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Total four cases of unilateral zygomatic complex fracture which were one week old had infra orbital nerve paresthesia were treated. All the patients were treated with fracture reduction and miniplate fixation of zygomatic buttress region were supplemented with tab topiramate in therapeutic dosages. The dosages were increased depending upon tolerability and improvement. Functional recovery was observed postoperatively from first week and complete recovery was within three months of treatment.
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