Sensitivity assessment objective versus objective after fracture of zygoma

Abstract

Introduction

Maxillofacial surgeons often treat zygomatic facial complex fractures, therefore, signs and symptoms of these fractures help establish the diagnosis and the procedure for every case. The presence of sensibility alteration is a common symptom in this type of trauma.

Objective

This study evaluated comparatively the presence and changes of subjective and objective sensitivity after zygomatic fractures.

Methodology

Fourteen patients were selected with unilateral fractures of zygomatic. Subjective sensitivity was evaluated through a questionnaire and objective sensitivity measured by the Semmes-Weinstein monofilament.

Result

The results shows sensibility alteration was found in 13 patients (92.84%), of these, 8 patients (57.13%) had changes of subjective order and 10 (71.42%) of objective order. Concomitant changes in subjective and objective sensitivity were found in 5 patients (35.71%). Patients affected only by one type of sensibility alteration totaled 8 patients (57.13%); of these, 5 patients (35.71%) had only objective alterations and 3 patients (21.42%) only subjective sensitivity alterations. The only complaint of subjective sensitivity was hypoesthesia in 7 cases (50%).

Conclusion

The sensitivity changes are often found after zygomatic fractures there is a strong correlation between the loss of subjective perception and objective, however, especially the changes in the objective order.

Descriptors:
Maxillary nerve; facial injuries; paresthesia