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Related Experiment Videos

Persistent infra-orbital nerve hyperaesthesia after blunt orbital trauma

S Tengtrisorn1, A A McNab, J E Elder

  • 1Department of Ophthalmology, Royal Children's Hospital, Parkville, Victoria, Australia.

Australian and New Zealand Journal of Ophthalmology
|August 26, 1998
PubMed
Summary

Persistent infra-orbital nerve hyperaesthesia after orbital fracture is rare but treatable. Surgical decompression of the infra-orbital nerve resolved symptoms in two patients, suggesting it as an indication for orbital floor exploration.

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Area of Science:

  • Ophthalmology
  • Neurosurgery
  • Trauma Surgery

Background:

  • Orbital floor fractures can lead to infra-orbital nerve hyperaesthesia.
  • This condition is infrequently associated with such injuries.

Observation:

  • Two patients, aged 11 and 34, experienced persistent, severe infra-orbital nerve hyperaesthesia.
  • Symptoms persisted for 12 and 26 months post-blunt orbital trauma.

Findings:

  • Surgical decompression of the infra-orbital nerve was performed.
  • This intervention led to rapid and complete resolution of hyperaesthesia in both cases.

Implications:

  • Persistent infra-orbital nerve hyperaesthesia warrants consideration for orbital floor exploration.

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  • This approach may be crucial for managing post-traumatic neuropathic pain.