Zeitschrift für Trauma und Behandlung

Supplemental Value of Topiramate in Infra Orbital Nerve Injury-Case Reports

Abstract

Singh RK, Pal US, Sinha VP and Parveen Akther Lone

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.