Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제41권2호
  • /
  • Pages.74-77
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  • 2015
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
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Infraorbital nerve transpositioning into orbital floor: a modified technique to minimize nerve injury following zygomaticomaxillary complex fractures

  • Kotrashetti, Sharadindu Mahadevappa (Department of Oral and Maxillofacial Surgery, K.L.E. Viswanath Katti Institute of Dental Sciences) ;
  • Kale, Tejraj Pundalik (Department of Oral and Maxillofacial Surgery, K.L.E. Viswanath Katti Institute of Dental Sciences) ;
  • Bhandage, Supriya (Department of Oral and Maxillofacial Surgery, K.L.E. Viswanath Katti Institute of Dental Sciences) ;
  • Kumar, Anuj (Department of Oral and Maxillofacial Surgery, K.L.E. Viswanath Katti Institute of Dental Sciences)
  • 투고 : 2014.11.17
  • 심사 : 2015.03.09
  • 발행 : 2015.04.30
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초록

Objectives: Transpositioning of the inferior alveolar nerve to prevent injury in lower jaw has been advocated for orthognathic, pre-prosthetic and for implant placement procedures. However, the concept of infra-orbital nerve repositioning in cases of mid-face fractures remains unexplored. The infraorbital nerve may be involved in trauma to the zygomatic complex which often results in sensory disturbance of the area innervated by it. Ten patients with infraorbital nerve entrapment were treated in similar way at our maxillofacial surgery centre. Materials and Methods: In this article we are reporting three cases of zygomatico-maxillary complex fracture in which intra-operative repositioning of infra-orbital nerve into the orbital floor was done. This was done to release the nerve from fractured segments and to reduce the postoperative neural complications, to gain better access to fracture site and ease in plate fixation. This procedure also decompresses the nerve which releases it off the soft tissue entrapment caused due to trauma and the organized clot at the fractured site. Results: There was no evidence of sensory disturbance during their three month follow-up in any of the patient. Conclusion: Infraorbital nerve transposition is very effective in preventing paresthesia in patients which fracture line involving the infraorbital nerve.

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참고문헌

  1. Jungell P, Lindqvist C. Paraesthesia of the infraorbital nerve following fracture of the zygomatic complex. Int J Oral Maxillofac Surg 1987;16:363-7. https://doi.org/10.1016/S0901-5027(87)80160-1
  2. Kersey JP, Beigi B. Infraorbital nerve decompression for infraorbital neuralgia following orbital fracture. British Oculoplastic Surg Soc 1999;10:24-7.
  3. Fogaca WC, Fereirra MC, Dellon AL. Infraorbital nerve injury associated with zygoma fractures: documentation with neurosensory testing. Plast Reconstr Surg 2004;113:834-8. https://doi.org/10.1097/01.PRS.0000105335.41930.41
  4. Peltomaa J, Rihkanen H. Infraorbital nerve recovery after minimally dislocated facial fractures. Eur Arch Otorhinolaryngol 2000;257:449-52. https://doi.org/10.1007/s004050000264
  5. Vriens JP, Moos KF. Morbidity of the infraorbital nerve following orbitozygomatic complex fractures. J Craniomaxillofac Surg 1995;23:363-8. https://doi.org/10.1016/S1010-5182(05)80131-3
  6. Bailey K, Ng JD, Hwang PH, Saulny SM, Holck DE, Rubin PA. Infraorbital nerve surgical decompression for chronic infraorbital nerve hyperesthesia. Ophthal Plast Reconstr Surg 2007;23:49-51. https://doi.org/10.1097/IOP.0b013e31802dd3fc
  7. Li T, Zheng HF, Chen XH, Shen XC, Hao JC. A comparison of early and late reconstruction and repositioning of orbital blow-out fracture. Zhonghua Zheng Xing Wai Ke Za Zhi 2003;19:436-8.
  8. Mathur NN, Taylor SF, Patel B, Moran JA. Orbital fractures [Internet]. New York (NY): Medscape [cited 2014 Jul 14]. Available from: http://emedicine.medscape.com/article/867985-overview.
  9. Jungell P, Lindqvist C. Paraesthesia of the infraorbital nerve following fracture of the zygomatic complex. Int J Oral Maxillofac Surg 1987;16:363-7. https://doi.org/10.1016/S0901-5027(87)80160-1
  10. Taicher S, Ardekian L, Samet N, Shoshani Y, Kaffe I. Recovery of the infraorbital nerve after zygomatic complex fractures: a preliminary study of different treatment methods. Int J Oral Maxillofac Surg 1993;22:339-41. https://doi.org/10.1016/S0901-5027(05)80662-9
  11. Schultze-Mosgau S, Erbe M, Rudolph D, Ott R, Neukam FW. 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 1999;27:86-93. https://doi.org/10.1016/S1010-5182(99)80019-5
  12. Kim CH, Lee JH. Orbital floor restoration with traction of the infraorbital nerve using a vessel loop in posterior orbital floor fractures. J Craniomaxillofac Surg 2014;42:2069-75. https://doi.org/10.1016/j.jcms.2013.05.017

피인용 문헌

  1. An Alternative Route for Entrapped Inferior Orbital Nerve in Orbital Floor Fracture vol.10, pp.3, 2015, https://doi.org/10.1055/s-0036-1592090
  2. The Infraorbital Foramen Is Located Midway Between the Nasospinale and Jugale: Considerations for Infraorbital Nerve Block and Maxillofacial Surgery vol.29, pp.2, 2015, https://doi.org/10.1097/scs.0000000000004186