Comparison of Functional Recovery of Infraorbital Nerve Paresthesia Following Open and Closed Reduction of Zygomaticomaxillary Complex Fractures

2021 ◽  
Vol 15 (10) ◽  
pp. 2875-2877
Author(s):  
Raheel Hassan ◽  
Abid Hussain Bukhari ◽  
Rashida Hilal ◽  
Nofil Ahmad ◽  
Ans Ahmad ◽  
...  
Keyword(s):  
Functional Recovery ◽  
Closed Reduction ◽  
Open Reduction ◽  
Infraorbital Nerve ◽  
Complex Fracture ◽  
Zygomaticomaxillary Complex Fracture ◽  
Nerve Recovery ◽  
Group A ◽  
Group B ◽  
Zygomaticomaxillary Complex

Objective: To compare the functional recovery of infraorbital nerve paresthesia following open reduction as compared to closed reduction in zygomaticomaxillary complex fracture management. Study Design: Randomized controlled trial. Place and Duration of Study: Oral and Maxillofacial Surgery Dept. Dentistry Section, Ayub Medical College & Teaching Hospital, Abbottabad from 1st April 2016 to 30th September 2016. Methodology: Eighty two patients of infraorbital nerve recovery were included. They were divided in two groups; group A was treated by closed reduction technique, and group B was treated by open reduction with internal fixation technique using mini plates. Permuted blocks of 6 were used to ensure equal representation in both groups. All patients were underwent surgical management within 1-7 days following trauma. Patients were assessed post-surgery for infraorbital nerve recovery. Results: There were 63.4% males and 36.6% females in group A while 60.9% males and 39.1% females were included in group B with mean age was 28.44±7.15 years in group A and 27.93±7.33 in group B respectively. 51.2% patients have infraorbial nerve recovery in group A while 65.8% have infraorbital nerve recovery in group B. Conclusion: Closed reduction approach was found to be the best reduction technique and open reduction was effective in terms of stability, prevention of relaps and functional recovery of infraorbital nerve injuries. Key words: Functional recovery, Infraorbital nerve, Paresthesia, Closed reduction, Zygomaticomaxillary complex fracture

scholarly journals Frequency of infra-orbital nerve injury after a Zygomaticomaxillary complex fracture and its functional recovery after open reduction and internal fixation

2017 ◽  
Vol 4 (2) ◽  
pp. 685 ◽  
Author(s):  
Maria Noor ◽  
Yaser Ishaq ◽  
Malik Adeel Anwar
Keyword(s):  
Internal Fixation ◽  
Nerve Injury ◽  
Open Reduction ◽  
Road Traffic ◽  
Maxillofacial Injuries ◽  
Female Ratio ◽  
Complex Fracture ◽  
Zygomaticomaxillary Complex Fracture ◽  
Nerve Recovery ◽  
Zygomaticomaxillary Complex

Background: Maxillofacial injuries are on the rise and the etiology of maxillofacial injuries varies from one country to another because of social, cultural and environmental factors. Road traffic accidents (RTAs) are still the most common cause of maxillofacial injuries. Nerve injury following fracture may involve traction, pressure, ischemia, inflammation and physical damage; therefore fractures of Zygomaticomaxillary complex (ZMC) are characterized by sensory neuropathy in the area of innervation of infra-orbital nerve both as presenting symptom and as a postop complication. The objectives of the study were to investigate the frequency of infra-orbital nerve paresthesia following ZMC fractures and determine the frequency of functional nerve recovery in patients with paresthesia treated with open reduction and internal fixation.Methods: Patients (n = 75) qualifying our inclusion criteria were selected, examined, reduced by surgery and followed up.Results: A total of 75 patients were included in the study with male: female ratio of 5:3. Mean age was 37.43±3.78 years, with majority of patients (72 %) presenting with RTAs. Infra-orbital nerve paraesthesia was found to be positive in 70.67% (n = 53) patients with 62.26% (n = 33) patients with functional nerve recovery after 3 months.Conclusions: Prognosis of infra-orbital nerve recovery after a Zygomaticomaxillary complex fracture can be enhanced by open reduction and internal fixation.

