Naso-orbito-ethmoid fractures at Viet Duc University Hospital period 2021 – 2022

Abstract

Introduction: Trauma to the nose, ethmoid, and orbit is a common clinical condition that makes challenges in treating. Management of these lesions remains a challenge, and there are few studies on this issue in Vietnam. Subjects and methods: Retrospective study. The 100 patients with naso- orbito-ethmoid (NOE) fractures were hospitalized and treated at the Department of Maxillofacial - Plastic – Aesthetic Surgery of Viet Duc University Hospital from January 2021 to December 2022. Results: The male/female ratio was 4/1, the common age group was 20- 40 years old (65%); the mean age was 30.1±11.46, the main cause was traffic accident (93%), 15% had blood alcohol concentration exceeding the legal limit. Regarding clinical symptoms: 94% had soft tissue contusion, 74% had skin laceration, 87% had a hematoma in the eye area, 60% had nosebleeds, and 63% had combined traumatic brain injury. First aid: 17% needed endotracheal intubation, 72% had nasal wicks to stop bleeding. Grades based on Markowitz classification: grade 1 (60%), grade 2 (30%), grade 3 (10%). 82% had a fracture of the maxilla. About the treatment: 98% of cases were repaired the nasal bone, 54% of NOE were fixed with plates and screws, 13% needed grafting materials for the orbital cavity and 7% were reconstructed medial orbital ligaments. Follow-up during hospital stay, no complications were noted. Conclusions: NOE trauma mainly occurred in men of working age and the main cause of injury was traffic accidents. The rate of combined lesions was high, and treatment requires coordination of multi-disciplinary specialties. Keywords: facial trauma, nasal bone fractures, naso-orbito-ethmoid fractures