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Pedro Bernado
Fakultas Kedokteran Gigi Universitas Gadjah Mada Yogyakarta, Indonesia
Dentistry

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Parestesi pada fraktur kompleks zigomatikomaksilaris Paresthesia in zygomaticomaxillary complex fractures Pedro Bernado; Prihartiningsih Prihartiningsih; Poerwati Soetji Rahajoe
Journal of Dentomaxillofacial Science Vol. 12 No. 3 (2013): Formerly Jurnal Dentofasial ISSN 1412-8926
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15562/jdmfs.v12i3.376

Abstract

Head trauma cases can involve os.zygoma and maxilla. Injury to the nerves is one of the complications that can beencountered as a result of the fracture fragments shift. This paper reported one case of n.infraorbitalis paresthesiafollowing zygomaticomaxillary complex fracture. A 30 years old man was referred to the Department of Oral Surgery,Dr.Sardjito Hospital with a history of traffic accident two weeks before admission. The patient complained of rightcheek area feels numbness, bite changed and there was a protrusion of bone under his right eye. Clinical examinationfound paresthesias of right n.infraorbitalis, left posterior open bite, and bone displace at right infraorbital rim. At theWater's x-ray and 3D CT scan visualized fractures involving the right maxillary and infraorbital rim. Open reductioninternal fixation (ORIF) zygomaticomaxillary complex fracture, with miniplate supported by arch bar as a device toachieve individually normal occlusions, was performed under general anesthesia. Postoperative follow up indicateparesthesia symptoms gradually decreased and totally recover within 5 months. Prognosis for this case was bonam. Itwas concluded that ORIF with miniplate, combined with mounting arch bar can support paresthesia correction due tothe displacing of fracture fragment zygomaticomaxillary complex.
Co-Authors Poerwati Soetji Rahajoe, Poerwati Soetji Prihartiningsih Prihartiningsih