Long-term sensory disturbances after orbitozygomatic fractures

Neovius, ErikStockholm Craniofacial Center, Department of Reconstructive Plastic Surgery, Karolinska University Hospital, Stockholm, Sweden & Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden (author)

Background: Orbitozygomatic fractures often lead to infraorbital nerve (ION) injury, and affected sensibility is a common long-term complaint within this patient group. We present a long-term follow-up study where the validated von Frey filament system was used for testing ION sensibility. Furthermore, we examined the incidence of persistent nerve injury and whether more complex fractures led to more pronounced ION sensibility disturbances. Methods: Patients treated for facial fractures involving the orbitozygomatic complex were included and the follow-up time was 3 years or more. Depending on the location and severity of the fractures, the patients were divided into 4 groups. The patients answered a questionnaire before ION sensibility testing with von Frey filaments. Results: Eighty-one patients were examined: 65 males (80%) and 16 females (20%). Examinations were conducted between 3.0 and 7.6 years (mean 4.9 years) after injury. Sixteen patients (20%) had affected and 6 patients (7.4%) had severely affected ION sensibility according to von Frey testing. No statistically significant differences were found in terms of questionnaire score between the groups. There was also no statistically significant correlation between questionnaire results and log von Frey values. Although the effect of groups could not be statistically verified using the log von Frey values, a larger proportion of patients with complex fractures had higher log von Frey values than the other groups

Fransson, MariaDepartment of General Surgery, Sundsvall-Härnösand County Hospital, Sundsvall, Sweden (author)
Persson, CeciliaUppsala universitet,Tillämpad materialvetenskap,Materials in Medicine(Swepub:uu)cecpe877 (author)
Clarliden, SophieDepartment of Oral- & Maxillofacial Surgery, Örebro University Hospital, Sweden (author)
Farnebo, FilipKarolinska Institutet,Stockholm Craniofacial Center, Department of Reconstructive Plastic Surgery, Karolinska University Hospital, Stockholm, Sweden & Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden (author)
Lundgren, T. KalleKarolinska Institutet,Stockholm Craniofacial Center, Department of Reconstructive Plastic Surgery, Karolinska University Hospital, Stockholm, Sweden & Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden (author)
Stockholm Craniofacial Center, Department of Reconstructive Plastic Surgery, Karolinska University Hospital, Stockholm, Sweden & Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, SwedenDepartment of General Surgery, Sundsvall-Härnösand County Hospital, Sundsvall, Sweden (creator_code:org_t)

In:Journal of Plastic, Reconstructive & Aesthetic Surgery: Elsevier70, s. 120-1261748-68151878-0539

By the author/editor: Neovius, Erik; Fransson, Maria; Persson, Cecilia; Clarliden, Sophi ...; Farnebo, Filip; Lundgren, T. Kal ...

About the subject

ENGINEERING AND TECHNOLOGY: ENGINEERING AND ...; and Medical Engineer ...; and Medical Material ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Medical Biotechn ...; and Biomaterials Sci ...

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.