOF-intersection-G as 50.5°. Furthermore, variable bony changes on the orbital floor which may lead to the differences at intersection point of the G and Fo were determined. In 28 specimens (20.9 %), unilateral accessory Fo (AcFo) was present. In 27 specimens, AcFo was situated supermaedially (96.4 %) on the main aperture. In one specimen, two intraorbital canals and Fo emerged from different points and coursed into different apertures. The measured mean distances of the AcFo-IOR and the AcFo-Fo were as 7 ± 2 and 7.3 ± 3.2 mm, respectively. The primary principle in the oculoplastic treatment of orbital floor reconstructions must be repositioning the herniated orbital aperture by maintaining the infraorbital artery and the nerve in the orbital floor. The IOF and the G were recommended as the more reliable oculoplastic surgical landmarks for identifying the orbital floor. To avoid pinching of the orbital floor structures, the triangle (IS-G-IOF) should be equilateral with an exigence of a 70° angle within it. Among each distance of the intersection-IOF, IOF-G, G-intersection should be equal. With the help of certain software, this study made possible to investigate the variability of the orbital floor structures, observe the variety in measurements and calculate the parameters which are crucial in implementing personalized reconstruction and implanting support.

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Infraorbital Nerve Surgical Decompression for Chronic Infraorbital Nerve Hyperesthesia

Abstract: Surgical decompression of the infraorbital nerve can provide significant symptomatic improvement in patients with chronic infraorbital nerve hyperesthesia secondary to nerve compression.

Cited by 15 publications

References 4 publications

Investigation of infraorbital nerve injury following zygomaticomaxillary complex fractures

Investigation of infraorbital nerve injury following zygomaticomaxillary complex fractures

Persistent socket pain postenucleation and post evisceration: a systematic review

Redesign and treatment planning orbital floor reconstruction using computer analysis anatomical landmarks

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