Comparison of infraorbital nerve recovery after open and closed reduction of zygomaticomaxillary complex fractures

Ishaq, Yaser; Noor, Maria; Anwar, Malik Adeel

doi:10.18203/issn.2454-5929.ijohns20181851

Cited by 6 publications

(10 citation statements)

References 16 publications

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“…A study carried out by Ishaq et al in 2018 observed similar mean age of 36.5±11.1 years. They also reported similar higher proportion (66.0%) of 31-45 years age group among such patients [10]. Another study done by Noor et alalso reported similar mean age of 37.4±3.8 years in patients presenting at FMH College of Medicine and Dentistry, Lahore [11].…”

Section: Discussionmentioning

confidence: 57%

Comparison of Infra Orbital Nerve Outcome in Zygomaticomaxillary Complex Fractures Treated Surgically and Conservatively

Ullah¹,

Khan²,

Hammad³

et al. 2022

PJMHS

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Introduction: Zygomaticomaxillary complex fractures are second most common facial injuries. These fracture are managed either by open reduction with rigid fixation or conservatively. Objective: To compare infra orbital nerve outcome in zygomaticomaxillary complex fractures treated surgically and conservatively. Methodology: The current randomized controlled trial study was carried out at Oral and Maxillofacial Surgery Department, Sandeman Provincial Hospital/Bolan Medical College Quetta from 23/04/2018 to 22/10/2018 after the synopsis approval. Total sample size calculated was 100. 50 patients in Group-A were treated by open reduction and internal fixation technique and 50 patients in Group-B were managed conservatively without any intervention. All the data was recorded in a specialized proforma for this study. Data analysis was done by SPSS. Results: The overall mean age (SD) of the patient’s was 36.2±7.1 years. Most of the patients (n=64, 64.0%) were 31-45 years old. The male patients in our study were 65 (65.0%) whereas female participants were 35 (35.0%). For detection of mechanical threshold, the patients proportion with sensations at 3cm filament length was significantly lower in patients who underwent surgical treatment (78.0% vs. 100.0%; p-value<0.001) as compared to the participants managed conservatively. It was also lower significantly at 5cm and 7cm for Group-A in comparison to Group-B (p-value≤0.05). For detection of heat threshold, the patients proportion with sensation at 32°C was no different between Group-A and Group-B (p-value=0.529). However, proportion of patients with sensations at 35oC (64.0% vs. 100.0%; p-value<0.001) and 37oc (90.0% vs. 100.0%; p-value=0.022) was lower significantly in surgically treated patients. Pain threshold detection was significantly lower in patients who underwent surgical treatment (1.26±0.44 vs. 1.58±0.49; p-value<0.001) in comparison to conservative treatment. Conclusion: In patients with zygomaticomaxillary complex fractures, infra orbital nerve outcome was superior in patients managed conservatively than those treated with open reduction and internal fixation which advocates evading unnecessary intervention in such cases in future practice. Keywords: Zygomaticomaxillary Complex Fractures, Conservative Treatment, Infra Orbital Nerve

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Section: Discussionmentioning

confidence: 57%

Comparison of Infra Orbital Nerve Outcome in Zygomaticomaxillary Complex Fractures Treated Surgically and Conservatively

Ullah¹,

Khan²,

Hammad³

et al. 2022

PJMHS

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“…[19] A recent study compared the recovery of infraorbital nerve paresthesia following open reduction and internal fixation verses closed reduction in the management of ZMC fractures, it was reported infraorbital nerve recovery in patients treated with open reduction and internal fixation was found 74%. [20] In comparison with the current study this will be in favour for the intraoral approach for infraorbital rim reduction and fixation as dissection, tunnelling ,direct reduction and fixation around the infraorbital nerve were beneficial in decompression and repair to the nerve.…”

Section: Discussionmentioning

confidence: 62%

Intraoral Approach for Reduction and Fixation of Infraorbital Rim Fracture

Hammuda

2018

OMX

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“…Face, head, and neck injuries are rather prevalent, although the pathogenesis of maxillofacial wounds has gotten comparatively little emphasis in the general trauma literature. 1 The predominance of the zygomaticomaxillary complex (ZMC) in the facial frame is one of the most prevalent causes of facial trauma, accounting for 45 percent of all midfacial and 25% of all facial fractures. 2,3 The zygomatic bone figured the protrusion of the cheek, which increases the risk of fracture, and infraorbital nerve damage is frequently implicated in trauma to the zygomatic complex, leading in sensory dispersion of the region activated by it.…”

Section: Introductionmentioning

confidence: 99%

Comparative Evaluation of Infraorbital Nerve Recovery Following Open and Closed Reduction of Zygomatic Complex Fracture

Baloch¹,

Shahzad²,

Kumar³

et al. 2022

PJMHS

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Objective: To evaluate the recovery of infraorbital nerve injury following zygomatic complex fracture management with open reduction and close reduction. Material and Methods: A sum of 128 subjects with zygomatic complex break and infraorbital nerve damage were incorporated in the research, and they were evenly divided into two collection: Close (Group A) and Open (Group B). A neurosensory assessment was carried out. The front cheek, lateral side of the nose, and upper lip were all inspected bilaterally. If two consecutive positive answers were obtained after 24 weeks, the result was referred to as recovery. The researchers used descriptive statistics. Results: The mean fracture duration in group A was 20.31±9.45 hours, whereas it was 20.65±9.16 hours in group B. In comparison to Group A, Group B had superior results at the end of 24 weeks. Infraorbital nerve damage restoration was found to be 34.3 % in group A and 64.06 % in group B. Conclusion: When contrasted to closed reduction, the probability of recoveries is higher with open reduction. Keywords: Infraorbital Nerve Injury, Zygomatic Complex Fracture, Open Reduction, Close Reduction, Recovery

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Comparison of infraorbital nerve recovery after open and closed reduction of zygomaticomaxillary complex fractures

Cited by 6 publications

References 16 publications

Comparison of Infra Orbital Nerve Outcome in Zygomaticomaxillary Complex Fractures Treated Surgically and Conservatively

Comparison of Infra Orbital Nerve Outcome in Zygomaticomaxillary Complex Fractures Treated Surgically and Conservatively

Intraoral Approach for Reduction and Fixation of Infraorbital Rim Fracture

Comparative Evaluation of Infraorbital Nerve Recovery Following Open and Closed Reduction of Zygomatic Complex Fracture

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