Recovery of the infraorbital nerve after zygomatic complex fractures: A preliminary study of different treatment methods

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.

Section: Discussionmentioning

confidence: 99%

“…Taicher et al [4], De Man and Bax [12], Zingg M et al [13], Champy [5], have advocated the similar treatment plan to prevent the sensory deficit of the IO nerve.…”

Section: Control Affectedmentioning

confidence: 99%

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Evaluation of Neurosensory Changes in the Infraorbital Nerve following Zygomatic Fractures

Kumar

Godhi²,

Lall³

et al. 2012

“…In our series, subconjunctival hemorrhage was the most common minor injury, and accounted for 55% of the study population. Alterations of the infraorbital nerve (ION) produced by zygomatic complex fractures include hypoesthesia, dysesthesia, paraesthesia and anaesthesia [13] of the upper lip, cheek, lower eyelid, skin of the nose, anterior gum, and teeth of the affected side. The incidence of these symptoms varies from 35 to 94% in all the zygomatic fractures [14,15].…”

Section: Discussionmentioning

confidence: 99%

Management of Zygomatic Complex Fractures in a Tertiary Hospital: A Retrospective Study

Menon¹,

Sinha²,

Thapliyal³

et al. 2011

Aim This retrospective study was done to analyse the management of zygomatic complex fractures necessitating surgical intervention in a tertiary care hospital in a 8 year period in terms of incidence, cause, pattern and treatment. Materials and Methods Two hundred and thirteen cases of zygomatic complex fractures treated during this period were analysed. Results One hundred and eighty three cases of zygomatic complex fractures were treated by a two point fixation while additional fixation was used in 25 cases and single point fixation in five cases. The main etiology in zygomatic complex fractures was Road traffic accidents (RTA) (83.56 %-178 cases) followed by sport injuries (10 cases-4.65%), accidental falls (19 cases-8.9%) and domestic violence (2.81%-6 cases). The average age at the time of injury was 34.36 years with the age range being 7 years to 75 years. The highest incidence of fractures was seen in the third decade of life (102 cases) (47.88 %) followed by the second decade (44 cases) (20.65%), 41 cases (19.24 %) in the 4th decade, 8 cases each (3.75%) in the 5th and 6th decades, six cases (2.81%) in the 7th decade and four cases (1.87%) in the 8th decade. Conclusion The protocol of two point fixation was found to be adequate in most cases of zygomatic complex fractures in terms of stability and restoration of contour and function.

“…The fracture line then continues to the zygomatic sphenoid suture area and on to the frontozygomatic suture line [2].…”

Section: Discussionmentioning

confidence: 99%

Zygomaticomaxillary Complex Fractures: A Review of 101 Cases

Yamsani

Gaddipati

Vura

et al. 2015

Aim ZMC fractures are the common facial injuries. The main causes of fractures are trauma due to RTAs, assaults, falls, sports related injuries, and the civilian warfares. This study is to evaluate and review the etiology, incidence, clinical findings and treatment of ZMC fractures. A sincere effort has been put forward in the management of ZMC fractures and their efficacy is evaluated in the larger interest of the patients. Materials and methods In this study 101 patients having displaced ZMC fractures with insignificant medical history were reviewed to evaluate the versatility of its management, with the main emphasis on post operative stability, restoration of mouth opening, wound healing, esthetic restoration of the prominence of cheek and the complications encountered. Results A total of 101 patients were reviewed for the management of ZMC fractures. All the cases included were managed during the period from