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

2018 ◽  
Vol 4 (3) ◽  
pp. 613
Author(s):  
Yaser Ishaq ◽  
Maria Noor ◽  
Malik Adeel Anwar
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Bone Fractures ◽  
Nasal Bone ◽  
Infraorbital Nerve ◽  
Inclusion Criteria ◽  
The Road ◽  
Nerve Recovery ◽  
Zygomaticomaxillary Complex

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> 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.  </p><p class="abstract"><strong>Results:</strong> Two groups with n=50 patients each, qualifying our inclusion criteria were selected, examined, reduced by open and closed reduction respectively and followed up.</p><p class="abstract"><strong>Conclusions:</strong> 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%.</p>

scholarly journals Comparison of functional outcome after open and closed reduction of mandibular subcondylar fracture

2020 ◽  
pp. 1-12
Author(s):  
Samira Shabbir Balouch ◽  
Rana Sohail ◽  
Sadia Awais ◽  
Riaz Ahmad Warraich ◽  
Mir Ibrahim Sajid
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Treatment Modalities ◽  
Oral And Maxillofacial Surgery ◽  
Subcondylar Fracture ◽  
Group A ◽  
Group B

Abstract Objective: To compare open reduction with internal fixation of mandibular subcondylar fracture with closed reduction in terms of adequate mouth opening. Method: The randomised clinical trial was conducted from March 2014 to February 2015 at the Oral and Maxillofacial Surgery Department, King Edward Medical University and Allied Hospitals, Lahore, Pakistan, and comprised patients who presented with unilateral subcondylar fractures. The patients were randomly divided into 2 groups. Group-A patients were treated with closed reduction and immobilisation and were discharged the same day, while Group-B patients were treated by open reduction with internal fixation and retained in ward for 1 day. Both were recalled for periodic follow-ups, and were compared in terms of achieving adequate mouth opening. Data was analysed using SPSS 20. Results: Of the 70 patients, 35(50%) were in each of the two groups. The mean age in Group-A was 28.88±11.86 years compared to 28.22±10.80 years in Group-B (p>0.05). Mean mouth opening in  the two groups were consistently positive, and significant at the last two follow-ups(p<0.001). Conclusion: The difference in results of both treatment modalities was significant, indicating that open reduction and internal fixation should be the preferred treatment. Key Words: Mandibular sub-condylar fracture, Open reduction, Closed reduction, Internal fixation, Mouth opening.

scholarly journals Retrospective study about the postoperative stability of zygomaticomaxillary complex fracture

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Seoghwan Yang ◽  
Jin-yong Cho ◽  
Woo-chul Shim ◽  
Sungbeom Kim
Keyword(s):  
Computed Tomography ◽  
Retrospective Study ◽  
Internal Fixation ◽  
Open Reduction ◽  
Complex Fracture ◽  
Significant Difference ◽  
Zygomaticomaxillary Complex Fracture ◽  
The Difference ◽  
Zygomaticomaxillary Complex

Abstract Background The aim of this study is to evaluate the postoperative stability of zygomaticomaxillary complex (ZMC) fractures according to the number of fixation sites and to investigate the direction of postoperative displacement of the unfixed part of the fractured segment. Methods This study was retrospectively performed on 38 patients who were treated by open reduction and internal fixation of ZMC fractures and were taken postoperative computed tomography (CT) between February 2012 and July 2019. The patients were classified into 3 groups: 1-point fixation, 2-point fixation, 3-point fixation according to the number of fixations. The postoperative displacement of the fractured segment was evaluated by the superimposition between postoperative CT and follow-up CT, and the postoperative stability according to the fixation sites was investigated through the amount of postoperative displacement. In addition, it was investigated in which direction the location of the fractured segment was changed in the unfixed fractured segment according to the fixation sites. Results The amount of postoperative displacement of the fractured segment was 0.75 ± 1.18 mm on average. In the postoperative displacement of the distal area according to the number of fixation of the fracture, there was no statistically significant difference in the amount of displacement of the fracture (p = 0.574). As for the direction of the change in the location of the fractured segment, 12 patients among 38 patients with the change in the location of the fractured segment were investigated, and the displacement in the medial direction (n = 11, 91.67%) was the most common in all three fixation methods. Conclusion In patients with a ZMC fracture who were treated by open reduction and internal fixation, the number of fixations did not make the difference in the postoperative displacement of the fracture. In addition, the fractured segment mainly changes in the medial direction after surgery, and this fact can be used as a reference for the reduction direction during surgery for the stable prognosis.

