Paraesthesia of the infraorbital nerve following fracture of the zygomatic complex

Purpose To evaluate the incidence and recovery of persistent sensory disturbances of the infraorbital (IO) nerve after isolated zygomatic complex fractures with various treatment methods. Methods and ResultsThe study was inclusive of isolated unilateral zygomatic complex fractures and fractures of IO rim .Tests performed were Pin prick and Electrical detection threshold test. The evaluation was done preoperatively, after 1 month and after 6 months of surgery. The results suggested that neurosensory disturbance was present in all the patients with zygomatic complex fractures. At 1 month post-operatively some sensory deficit was present in all the patients on the affected side. After 6 months all the patients showed near to normal improvement comparable to normal side. Conclusion Study shows that earlier the surgical intervention, more the recovery of the nerve injury is appreciable during the 1 and 6 months follow up period.

show abstract

“…Thus post-traumatic paresthesia over the IO nerve has even been considered indicative of fracture [9].…”

Section: Control Affectedmentioning

confidence: 99%

Evaluation of Neurosensory Changes in the Infraorbital Nerve following Zygomatic Fractures

Kumar

Godhi²,

Lall³

et al. 2012

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

show abstract

“…23,[31][32][33] Infraorbital nerve paraesthesia is most commonly seen in displaced zygomatico-maxillary complex fractures. 34 Enopthalmos was seen in 5.69 % of cases in our study. Other studies have reported 5% of enopthalmos in zygomatico-maxillary complex fractures before treatment.…”

Section: Discussionmentioning

confidence: 42%

3. Zygomatico-maxillary complex fractures: A retrospective study on etiology, pattern and management

Kalappa¹,

B²,

Kumaran³

et al. 2016

JIMD

View full text Add to dashboard Cite

Abstract:The aim of the study was to record the etiology, pattern and management of zygomatico-maxillary complex (ZMC) fractures seen in two centres in Mysore and to compare the findings with other studies in literature. A fifteen year retrospective study involving 123 patients with ZMC fractures were selected from a pool of 219 patients who sustained maxillofacial fractures during the period under study. The age distribution, gender distribution, etiology, associated injuries, associated maxillofacial fractures, clinical features, distribution of radiographic investigation, radiographic findings associated with ZMC Fractures, pattern of fractures and various modalities of management and surgery were recorded. In this study, 86.17% were males and 13.83% females. Most (39.02%) patients were aged 21-30 years. There was highly significant association between road traffic accidents and ZMC fractures. (Chi square value 291.512, P < 0.001). The most frequently associated maxillofacial fracture was nasal bone fracture (28.45%). Circumorbital edema was the commonest clinical feature (88.61%); Keene's approach was the commonest method of zygoma elevation (78%). Two point internal fixation was commonly used (46.83%). Among two point fixation, frontozygomatic suture and zygomatico-maxillary suture were commonly plated (64.86%). Among one point internal fixation, zygomatico-maxillary suture was most commonly plated (40.74%). This study has shown that road traffic accidents have been responsible for most of the ZMC fractures in our geographical area and two point fixation at zygomatico-maxillary suture and fronto-zygomatic suture has been the commonest method of fixation and Keene's approach has been the choicest method for elevation of zygoma.

show abstract

“…Immediately after intervention the incidence of hyperaesthesia has been reported to be 42%-75% of all cases. 8,16,21 In contrast to the findings of Folkestad and Westin, who reported a 20% higher rate of sensory disturbances of the infraorbital nerve if the complexity of the fracture increased, 22 the severity of the fracture did not seem to have any significant influence on recovery of the nerve or permanent damage over the long term. Postoperatively 3 patients had diplopia, and 2 reported persistent disturbed mobility.…”

Section: Variablementioning

confidence: 58%

Reconstruction of the orbital floor with polydioxanone: a long-term clinical survey of up to 12 years

Beck‐Broichsitter

Acar

Kandzia

et al. 2015

British Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

Paraesthesia of the infraorbital nerve following fracture of the zygomatic complex

Cited by 64 publications

References 5 publications

Evaluation of Neurosensory Changes in the Infraorbital Nerve following Zygomatic Fractures

Evaluation of Neurosensory Changes in the Infraorbital Nerve following Zygomatic Fractures

3. Zygomatico-maxillary complex fractures: A retrospective study on etiology, pattern and management

Reconstruction of the orbital floor with polydioxanone: a long-term clinical survey of up to 12 years

Contact Info

Product

Resources

About