71455

Assessment of Infraorbital Nerve Parasthesia after ZMC Fracture and Its Surgical Repair

Article

Last updated: 03 Jan 2025

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Abstract

Background: Infraorbital nerve parasthesia is a very common finding after maxillofacial trauma involving zygomaticomaxillary complex (ZMC) region. The use of computer assisted surgical protocols for managing these fractures could improve the surgical outcome and maximize the functional and esthetic reconstruction of traumatized bones with possible effect on infraorbital nerve recovery. Objective: The aim of the present study was to assess infraorbital nerve parasthesia after ZMC fracture and its surgical repair. Patients and Methods: A total of 10 patients with unilateral ZMC fractures were selected from those having maxillofacial injuries at the Emergency Room of Sayed Galal University Hospital, Al-Azhar University, Cairo. Patients were divided randomly into two groups (five patients each); Group I: patients were treated with mirror imaging technique and fabrication of a steriolithographic (STL) model. Group II: patients were treated through the traditional technique without fabrication of an STL model. Results: Infraorbital nerve affection occurred in 7 patients (70%), 4 in group I and 3 in group II. Recovery of the nerve occurred at 3 months postoperatively except for only one patient from group II. Statistically, no significant difference was found between both groups. Conclusion: Although computer assisted surgery is impressive and has a remarkable role in facilitating the precise contouring and adaptation of the titanium plates / mesh needed for fracture repair, it has no evident advantages over the traditional techniques regarding infraorbital nerve recovery.

DOI

10.21608/ejhm.2020.71455

Keywords

Zygomaticomaxillary complex fracture, infraorbital nerve, computer aided surgery

Authors

First Name

Samy Saeed El Naas

Last Name

Farag Allah

MiddleName

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Affiliation

Department of Oral and Maxillofacial Surgery – Faculty of Dental Medicine, Al-Azhar University, Cairo

Email

samy.saeed.edu@gmail.com

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Orcid

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First Name

Mahmoud Ahmad

Last Name

Abdallah

MiddleName

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Affiliation

Department of Oral and Maxillofacial Surgery – Faculty of Dental Medicine, Al-Azhar University, Cairo

Email

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Orcid

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First Name

Wael Abd Almagid

Last Name

Almohandis

MiddleName

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Affiliation

Department of Oral and Maxillofacial Surgery – Faculty of Dental Medicine, Al-Azhar University, Cairo

Email

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Orcid

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First Name

Bahaa Eldin Abdrabo

Last Name

Tawfik

MiddleName

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Affiliation

Department of Oral and Maxillofacial Surgery – Faculty of Dental Medicine, Al-Azhar University, Cairo

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Orcid

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Volume

78

Article Issue

2

Related Issue

10587

Issue Date

2020-01-01

Receive Date

2020-02-16

Publish Date

2020-01-01

Page Start

278

Page End

285

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_71455.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=71455

Order

10

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Assessment of Infraorbital Nerve Parasthesia after ZMC Fracture and Its Surgical Repair

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Article

Created At

22 Jan 2023