scholarly journals INFRAORBITAL NERVE INJURY

2018 ◽  
Vol 25 (11) ◽  
Author(s):  
Hira Yousuf ◽  
Muhammad Hamid Ali ◽  
Syed Fida Hussain Shah ◽  
Syed Ghazanfar Hassan ◽  
Lovekesh Kumar
Keyword(s):  
Nerve Injury ◽  
Open Reduction ◽  
University Hospital ◽  
Infraorbital Nerve ◽  
Lateral Side ◽  
Chi Square ◽  
Fracture Management ◽  
Chi Square Test ◽  
Group A ◽  
Group B

Objective: To compare the frequency of the recovery of infraorbital nerve injuryfollowing zygomatic complex fracture management with open reduction and close reduction.Study Design: Randomized controlled trail study. Setting: Oral & Maxillofacial SurgeryDepartment of Dentistry, Liaquat University Hospital, Jamshoro. Period: From 17th October2015 to 16th October 2016. Material and Methods: Total 168 patients with zygomatic complexfracture with infraorbital nerve injury were included and equally divided in Close (Group-A)and Open (Group-B) reduction. Neurosensory evaluation was done. The areas were examinedbilaterally anterior cheek, lateral side of the nose and upper lip. After 24 weeks if two successivepositive responses were obtain then result was called recovery. Descriptive statistics wereapplied. Stratification was done using Chi square test. Results: The mean duration of fracture ingroup A was 21.41±9.81 hours while in group B it was 20.65±9.11 hours. The assessment after24 weeks showed better results in Group B as compared with Group A. Recovery of infraorbitalnerve injury was observed 13.1% in group A and 94% in group B. Conclusion: The frequencyof recovery is high with open reduction as compared to closed reduction.

scholarly journals Closed Reduction and Percutaneous Pinning in the Treatment of Humeral Distal Metaphyseal-Diaphyseal Junction Fractures in Children: A Technique Note and Preliminary Results

2021 ◽  
Vol 9 ◽  
Author(s):  
Hai Zhou ◽  
Ge Zhang ◽  
Ming Li ◽  
Xing Liu ◽  
Xiangyang Qu ◽  
...  
Keyword(s):  
Closed Reduction ◽  
Open Reduction ◽  
Distal Humerus ◽  
The Novel ◽  
Percutaneous Pinning ◽  
Supracondylar Fractures ◽  
Radiographic Outcomes ◽  
Fractures In Children ◽  
Group A ◽  
Group B

Objective: The metaphyseal-diaphyseal junction (MDJ) fracture is an uncommon but problematic type of fracture occurring at the distal humerus in children. Closed reduction and fixation are challenging and may not be possible with the conventional reduction maneuver utilized in supracondylar fractures. The purpose of this study was to evaluate a novel closed reduction and percutaneous pinning (CRPP) technique for the treatment of these fractures.Methods: We retrospectively evaluated 14 children (8 boys and 6 girls) who underwent closed reduction and percutaneous fixation for the treatment of MDJ fractures. Six children who underwent treatment with a novel CRPP technique were enrolled as Group A. Eight children underwent the conventional reduction maneuver utilized in supracondylar fracture and were enrolled as Group B. Clinical and radiographic outcomes in the two groups were then compared.Results: In Group A, all six MDJ fractures were treated successfully with the novel CRPP technique without the need for open procedures or re-operation. No complications such as pin-site infection or iatrogenic nerve injury were found in this group. In group B, five of the eight fractures were treated successfully with the conventional CRPP technique; three fractures needed open reduction, and one of them had further surgery because of the loss of fixation. Children with successful CRPP in each group were included to compare the efficacy of the novel CRPP technique. The average duration of the surgery in Group A was significantly shorter than that in Group B (p &lt; 0.001). At last follow-up, both groups obtained satisfactory clinical and radiographic outcomes.Conclusion: MDJ fractures can be reduced successfully and fixed stably via a novel CRPP technique, and laborious and frustrating attempts at closed reduction and further open reduction can be avoided.

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