Journal of Maxillofacial and Oral Surgery

, Volume 11, Issue 4, pp 394–399 | Cite as

Evaluation of Neurosensory Changes in the Infraorbital Nerve following Zygomatic Fractures

  • Prachur KumarEmail author
  • Suhas Godhi
  • Amit Bihari Lall
  • C. S. Ram
Research Paper



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 Results

The 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.


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.


Infraorbital nerve Zygomatic fracture Paresthesia 


  1. 1.
    Akal UK, Sayan NB, Aydogan S, Yaman Z (2000) Evaluation of neurosensory deficiencies of oral and maxillofacial region following surgery. Int J Oral Maxillofac Surg 29:331–336PubMedCrossRefGoogle Scholar
  2. 2.
    Kristensen S, Teveteras K (1986) Zygomatic fractures: classification and complications. Clin Otolaryngol 11:123–129PubMedCrossRefGoogle Scholar
  3. 3.
    Rowe NL, Williams JL (1994) Row and William’s maxillofacial injuries, 2nd edn, vol 1. Churchil Livingstone, p 512Google Scholar
  4. 4.
    Taicher S, Ardekian L, Samet N, Shoshani Y, Kaffe I (1993) Recovery of the infraorbital nerve after zygomatic complex fractures: a preliminary study of different treatment methods. Int J Oral Maxillofac Surg 22:339–341PubMedCrossRefGoogle Scholar
  5. 5.
    Benoliel R, Birenboim R, Regev E, Eliav E (2005) Neurosensory changes in the infraorbital nerve following zygomatic fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 99:657–665PubMedCrossRefGoogle Scholar
  6. 6.
    Afzelius LE, Rosén C (1980) Facial fractures. A review of 368 cases. Int J Oral Surg 9(1):25–32PubMedCrossRefGoogle Scholar
  7. 7.
    Bailey JS, Goldwasser MS, Ed Miloro M, Ghali GE, Larsen PE, Waite PD (2004) Peterson’s principles of oral and maxillofacial surgery, 2nd edn, vol 1. BC Decker Inc., Hamilton, p 457Google Scholar
  8. 8.
    Vriens JPM, Van der Glas HW, Bosman F, Moos KF, Koole R (1998) Information on infraorbital nerve damage from multi testing of sensory function. Int J Oral Maxillofac Surg 27:20–26PubMedCrossRefGoogle Scholar
  9. 9.
    Jungell P, Lindqvist C (1987) Paraesthesia of the infraorbital nerve following fracture of the zygomatic complex. Int J Oral Maxillofac Surgery 16:363–367CrossRefGoogle Scholar
  10. 10.
    Banovetz JD, Duvall AJ (1976) Zygomatic fractures. Otolaryngol Clin N Am 9:499–506Google Scholar
  11. 11.
    Finlay PM, Ward-Booth RP, Moos KF (1984) Morbidity associated with the use of antral packs and external pins in the treatment of the unstable fracture of the zygomatic complex. Br J Oral Maxillofac Surg 22:18–23PubMedCrossRefGoogle Scholar
  12. 12.
    De Man K, Bax WA (1988) The influence of the mode of treatment of zygomatic bone fractures on the healing process of the infraorbital nerve. Br J Oral Maxillofac Surgery 26:419–425CrossRefGoogle Scholar
  13. 13.
    Zingg M, Chowdhury K, Ladrach K, Vuillemin T, Sutter F (1991) Treatment of 813 zygoma-lateral orbital complex fractures. New aspects. Arch Otolaryngol Head Neck Surg 117(6):611–620PubMedCrossRefGoogle Scholar
  14. 14.
    Schultze-Mosgau S, Erbe M, Rudolph D, Ott R, Neukam FW (1999) Prospective study on post-traumatic and postoperative sensory disturbances of the inferior alveolar nerve and infraorbital nerve in mandibular and midfacial fractures. J Craniomaxillofac Surg 27:86–93PubMedCrossRefGoogle Scholar
  15. 15.
    Fogaca WC, Fereirra MC, Dellon AL (2004) Infraorbital nerve injury associated with zygoma fractures: documentation with neurosensory testing. Plast Reconstr Surg 113:834–838PubMedCrossRefGoogle Scholar
  16. 16.
    Vriens JPM, Moos KF (1995) Morbidity of the infraorbital nerve following orbitozygomatic complex fractures. J Craniomaxillofac Surg 23:363–368PubMedCrossRefGoogle Scholar
  17. 17.
    Pedemontet TC, Basili EA (2005) Predictive factors in infraorbital sensitivity disturbances following zygomaticomaxillary fractures Int. J Oral Maxillofac Surg 34:503–506CrossRefGoogle Scholar

Copyright information

© Association of Oral and Maxillofacial Surgeons of India 2012

Authors and Affiliations

  • Prachur Kumar
    • 1
    Email author
  • Suhas Godhi
    • 2
  • Amit Bihari Lall
    • 2
  • C. S. Ram
    • 3
  1. 1.Department of Oral and Maxillofacial SurgeryK.M. Shah Dental College and Hospital, Sumandeep UniversityGujratIndia
  2. 2.Department of Oral & Maxillofacial Surgery & Oral ImplantologyI.T.S Centre for Dental Studies and ResearchGhaziabadIndia
  3. 3.Department of PhysiotherapyI.T.S Paramedical CollegeGhaziabadIndia

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