Look at the example of the picture above
yes incision is not necessary .it's reserved for simpliest fracture with minimal to moderate displacement
How much you can open your mouth ? how many cm? sometimes this can be indicator how big displacement it is.. (if there is only one piecie of fractured bone)
If close reduction is possible, then a surgeon ( not all surgeons, just many do that) just screw in your cheek something to makes the bone easy to manipulate - he makes kinda lever
as it's visible on the picture in my previous post. It should be longer. Simple physics
However in the case of close reduction I would check if there is no strange fragments in the canal which may still compress the nerve after reduction, but it's rather rare. Generally you can always do CT again after 3 months to be sure if there is no compression on the nerve. BUT IF AFTER REDUCTION THE NERVE REGENERATES FASTLY, I MEAN WHEN YOU SEE IMPROVEMENT THAT MEANS IT;S OK
If the nerve is only just compressed and you have still good feeling then 3-6 months and you will get 100% feeling
If you have quite good feeling then the nerve was just hit and compressed a little ... and moving the bone outside automatically do the decompression and that's all
As you see it depends on surgeon, which approach he preffers. So it' good to ask him about 2 possible options and what he thinks.
it's always about finding the optimal option for surgeon and a patient
I updated my post and added info about zygomatic arch fixation. Check again
Do the block with the bottle and towel as I described you earlier, but
for 99% you won't turn on your bad , it's on the subconscious level
I will start to do it after about 6 weeks
but secure yourself with kinda block in the bed near your back , that will protect you from sleeping on the affected side
ALWAYS MAKE A COPY OF ANY CD YOU GET FROM MEDICAL SERVICE.
I think quite good option is doing close reduction with one mini-plate on eyebrow. As your surgeon told you 40% for option without plates,, I would say rather 50% , then having mini-pplate on the eyebrow (to remove in few month) increase the number ,, I would say to 80-90%
but I do not see CT, I can't tell you more.
just 3 options I see without CT
- no incisions, no plates
- only one incision and one miniplate on eyebrow - easy to install, easy to remove, bone more secured
- incisions and 2-3 plates - i wouldn't do that if fracture is simple
