Frontal and Naso-Orbito-Ethmoid Complex Fractures

Balaraman, K.

doi:10.1007/978-981-15-1346-6_58

Cited by 3 publications

(7 citation statements)

References 42 publications

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“…25 This bolstering can help recreate the natural concavity of the "NOE valley" but can cause skin necrosis if applied too tightly. 26…”

Section: Treatmentsmentioning

confidence: 99%

“…25 Detachment or displacement of MCT from the bony structures can result in telecanthus after NOE injury. 26 Common symptomatology includes periorbital swelling, epistaxis, nasal congestion, anosmia, diplopia, epiphora, and CSF leak. 26…”

Section: Epidemiology and Anatomymentioning

confidence: 99%

“…26 Common symptomatology includes periorbital swelling, epistaxis, nasal congestion, anosmia, diplopia, epiphora, and CSF leak. 26…”

Section: Epidemiology and Anatomymentioning

confidence: 99%

“…25 Treatment goals of operative intervention include restoring nasal projection and dorsal height, contouring the nasofrontal angle, and re-establishing the MCL attachment. 26 Nonmobile class I injuries can be managed nonoperatively. 25 Displaced type I fractures can be reduced bimanually and stabilized with small plates at three points of fixation (nasofrontal junction, piriform rim, and infraorbital rim).…”

Section: Treatmentsmentioning

confidence: 99%

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Evidence-Based Medicine for Midface/Orbit/Upper Facial Fracture Repair

2023

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The face is one of the most common areas of traumatic injury, making up approximately 25% of all injuries in 2016. Assault, motor vehicle collision (MVC), fall, sports, occupational, and gunshot wounds (GSW) are all common causes of facial fractures, with MVC and GSW leading to significantly higher severity of injuries. Most facial fractures occur in the upper two-thirds of the face. Most facial fractures require timely assessment, diagnosis, and treatment for optimal restoration of facial structures and functions. Without proper initial management, significant complications including immediate complications such as airway compromise, massive bleeding, infection, intracranial hemorrhages, or even death, and long-term complications such as poor functional outcomes and aesthetic setbacks can occur. The goal of this review is to summarize the management of fractures of the upper face, orbit, and midface and provide an update about complications and their management.

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“…25 This bolstering can help recreate the natural concavity of the "NOE valley" but can cause skin necrosis if applied too tightly. 26…”

Section: Treatmentsmentioning

confidence: 99%

Section: Epidemiology and Anatomymentioning

confidence: 99%

“…26 Common symptomatology includes periorbital swelling, epistaxis, nasal congestion, anosmia, diplopia, epiphora, and CSF leak. 26…”

Section: Epidemiology and Anatomymentioning

confidence: 99%

Section: Treatmentsmentioning

confidence: 99%

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Evidence-Based Medicine for Midface/Orbit/Upper Facial Fracture Repair

2023

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“…Various skin incisions have been described to approach NOE region primarily to reduce fractures. They include glabellar approach, bicoronal approach, butterfly, vertical, Gullwing and H-shaped incision 4. Owing to the size and site of the tumour, H-shaped incision was deemed suitable for the excision (figure 2).…”

Section: Case Presentationmentioning

confidence: 99%

Kimura disease of naso-orbito-ethmoid region and review of surgical approaches to naso-orbito-ethmoid region

Sagar

Kumar

et al. 2023

BMJ Case Rep

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SummaryA man in 30s had complaints of glabellar and upper nasal swelling for 8 years. It was insidious in onset and gradually progressive causing epiphora and restriction of nasal visual field. Fine-needle aspiration cytology and biopsy revealed features which were suggestive of Kimura’s disease (KD). CT scans showed a well-defined subcutaneous swelling in the naso-orbito-ethmoid (NOE) region. KD presents as lymphoglandular swelling; however, NOE region is an uncommon site of occurrence. A thyroid-shaped tumour was excised by H-shaped incision approach to the NOE region.

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In- Versus Out-Fracture: A Novel Concept in Naso-Orbito-Ethmoid Injury

Menville,

Soliman,

Shinde

et al. 2024

Craniomaxillofacial Trauma & Reconstruction

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Study Design A retrospective study. Objective The Markowitz-Manson classification system categorizes nasoorbitoethmoid (NOE) fractures by severity of injury and remaining integrity of the medial canthal tendon. However, this system does not account for direction of bony displacement (in-fracture vs out-fracture), which can greatly affect symptomatology and management. We hypothesize that NOE fractures will present differently based upon their severity: Type I injuries are likely to present with medial nasal bone displacement (in-fracture), whereas Type III fractures will be more prone to lateral displacement (out-fracture). Methods A retrospective review was performed for all patients with NOE fractures who were evaluated by the plastic surgery department at a level 1 trauma center over a 6-year period. Computed tomography data were evaluated to assess for directionality of fracture segment displacement. Frequencies of medial, lateral, and non-displacement across NOE types were compared by Chi-Squared Goodness of Fit and Fisher’s Exact Tests. Results 111 patients met inclusion criteria. The patient population was 73.9% male and averaged 51.2 years old. When bilateral fractures were counted independently, there were 141 cases in total: 115 Type I, 20 Type II, and 6 Type III. Type I fractures were most commonly in-fractured (48.7%), while Type III injuries were consistently out-fractured (100%) ( p < .001). Conclusions While Type II and III NOE fractures have dominated clinical focus, this study highlights the prevalence of impaction within Type I fractures. These findings advocate for a more comprehensive approach to the evaluation of Type I NOE fractures and their potential risks, including traumatic hypotelorism and nasal airway obstruction.

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Frontal and Naso-Orbito-Ethmoid Complex Fractures

Cited by 3 publications

References 42 publications

Evidence-Based Medicine for Midface/Orbit/Upper Facial Fracture Repair

Evidence-Based Medicine for Midface/Orbit/Upper Facial Fracture Repair

Kimura disease of naso-orbito-ethmoid region and review of surgical approaches to naso-orbito-ethmoid region

In- Versus Out-Fracture: A Novel Concept in Naso-Orbito-Ethmoid Injury

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