title: The influence of the mode of treatment of zygomatic bone fractures on the healing process of the infraorbital nerve.
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.
authors.affiliation: Department of Oral and Maxillofacial Surgery, University Hospital Rotterdam-Dijkzigt, The Netherlands.
authors.forename: K
authors.initials: K
authors.lastname: De Man
authors.forename: W A
authors.initials: WA
authors.lastname: Bax
mesh_terms: D001860:Bone Plates; D001864:Bone Wires; D005593:Fracture Fixation, Internal; D006801:Humans; D009416:Nerve Regeneration; D009915:Orbit / Q000294:innervation*; D014945:Wound Healing; D015051:Zygomatic Fractures / Q000503:physiopathology / Q000628:therapy*