Numbness After Left Zygomatic Fracture Surgery - Plastic Surgery

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Left zygomatic bone fracture?


Recently, I suffered a fracture of the left zygomatic bone, and after surgery, I noticed that my left lip and cheek are experiencing numbness.
Is this related to the surgery, or could it be an issue with the wire fixation of the upper and lower jaws?

Liu Xiansheng, 20~29 year old female. Ask Date: 2022/04/27

Dr. Lü Mingchuan reply Plastic Surgery


Hello: It is recommended to undergo a computed tomography (CT) scan.
You may inquire with the surgeon about the status of surgical treatment.
The Changhua Hospital of the Ministry of Health and Welfare cares about you.

Reply Date: 2022/04/27

More Info


After undergoing surgery for a left zygomatic fracture, experiencing numbness in the left lip and cheek can be concerning. This symptom may arise from several factors related to the surgical procedure and the healing process.

Firstly, during zygomatic fracture surgery, the facial nerves, particularly the infraorbital nerve, which provides sensation to the cheek and upper lip, can be affected. If this nerve is compressed, stretched, or injured during the operation, it can lead to numbness or tingling sensations in the areas it innervates. This is not uncommon in facial surgeries, as the anatomy in this region is complex and delicate.
Additionally, if wires or plates were used to stabilize the fracture, they might also contribute to nerve irritation or compression. The presence of foreign materials in the body can sometimes lead to localized inflammation, which may exacerbate any nerve-related symptoms.
It's important to note that numbness following such surgeries can be temporary. Many patients experience a gradual return of sensation as the nerve heals and inflammation subsides. However, the timeline for recovery can vary significantly from person to person. Some may notice improvement within weeks, while others might take several months to regain full sensation.

In the meantime, there are a few strategies that may help manage the symptoms. Gentle massage around the affected area, if tolerated, can promote blood flow and potentially aid in nerve recovery. Additionally, applying warm compresses may help alleviate discomfort and improve circulation. However, it is crucial to avoid any pressure on the surgical site that could disrupt healing.

If the numbness persists or worsens, or if you experience additional symptoms such as severe pain, swelling, or changes in vision, it is essential to consult your surgeon or a healthcare professional. They may recommend further evaluation, which could include imaging studies to assess the position of any hardware used in the surgery and to rule out other complications.

In summary, while numbness in the left lip and cheek after zygomatic fracture surgery can be a result of nerve involvement during the procedure or from the fixation materials used, it is often a temporary condition. Monitoring the symptoms and maintaining open communication with your healthcare provider will be key in ensuring a smooth recovery.

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