eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Trauma
Nasoorbitoethmoid Fractures: Follow-up
Updated: Jul 16, 2009
Outcome and Prognosis
Disruption of the delicate ethmoid complex and comminution of the nasal bones can make the repair of nasoorbitoethmoid (NOE) complex fractures extremely difficult. These injuries often test the capabilities of even the most experienced surgeons. To obtain an aesthetic surgical result, the surgeon must meticulously identify, accurately reduce, and rigidly fixate the medial canthal tendon and central fragment. Special attention also must be focused on the overlying soft tissue to avoid hematoma, chronic induration, and pseudotelecanthus.
Future and Controversies
Aesthetic reconstruction of the nasal root and medial canthal region continues to be a significant surgical challenge. Future advances may address this issue with the use of surgical navigation systems and/or intraoperative imaging, which returns the bony architecture to its premorbid state more accurately.
More on Nasoorbitoethmoid Fractures |
| Overview: Nasoorbitoethmoid Fractures |
| Workup: Nasoorbitoethmoid Fractures |
| Treatment: Nasoorbitoethmoid Fractures |
Follow-up: Nasoorbitoethmoid Fractures |
| Multimedia: Nasoorbitoethmoid Fractures |
| References |
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References
Sargent LA. Nasoethmoid orbital fractures: diagnosis and treatment. Plast Reconstr Surg. Dec 2007;120(7 Suppl 2):16S-31S. [Medline].
Markowitz BL, Manson PN, Sargent L, et al. Management of the medial canthal tendon in nasoethmoid orbital fractures: the importance of the central fragment in classification and treatment. Plast Reconstr Surg. May 1991;87(5):843-53. [Medline].
Cultrara A, Turk JB, Har-El G. Midfacial degloving approach for repair of naso-orbital-ethmoid and midfacial fractures. Arch Facial Plast Surg. Mar-Apr 2004;6(2):133-5. [Medline].
Potter JK, Muzaffar AR, Ellis E, Rohrich RJ, Hackney FL. Aesthetic management of the nasal component of naso-orbital ethmoid fractures. Plast Reconstr Surg. Jan 2006;117(1):10e-18e. [Medline].
Herford AS, Ying T, Brown B. Outcomes of severely comminuted (type III) nasoorbitoethmoid fractures. J Oral Maxillofac Surg. Sep 2005;63(9):1266-77. [Medline].
Hoffmann JF. Naso-orbital-ethmoid complex fracture management. Facial Plast Surg. 1998;14(1):67-76. [Medline].
Hopper RA, Salemy S, Sze RW. Diagnosis of midface fractures with CT: what the surgeon needs to know. Radiographics. May-Jun 2006;26(3):783-93. [Medline].
Leipziger LS, Manson PN. Nasoethmoid orbital fractures. Current concepts and management principles. Clin Plast Surg. Jan 1992;19(1):167-93. [Medline].
Sargent LA, Rogers GF. Nasoethmoid orbital fractures: diagnosis and management. The Journal of Cranio-Maxillofacial Trauma. 1999;5(1):19-27.
Further Reading
Keywords
nasoorbitoethmoid fractures, nasoorbitoethmoid complex, NOE, nasoethmoid complex fractures, nasoethmoid fractures, NOE injury, facial injury, panfacial fracture, ethmoid complex, cerebrospinal fluid, CSF, medial canthal tendon, MCT
Follow-up: Nasoorbitoethmoid Fractures