Pediatric Le Fort, Zygomatic, and Naso-Orbito-Ethmoid Fractures

Bhat, Aparna; Lim, Rachel; Egbert, Mark A.; Susarla, Srinivas M.

doi:10.1016/j.coms.2023.04.004

Oral and Maxillofacial Surgery Clinics of North America

2023

DOI: 10.1016/j.coms.2023.04.004

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Pediatric Le Fort, Zygomatic, and Naso-Orbito-Ethmoid Fractures

Aparna Bhat

Rachel Lim

Mark A. Egbert

et al.

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2024

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Cited by 2 publications

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Outcomes of Surgical Repair of Adult Naso‐Orbital‐Ethmoid Fractures: A Systematic Review and Meta‐Analysis

Conti,

Bhat,

Nguyen

et al. 2024

The Laryngoscope

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ObjectivesAdult naso‐orbital‐ethmoid (NOE) fractures are estimated to account for 5% of all adult facial fractures without published consensus on management. The purpose of this investigation was to assess the available literature regarding the treatment and outcomes of adult naso‐orbital‐ethmoid fractures.Data SourcesCochrane Library, PubMed, Scopus, and CINAHL.MethodsFollowing PRISMA guidelines, databases were searched from inception through July 25, 2024 for studies pertaining to the treatment of NOE fractures. Measures of interest included patient demographics, associated fractures, type of intervention, and complications.ResultsA total of 16 studies were included for meta‐analysis, consisting of 459 patients. The patients included in the analysis had a mean age of 30.6 years (95% CI: 26.9–34.3 years) with a male‐to‐female gender ratio of 2.7:1. Operative intervention, specifically open reduction and internal fixation (ORIF) (90.1%; 95: CI: 76.6–98.1%), was the most commonly performed management. Closed reduction has been reported for all three types. The most frequently reported complications included nasolacrimal duct obstruction (38.6%; 95% CI: 10.6–71.7%), postoperative epiphora (24.9%; 95% CI: 6.4–50.4%), and telecanthus (20.9%; 95% CI: 1.7–53.5%).ConclusionsSurgical intervention can be considered for all NOE types. Despite surgical intervention, NOE fractures remain difficult to treat, and inadequate repair may result in complications. Laryngoscope, 2024

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Outcomes of Surgical Repair of Adult Naso‐Orbital‐Ethmoid Fractures: A Systematic Review and Meta‐Analysis

Conti,

Bhat,

Nguyen

et al. 2024

The Laryngoscope

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Extreme midface injury and superior maxillary impaction in an adolescent

Calderon,

Tople,

Morrison

et al. 2024

BMJ Case Rep

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We present a case of an adolescent who sustained multiple facial fractures following a high-speed, head-on skiing collision. The patient presented to a level 1 trauma centre with bilateral LeFort I, LeFort II, naso-orbital ethmoid fractures and superior maxillary displacement to the level of the orbits requiring a staged operative approach to (1) disimpact the maxillary LeFort I segment and (2) reduce and fixate the multilevel facial fractures. The patient was discharged home with close follow-up, and after 1 year, had preservation of appropriate facial proportions without complications. This case study focuses on the triage, management and surgical planning of paediatric midface fractures, which are relatively uncommon to treat. Special considerations for repairing facial fractures in adolescents are discussed.

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Pediatric Le Fort, Zygomatic, and Naso-Orbito-Ethmoid Fractures

Cited by 2 publications

References 23 publications

Outcomes of Surgical Repair of Adult Naso‐Orbital‐Ethmoid Fractures: A Systematic Review and Meta‐Analysis

Outcomes of Surgical Repair of Adult Naso‐Orbital‐Ethmoid Fractures: A Systematic Review and Meta‐Analysis

Extreme midface injury and superior maxillary impaction in an adolescent

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