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  • Title: The influence of the mode of treatment of zygomatic bone fractures on the healing process of the infraorbital nerve.
    Author: De Man K, Bax WA.
    Journal: Br J Oral Maxillofac Surg; 1988 Oct; 26(5):419-25. PubMed ID: 3191091.
    Abstract:
    Several authors have described the influence of the method of treatment of a fracture of the zygomatic complex on the recovery of the infraorbital nerve. In this study, the results of treatment of 106 patients with an isolated, non-comminuted, unstable fracture of the zygomatic bone are presented. Thirty-eight patients underwent fixation with interosseous wiring and 68 patients were treated with a miniplate osteosynthesis across the frontozygomatic suture. In the group with wire fixation, 50% suffered persistent reduced sensitivity in the infraorbital region at follow-up examination, whereas in the group with a miniplate osteosynthesis only 22.1% had persistent neurological sequelae. On the basis of these findings we recommend a miniplate osteosynthesis in all unstable zygomatic bone fractures with displacement.
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