Facial Nerve Paralysis – A Rare Complication of Open Reduction of Zygomaticomaxillary Complex Fractures

Publication date: Available online 28 December 2017
Source:Journal of Oral and Maxillofacial Surgery
Author(s): Padmanidhi Agarwal, Ashi Chug, Shailesh Kumar, Kanav Jain
Facial nerve paralysis is an unusual formidable complication which can manifest after various maxillofacial surgeries, including open reduction of facial trauma. The branches more predisposed to such injury are the zygomatic and marginal mandibular branches.Zygomaticomaxillary complex (ZMC) fractures are frequently encountered in maxillofacial trauma. The facial nerve has not been described as endangered during ZMC surgery. Paralysis of the buccal branch following ZMC repair with delayed onset has only been reported once. We present a patient with immediate facial nerve paralysis following open reduction and internal fixation (ORIF) of an isolated ZMC fracture via an intra-oral approach. This is a previously unreported rare complication after ZMC fracture repair which should be discussed as a possibility with the preoperative consent.



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