HomeAnswersOral and Maxillofacial Surgeryinfra-orbital nerve damageI have numbness after infraorbital nerve damage. Please help.

How to treat long-term numbness and paresthesia following infraorbital nerve damage?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At June 16, 2022
Reviewed AtOctober 16, 2023

Patient's Query

Hello doctor,

The infraorbital nerve was damaged with subsequent numbness in its distribution following a fracture of the maxillary sinus and infraorbital canal that occurred five years back. The fracture was managed conservatively because it was only mildly dislocated. But till now experiencing numbness and paraesthesia in the territory of the left intraorbital nerve. Please evaluate if surgery would have cured the numbness or if surgery would have appropriately handled this.

Hello, Welcome to icliniq.com.

I can understand the pain and concern. The dentist or the surgeon's first attempt will always address a fracture conservatively. However, while operating on a fractured segment, the nerve decompression is a sensitive and tactile aspect. In addition, the nerve has anatomic variations and implications that vary from individual to individual. I saw the image enclosed (attachments removed to protect the patient's identity). Still, we cannot pinpoint any iatrogenic error because nerve decompression or injury is a possible consequence in deep fracture cases. However, the solution to correct the long-term damage would be to consult a reputed maxillofacial surgeon, preferably in a clinic, who can help you practically. I would suggest supplemental Topiramate therapy. Usually, if needed, they can surgically reverse paresthesia at times in infraorbital nerve block with zygomatic buttress mini plate fixation. That is what traditional research suggests. Also, multivitamin supplementation like Neurobion Forte and antioxidants like SM Fibro can be taken daily after food. It will help you reverse the nerve sensation (not always, but worth a try for a few months). I would suggest you a chat on icliniq for 50 hours or 100 hours if you need further advice from me regarding the same in detail or about addressing the long-term complications associated with this nerve injury or decompression.

Investigations to be done

Cotton wick test

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Achanta Krishna Swaroop
Dr. Achanta Krishna Swaroop


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