Neurosensory changes in the infraorbital nerve following zygomatic fractures

Benoliel, Rafael; Birenboim, Ravit; Regev, Eran; Eliav, Eli

doi:10.1016/j.tripleo.2004.10.014

Cited by 89 publications

(87 citation statements)

References 37 publications

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“…The results of the study are in agreement with other recorded incidence of infra-orbital nerve injury following ZMC fractures ranging from 18-83% in a study from Israel and 58 to 94% from India. 9,21 Open reduction and internal fixation is one of the most used and preferred method of fixation with desirable results. De Man and Bax from Netherlands stated that reduction and fixation were important factors in the recovery of sensory disturbances of the infraorbital nerve.…”

Section: Discussionmentioning

confidence: 99%

“…7 Benoliel documented the neurosensory changes in the infra-orbital nerve following zygomatic fractures managed in various ways and concluded that plate fixation allows significantly better restoration of infraorbital nerve function. 9 Chronic neuropathic pain following zygomatic fractures is rare. Kumar et al, concluded that earlier the surgical intervention, more the recovery of the nerve injury is noticeable during the 1 and 6 months follow up period.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of infraorbital nerve injury following ZMC fractures ranges from 18-83%. 9 The damage can either be a direct effect of the injury or it can be due to compression of the nerve as it leaves its canal to supply the structures of mid face. Infra-orbital nerve damage can produce sensory alterations such as hypoesthesia, dysesthesia, paresthesia or anaesthesia of the mid facial structures including lower eyelid, cheek, upper lip, skin of nose, and intra-orally, includes anterior region of gingiva and teeth of affected side.…”

Section: Introductionmentioning

confidence: 99%

“…Infra-orbital nerve damage can produce sensory alterations such as hypoesthesia, dysesthesia, paresthesia or anaesthesia of the mid facial structures including lower eyelid, cheek, upper lip, skin of nose, and intra-orally, includes anterior region of gingiva and teeth of affected side. 9,10 As far as the functional recovery of infra-orbital nerve is concerned, 77.3% of the patients reported complete functional recovery after open reduction and internal fixation. 7 Rationale of this study is to determine the frequency of sensory disturbance of infra-orbital nerve after a ZMC fracture, monitor the sensory recovery postoperatively treated with open reduction and internal fixation.…”

Section: Introductionmentioning

confidence: 99%

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Frequency of infra-orbital nerve injury after a Zygomaticomaxillary complex fracture and its functional recovery after open reduction and internal fixation

2017

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Background: Maxillofacial injuries are on the rise and the etiology of maxillofacial injuries varies from one country to another because of social, cultural and environmental factors. Road traffic accidents (RTAs) are still the most common cause of maxillofacial injuries. Nerve injury following fracture may involve traction, pressure, ischemia, inflammation and physical damage; therefore fractures of Zygomaticomaxillary complex (ZMC) are characterized by sensory neuropathy in the area of innervation of infra-orbital nerve both as presenting symptom and as a postop complication. The objectives of the study were to investigate the frequency of infra-orbital nerve paresthesia following ZMC fractures and determine the frequency of functional nerve recovery in patients with paresthesia treated with open reduction and internal fixation.Methods: Patients (n = 75) qualifying our inclusion criteria were selected, examined, reduced by surgery and followed up.Results: A total of 75 patients were included in the study with male: female ratio of 5:3. Mean age was 37.43±3.78 years, with majority of patients (72 %) presenting with RTAs. Infra-orbital nerve paraesthesia was found to be positive in 70.67% (n = 53) patients with 62.26% (n = 33) patients with functional nerve recovery after 3 months.Conclusions: Prognosis of infra-orbital nerve recovery after a Zygomaticomaxillary complex fracture can be enhanced by open reduction and internal fixation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Frequency of infra-orbital nerve injury after a Zygomaticomaxillary complex fracture and its functional recovery after open reduction and internal fixation

2017

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“…Therefore, fractures of the zygomatic complex are characterized by sensory neuropathy (specifically hypoesthesia) in the area of innervations of the IO nerve, both as a presenting symptom, and as a postoperative complication [5].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Neurosensory Changes in the Infraorbital Nerve following Zygomatic Fractures

Kumar

Godhi²,

Lall³

et al. 2012

J. Maxillofac. Oral Surg.

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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.

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