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

Authors

  • Yaser Ishaq Department of Oral and Maxillofacial Surgery, Mayo Hospital, Lahore, Pakistan.
  • Maria Noor Department of Oral Medicine, FMH College of Medicine and Dentistry, Lahore, Pakistan.
  • Malik Adeel Anwar Department of Oral Pathology, FMH College of Medicine and Dentistry, Lahore, Pakistan.

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20181851

Keywords:

Zygomaticomaxillary complex fractures, Infraorbital nerve, Open reduction, Closed reduction

Abstract

Background: Zygomaticomaxillary complex (ZMC) fracture is quite commonly seen fracture in the road side accidents (RTA). It is the second most common fracture after nasal bone fractures. Infraorbital nerve is almost always involved with ZMC fractures which can be treated with open reduction and internal fixation or closed reduction.

Methods: The aim of this study was to compare the recovery of infraorbital nerve paresthesia following open reduction and internal fixation verses closed reduction in the management of ZMC fractures.  

Results: Two groups with n=50 patients each, qualifying our inclusion criteria were selected, examined, reduced by open and closed reduction respectively and followed up.

Conclusions: The functional infraorbital nerve recovery was found among 74% patients those who underwent open reduction and internal fixation. While the patients treated with closed reduction the functional nerve recovery was seen in 52%.

Author Biographies

Yaser Ishaq, Department of Oral and Maxillofacial Surgery, Mayo Hospital, Lahore, Pakistan.

Postgraduate Resident

Maria Noor, Department of Oral Medicine, FMH College of Medicine and Dentistry, Lahore, Pakistan.

Assistant Professor

Malik Adeel Anwar, Department of Oral Pathology, FMH College of Medicine and Dentistry, Lahore, Pakistan.

Asssitant Professor

References

Strong EB, Sykes JM. Zygoma complex fractures. Facial Plast Surg. 1998;14(1):105-15.

Calderoni R, Guidi M, Kharmandayan P, Nunes P. 7 year institutional experience in the surgical treatment of orbitozygomatic fractures. J Cranio maxillo fac. 2010;1-7.

Orringer JS, Barcelona V, Buchman SR. Reasons for removal of rigid internal fixation devices in craniofacial surgery. J Craniofac Surg. 1998;9(1):40-4.

Kharkar VR, Rudagi BM, Halli R, Kini Y. Comparison of the modified lateral orbitotomy approach and modified hemicoronal approach in the treatment of unstable malunions of zygomatic complex fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109(4):504-9.

Paul M, Fractures of Zygoma, In: Peter Ward Booth. Maxillofacial Surg. 2007;2:120-54.

Ahmed SS, Afshan B, Hashmi GS, Hashmi SH. Neurosensory deficit in cases of zygomatic complex fractures, Current Neurobiology. 2010;1(1):51-4.

Pedemontet T, Basili E. Predictive factors in infraorbital nerve sensory disturbances following zygomaticomaxillary complex fractures. Int J Oral maxillofac Surg. 2005;34:503-6.

Nyachhyon P, Shah SAA. Management outcomes of Zygomatico-maxillary complex fractures. J Nepal Dent Association 2010;11:27-31.

Muto T, Yahara N, Hashiba T. Reduction & fixation of zygomatic complex fractures using simple external device. Asian J Oral Maxillofac Surg. 2010;22:205-7.

Akal U, Sayan NB, Yaman Z. Evaluation of neurosensory deficiencies of oral and maxillofacial region following surgery. Int J Oral Maxillofac Surg. 2000;29: 331-3.

Sakavicius D, Juodzbalys G, Kubilius R, Sabalys P. Investigation of infraorbital nerve injury following zygomaticomaxillary complex fractures. J oral Rehab. 2008;35:903-16.

Peltomaa J, Rihkanen H. Infraorbital nerve recovery after minimally dislocated facial fractures. EUH Arch Otorhinolaryngol, 2000;257(8):449-52.

Benoliel R, Birenboim R, Regev E, Eliav E. Neurosensory changes in the infraorbital nerve following zygomatic fractures. Oral Surg Oral Med Oral Pathol Oral Radiol endod. 2005;99:657-65.

De Man K, Bax WA. The Influence of the mode of treatment of zygomatic bone fractures on the healing process of the infraorbital nerve. Br J Oral Maxillofac Surg. 1988;26(5):419-25.

Kloss FR, Stigler RG, Brandstatter A, Tuli T, Rasse M, Laimer K, et al. Complications related to midfacial fractures: operative versus nonsurgical treatment. Int J Oral Maxillofac Surg. 2011;40:33-7.

Parashar A and Sharma RK. Unfavourable outcomes in maxillofacial injuries: How to avoid and manage. Indian J Plast Surg. 2013;46(2):221–34.

Motamedi MH. An assessment of maxillofacial fractures: a 5-year study of 237 patients. J Oral Maxillofac Surg. 2003;61(1):61-4.

Sakavicius D, Juodzbalys G, Kubilius R, Sabalys P. Investigation of infraorbital nerve injury following zygomaticomaxillary complex fractures. J oral Rehab. 2008;35: 903-16.

Zingg M, Laedrach K, Chen J, Chowdhury K, Vuillemin T, Sutter F, Raveh J. Classification and treatment of zygomatic fractures: a review of 1,025 cases. J Oral Maxillofac Surg. 1992;50(8):778-90.

Taicher S, Ardekian L, Samet N. Recovery of the infraorbital nerve after zygomatic complex fractures: a preliminary study of different treatment methods. Int J Oral Maxillofac Surg. 1993;22(6):339-41.

Westermark A, Jensen J, Sindet-Pedersen S. Zygomatic fractures and infraorbital nerve disturbances. Miniplate osteosynthesis vs. other treatment modalities. Oral Surg Oral Diagn. 1992;3:27-30.

Noor M, Ishaq Y, Anwar MA. Frequency of infra-orbital nerve injury after a Zygomaticomaxillary complex fracture and its functional recovery after open reduction and internal fixation. Int Surg J. 2017;4:685-9.

Prachur K, Suhas G, Amit LB, Ram CS. Evaluation of Neurosensory Changes in the Infraorbital Nerve following Zygomatic Fractures. J Maxillofac Oral Surg. 2012;11(4):394–9.

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Published

2018-04-26

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Original Research Articles