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Case Report Open Access
This study was aimed to find out the supplemental value of topiramate therapy in infraorbital nerve paresthesia following post miniplate fixation of zygomatic complex fracture. 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.
Conclusion: We suggest that topiramate could be a useful supplemental form in the treatment of infra orbital nerve injury. Further studies (Double-blind) are needed with precise neurological examination to determine the recommendations of topiramate supplementation.
ZMC fracture, Infraorbital nerve, Nerve injury, Sensory disturbance, Topiramate, Trauma and Pain, Traumatic Injury, Brain Hemorrhage, Brachial plexus injury, Pinched nerve