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ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • P-ISSN2234-7550
  • E-ISSN2234-5930
  • SCOPUS, KCI, ESCI

Infraorbital nerve transpositioning into orbital floor: a modified technique to minimize nerve injury followingzygomaticomaxillary complex fractures

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2015, v.41 no.2, pp.74-77
Sharadindu Mahadevappa Kotrashetti (K.L.E. Viswanath Katti Institute of Dental Sciences, Belgaum, India)
Tejraj Pundalik Kale (K.L.E. Viswanath Katti Institute of Dental Sciences, Belgaum, India)
Supriya Bhandage (K.L.E. Viswanath Katti Institute of Dental Sciences, Belgaum, India)
Anuj Kumar (K.L.E. Viswanath Katti Institute of Dental Sciences, Belgaum, India)

Abstract

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 infra-orbital 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 floorwas 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.

keywords
Infraorbital nerve transposition, Paresthesia, Zygomaticomaxillary complex fractures

Journal of the Korean Association of Oral and Maxillofacial Surgeons