Frontal and Naso-Orbito-Ethmoid Complex Fractures

Abstract

AbstractNaso-orbito-ethmoid (NOE) injuries constitute about 5% of facial fractures and most of them are as a result of road traffic accidents. Deformities in the region tend to be more cosmetically apparent. Considering the proximity of the area to critical structures like brain and eye, such injuries need to be thoroughly evaluated both clinically and radiologically to understand the extent of the injury as well as initiate emergency management if required prior to constituting a definitive treatment plan. CT scans are the most useful investigation modality. Identification and maintaining the attachment of Medial canthal ligament in appropriate position along with reducing / stabilizing the bony fracture is the key to getting good results in these fractures. Primary management of the deformity produces better results compared to secondary correction.