Infraorbital Paresthesia as a Potential Indication for Reconstruction of Pure Blowout Orbital Fractures: A Case Report.

Orbital floor fractures are among the most common fractures in the maxillofacial area. Nonetheless, muscular entrapment and enophthalmos are the only known reasons for orbital floor reconstruction, with little data supporting infraorbital nerve paresthesia as an indication. This case report presents a 30-year-old female patient who developed chronic infraorbital nerve paresthesia for 3 weeks as a result of an orbital blowout fracture involving the infraorbital canal. The patient underwent infraorbital nerve decompression and orbital floor reconstruction. The outcome was satisfactory, as the patient reported an immediate postoperative neurosensory recovery, confirmed by a light touch test and comparison to the contralateral healthy side, which was confirmed over 6 months of follow-up. If infraorbital paresthesia lasts more than 2 weeks, orbital floor reconstruction may be considered. However, further research is needed to validate the findings of this report.