Electrical Stimulation to a 21yr Female Patient with Facial Nerve Axonal Neuropathy After ORIF with Titanium Metal Implant for Mandibular Fracture: A Case Study

The mandible fracture is one of the most common fractured bone. Most of the nasal fractures managed with conservative management but Mandible fracture used to be treated with surgical management because of its complexity of the structural anatomy and function (1) CASE REPORT: A Case of 21 year old female with mandible fracture underwent open reduction surgical implant using titanium metal in Vels Medical College and Hospital, Manjankaranai. The patient was treated with Electrical stimulation. RESULTS: The outcomes of SD Curve (sensory nerve) was approximately maintained from Chronaxie – 0.03 ms, Rheobase – 52 mA to Chronaxie – 0.03ms, Rheobase – 60 mA for upper trunk of facial nerve. For middle trunk, maintained from Chronaxie – 0.03 ms, Rheobase – 49mA to Chronaxie – 0.03ms, Rheobase – 49 mA and for lower trunk from Chronaxie – 0.03 ms, Rheobase – 59 mA to Chronaxie – 0.01 ms, Rheobase – 60 mA. The outcomes of SD Curve (motor nerve) was increased from Chronaxie – 0.3 ms, Rheobase – 52 mA to Chronaxie – 0.1 ms, Rheobase – 20 mA for upper trunk of facial nerve. For middle trunk, from Chronaxie – 3 ms, Rheobase – 49mA to Chronaxie – 0.1ms, Rheobase – 19 mA and lower trunk from Chronaxie – 10 ms, Rheobase – 51 mA to Chronaxie – 0.1 ms, Rheobase – 26 mA and FDI improves from 47 to 91. CONCLUSION: Thus this study states that the Titanium metal has some electrical properties and electrical stimulation can be given to the metal implanted area. But further studies needed. Key words: Open reduction, Electrical Stimulation, SD Curve, Axonal neuropathy.