Arch Craniofac Surg.  2019 Aug;20(4):219-222. 10.7181/acfs.2019.00255.

Approach for naso-orbito-ethmoidal fracture

• Ha YI
• Kim SH
• Park ES
• Kim YB

• KMID: 2456811
• DOI: http://doi.org/10.7181/acfs.2019.00255

Abstract

The purpose of this study is to discuss several approaches to addressing naso-orbito-ethmoidal (NOE) fracture. Orbital fracture, especially infraorbital fracture, can be treated through the transconjunctival approach easily. However, in more severe cases, for example, fracture extending to the medial orbital wall or zygomatico-frontal suture line, only transconjunctival incision is insufficient to secure good surgical field. And, it also has risk of tearing the conjunctiva, which could injure the lacrimal duct. Also, in most complex types of facial fracture such as NOE fracture or panfacial fracture, destruction of the structure often occurs, for example, trap-door deformity; a fracture of orbital floor where the inferiorly displaced blowout facture recoils to its original position, or vertical folding deformity; fractured fragments are displaced under the other fragments, causing multiple-packed layers of bone.

Keyword

Fractures, multiple; Maxillary fractures; Orbital fractures; Surgical procedures

MeSH Terms

Congenital Abnormalities
Conjunctiva
Fractures, Multiple
Lacrimal Apparatus
Maxillary Fractures
Orbit
Orbital Fractures
Sutures
Tears