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Usefulness of the Blink Reflex in Diagnosing Isolated Infraorbital Neuropathy following Midface Augmentation with AlloPlastic Facial Implants: A Case Report

For the preoperative evaluation of infraorbital nerve injury, most clinicians depend on the patient’s subjective symptoms or judgements, lacking a generalized and objective evaluation method. Due to the limitations in subjective evaluations for accurate diagnosis of infraorbital nerve injury, we use...

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Autores principales: Kim, Byoung Hoon, Yang, Haseon, Yoo, Myung Chul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9394420/
https://www.ncbi.nlm.nih.gov/pubmed/35892924
http://dx.doi.org/10.3390/life12081122
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author Kim, Byoung Hoon
Yang, Haseon
Yoo, Myung Chul
author_facet Kim, Byoung Hoon
Yang, Haseon
Yoo, Myung Chul
author_sort Kim, Byoung Hoon
collection PubMed
description For the preoperative evaluation of infraorbital nerve injury, most clinicians depend on the patient’s subjective symptoms or judgements, lacking a generalized and objective evaluation method. Due to the limitations in subjective evaluations for accurate diagnosis of infraorbital nerve injury, we used the blink reflex to objectively evaluate injury to the infraorbital nerve. A 49-year-old female, who had previously undergone midface augmentation with alloplastic implants, presented with sensory loss in the left upper lip, nose tip, and lower palatal area. Physical examination revealed sensation loss in the area innervated by the infraorbital nerve. Facial three-dimensional computed tomography did not identify compression of the infraorbital nerve. The blink reflex study of the infraorbital nerve was evaluated preoperatively. After the patient was diagnosed with injury along the infraorbital nerve pathway from alloplastic facial implants, she underwent facial implant removal with decompression surgery. The patient experienced a significant decrease in hypoesthesia, and her sensory function improved. The blink reflex study was an effective method to objectively diagnose infraorbital neuropathy. Therefore, clinical use of the blink reflex study as an electrophysiological diagnostic tool is recommended to investigate infraorbital nerve injuries.
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spelling pubmed-93944202022-08-23 Usefulness of the Blink Reflex in Diagnosing Isolated Infraorbital Neuropathy following Midface Augmentation with AlloPlastic Facial Implants: A Case Report Kim, Byoung Hoon Yang, Haseon Yoo, Myung Chul Life (Basel) Case Report For the preoperative evaluation of infraorbital nerve injury, most clinicians depend on the patient’s subjective symptoms or judgements, lacking a generalized and objective evaluation method. Due to the limitations in subjective evaluations for accurate diagnosis of infraorbital nerve injury, we used the blink reflex to objectively evaluate injury to the infraorbital nerve. A 49-year-old female, who had previously undergone midface augmentation with alloplastic implants, presented with sensory loss in the left upper lip, nose tip, and lower palatal area. Physical examination revealed sensation loss in the area innervated by the infraorbital nerve. Facial three-dimensional computed tomography did not identify compression of the infraorbital nerve. The blink reflex study of the infraorbital nerve was evaluated preoperatively. After the patient was diagnosed with injury along the infraorbital nerve pathway from alloplastic facial implants, she underwent facial implant removal with decompression surgery. The patient experienced a significant decrease in hypoesthesia, and her sensory function improved. The blink reflex study was an effective method to objectively diagnose infraorbital neuropathy. Therefore, clinical use of the blink reflex study as an electrophysiological diagnostic tool is recommended to investigate infraorbital nerve injuries. MDPI 2022-07-26 /pmc/articles/PMC9394420/ /pubmed/35892924 http://dx.doi.org/10.3390/life12081122 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Kim, Byoung Hoon
Yang, Haseon
Yoo, Myung Chul
Usefulness of the Blink Reflex in Diagnosing Isolated Infraorbital Neuropathy following Midface Augmentation with AlloPlastic Facial Implants: A Case Report
title Usefulness of the Blink Reflex in Diagnosing Isolated Infraorbital Neuropathy following Midface Augmentation with AlloPlastic Facial Implants: A Case Report
title_full Usefulness of the Blink Reflex in Diagnosing Isolated Infraorbital Neuropathy following Midface Augmentation with AlloPlastic Facial Implants: A Case Report
title_fullStr Usefulness of the Blink Reflex in Diagnosing Isolated Infraorbital Neuropathy following Midface Augmentation with AlloPlastic Facial Implants: A Case Report
title_full_unstemmed Usefulness of the Blink Reflex in Diagnosing Isolated Infraorbital Neuropathy following Midface Augmentation with AlloPlastic Facial Implants: A Case Report
title_short Usefulness of the Blink Reflex in Diagnosing Isolated Infraorbital Neuropathy following Midface Augmentation with AlloPlastic Facial Implants: A Case Report
title_sort usefulness of the blink reflex in diagnosing isolated infraorbital neuropathy following midface augmentation with alloplastic facial implants: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9394420/
https://www.ncbi.nlm.nih.gov/pubmed/35892924
http://dx.doi.org/10.3390/life12081122
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