INCIDENCE AND EVALUATION O NERVE FOLL *Sanika Kulkarni, Department of Oral and Max ARTICLE INFO ABST Object zygom neuros and M Neuros post tr Pin Pri and co neuros occurre ZMC f neuros Discrim neuros other a Copyright © 2018, Sanika Kulkarni et al. This is an op use, distribution, and reproduction in any medium, provi INTRODUCTION The incidence of maxillofacial fractures ha over the past decade as a result of increasing traffic accidents and physical assaults (Fon 1991). Fractures of the midface, m Zygomaticomaxillary Complex (ZMC), comp of all facial bone fractures. The high in fractures probably relates to prominent po within the facial skeleton, which frequen traumatic forces. The incidence, cause, predilection of zygomatic injuries vary, dep the social, economic, political, and educati population studied (Shetty et al., 2015). The (ION) supplies the skin and mucous membra portion of the face. This nerve is vulnerabl surgical procedures of ZMC fractures invo rim and midface fractures. The ION prod branches, the inferior palpebral, external n labial (Shetty et al., 2015). In most cases frac the infraorbital foramen, canal, or fissure. T of the ZMC are characterized by sen (specifically hypoesthesia) in the area of inne *Corresponding author: Sanika Kulkarni, Department of Oral and Maxillofacial Surgery, Scho KIMSDU, Karad, India. ISSN: 0975-833X V Article History: Received 09 th August, 2018 Received in revised form 26 th September, 2018 Accepted 04 th October, 2018 Published online 30 th November, 2018 Citation: Sanika Kulkarni, Parkar, M.I., Kumar Nilesh nerve following zygomatic complex fracture”, Internatio Key Words: Infraorbital nerve, Zygomaticomaxillary Complex Fractures, Neurosensory changes. RESEARCH ARTICLE OF RECOVERY OF NEUROSENSORY CHANG LOWING ZYGOMATIC COMPLEX FRACTU , Parkar, M.I., Kumar Nilesh and Ashish Mah xillofacial Surgery, School of Dental Sciences, KIMSD TRACT tive: To evaluate the incidence of neurosensory chang maticomaxillary complex (ZMC) fractures post-trauma a sensory function subsequent to treatment of ZMC fractures o Method: Twenty five patients with unilateral ZMC frac sensory function was assessed on affected side in the area o rauma (pre-operatively) and at 1 week,1 month, 3 months ick Test, Two Point Discrimination Test, Brush Stroke Dir ompared with that on the unaffected side, serving as the c sensory changes were seen in all the patients with ZMC fr ed within 3 to 6 months in almost all cases. Open reducti fractures accelerated the neurosensory recovery. Conclusion sensory deficit was present in all cases of ZMC fractures. Th mination Test and Brush Stroke Direction Test were more sensory deficits compared to other tests. The lateral side of n anatomical sites. pen access article distributed under the Creative Commons Attribu ided the original work is properly cited. as been increasing g numbers of road nseca and Walker, mainly those of prise of up to 15% ncidence of these osition of zygoma ntly exposes it to , age, and sex pending largely on ional status of the Infraorbital Nerve anes of the middle le to injury during olving infraorbital duces three main nasal and superior cture lines involve herefore, fractures nsory neuropathy ervations of the ool of Dental Sciences, ION, both as a presenting sym complication (Kumar et al., 20 of ION is a controversial topic rate of sensation depends on nature of injury to the nerve, t surgical intervention and meth the assessment of neurosenso subjective and objective metho to evaluate the pin pressure Discrimination is a test of t quantity and density of fun afferent fibers. The Brush Dir proprioception and assesses the A-β myelinated axons. Therma by Warm Test and Cold Test determination of small diam unmyelinated fibers (Lundborg MATERIALS AND METH The present study was underta and Maxillofacial Surgery, KIMSU, Karad, after due appr Committee. Cases diagnosed w the Department, from 1 st Dec studied. International Journal of Current Research Vol. 10, Issue, 11, pp.75675-75680, November, 2018 DOI: https://doi.org/10.24941/ijcr.33307.11.2018 h and Ashish Mahamuni, 2018. “Incidence and evaluation of recovery onal Journal of Current Research, 10, (11), 75675-75680. Available online at http://www.journalcra.com GES IN INFRAORBITAL URE hamuni DU, Karad, India ges in infraorbital nerve follwoing and to evaluate the recovery of over period of six months. Materials cture were included in the study. of distribution of infraorbital nerve and 6 months post-operatively with rectional Test, Warm and Cold Test control. Results: It was found that ractures. The neurosensory recovery ion and internal skeletal fixation of n: The present study showed that the he study also revealed that Two Point e reliable in terms of assessment of nose showed late recovery among all ution License, which permits unrestricted mptom, and as a postoperative 012). The regenerative capacity c in the literature. The recovery n several factors, including the the time between the injury and hod of treatment. In this study, ory function was done by both ods. The Pin Prick Test is done e nociception. The Two Point tactilogenesis that assesses the nctional sensory receptors and rection Stroke Test is a test for e integrity of the large A-α and al Discrimination Test was done t as useful adjunctive tests for meter myelinated fibers and g, 1987). HODS aken in the Department of Oral School of Dental Sciences; roval of the Institutional Ethics with ZMC fractures reporting to 2015 until 31 st May 2017 were INTERNATIONAL JOURNAL OF CURRENT RESEARCH y of neurosensory changes in infraorbital