Abstract
Head trauma cases can involve os.zygoma and maxilla. Injury to the nerves is one of the complications that can be
encountered as a result of the fracture fragments shift. This paper reported one case of n.infraorbitalis paresthesia
following 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 right
cheek area feels numbness, bite changed and there was a protrusion of bone under his right eye. Clinical examination
found paresthesias of right n.infraorbitalis, left posterior open bite, and bone displace at right infraorbital rim. At the
Water's x-ray and 3D CT scan visualized fractures involving the right maxillary and infraorbital rim. Open reduction
internal fixation (ORIF) zygomaticomaxillary complex fracture, with miniplate supported by arch bar as a device to
achieve individually normal occlusions, was performed under general anesthesia. Postoperative follow up indicate
paresthesia symptoms gradually decreased and totally recover within 5 months. Prognosis for this case was bonam. It
was concluded that ORIF with miniplate, combined with mounting arch bar can support paresthesia correction due to
the displacing of fracture fragment zygomaticomaxillary complex.
Recommended Citation
Bernado, Pedro; Prihartiningsih, Prihartiningsih; and Rahajoe, Poerwati Soetji
(2013)
"Parestesi pada fraktur kompleks zigomatikomaksilaris Paresthesia in zygomaticomaxillary complex fractures,"
Dentofasial: Vol. 12:
Iss.
3, Article 2.
DOI: 10.15562/jdmfs.v12i3.376
Available at:
https://scholarhub.unhas.ac.id/dentofasial/vol12/iss3/2
Pages
189-194
Rights
©2016Pedro Bernado, Prihartiningsih Prihartiningsih, Poerwati Soetji Rahajoe
DOI
10.15562/jdmfs.v12i3.376