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ORIGINAL ARTICLE
Year : 2022  |  Volume : 16  |  Issue : 2  |  Page : 119-122

Recovery of neurosensory deficit in zygomatic complex fracture: A prospective study


1 CMDC (EC), Kolkata, West Bengal, India
2 Department of Dental Surgery and OHS, AFMC, Pune, India
3 INDC Danteshwari, Mumbai, Maharashtra, India

Correspondence Address:
Serat Rahman
CMDC (EC), Alipore, Kolkata - 700 027, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jodd.jodd_9_21

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Aim: This study is aimed to prospectively evaluate neurological alteration subsequent to zygomatic complex fracture. Objective: To evaluate recovery of neurosensory deficit in unilateral zygomatic complex fracture cases. Materials and Methods: 30 Cases with unilateral zygomatic complex fracture having neurosensory deficit were divided into three Groups based on their Management. Gp-I Cases were managed with indirect reduction without fixation. Gp-II cases were managed with open reduction and internal fixation and no surgical intervention in Gp-III cases. Neurosensory function was assessed with light touch, two point discrimination, brush directional stroke and response to thermal stimuli in the infraorbital nerve region. Results: Neurosensory changes were evaluated preoperatively, postmanagement after 1 week, 1 month, 3 months and 6 months. Recovery in Group II was better than in Group I, however, it was statistically insignificant. Recovery in Group I was better than in Group III, however, the comparative recovery was statistically insignificant. Recovery in Group II was statistically significant than in Group III. Conclusion: It was observed that in most of the cases, neurosensory deficit recovered within 6 months. Recovery was better in the cases where patients were managed with open reduction and internal fixation. On the basis of the current study, it is recommended that in such cases where there is significant displacement or rotation of fractured fragments, direct reduction and internal fixation should be performed to achieve early return to normal form, function, and decompression of the nerve.


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