Masticatory diplopia

by Oleg Militsakh, MD and J. David Kriet, MD, FACS | Tuesday, January 01, 2008

IntroductionEach year in the United States, more than 1.5 million craniofacial and cervical spine injuries occur as a result of motor vehicle collisions alone.1 Among affected patients, diplopia, trismus, and/or difficulties with mastication are not uncommon. In this article, we describe what we believe is the first reported case of diplopia that was exacerbated by chewing in a patient who sustained facial fractures in a motorcycle crash. The patient underwent surgery, and the diplopia resolved.Case reportA 47-year-old woman who had sustained multisystem trauma in a near-fatal motorcycle crash was taken to the emergency department at another facility. Among her injuries were multiple orthopedic and facial fractures, including fractures of the right zygomaticomaxillary complex (ZMC) and the nasal bone, as well as extensive soft-tissue envelope trauma. In the emergency department, she underwent open reduction with internal fixation of the ZMC and nasal fractures. The orbital component .../continued/

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