Vriens J P, van der Glas H W, Bosman F, Koole R, Moos K F
West of Scotland Regional Plastic and Maxillofacial Surgery Unit, Bearsden, Glasgow, UK.
Int J Oral Maxillofac Surg. 1998 Feb;27(1):20-6. doi: 10.1016/s0901-5027(98)80090-8.
Sensory disturbance following orbitozygomatic complex fractures was studied in 65 patients from 4 treatment groups which represented potentially varying degrees of sensory disturbance. The fracture-type-dependent treatments were: no surgical intervention (n = 20), closed reduction with or without wire fixation (n = 17), open reduction with miniplate fixation (n = 15) and/or reconstruction of the orbital floor (n = 13). In order to assess the sensory function of different classes of afferent fibres, several methods of sensory testing were applied. On average 6.3 months after treatment, the patient's report was obtained, and tests regarding touch, two methods of two-point discrimination, and cold were applied on the cheek and upper lip. The degree of sensory disturbance was method-dependent. In patients who underwent closed reduction, pronounced levels of positive correlation occurred between results from different tests or from both test sites. The levels of these correlations were, in general, low for all other treatments. These findings suggest that afferent fibres of both large and small diameter tended to be permanently damaged in the patient group with closed reduction. In contrast, the types of sensory afferent fibres that were involved in the trauma and/or their recovery were highly variable within patients and sites for all other treatment groups.
