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Management of nasoethmoid fractures

Rosenberger, Eric; Kriet, J. David; Humphrey, Clinton

Current Opinion in Otolaryngology & Head and Neck Surgery: August 2013 - Volume 21 - Issue 4 - p 410–416
doi: 10.1097/MOO.0b013e3283631936
MAXILLOFACIAL SURGERY: Edited by Sherard A. Tatum

Purpose of review The management of nasoethmoid or naso-orbito-ethmoid (NOE) fractures requires a thorough knowledge of the central facial anatomy, surgical techniques, available tools and patient factors to obtain optimal restoration of aesthetic form and function. This review article describes the current methods of NOE fracture diagnosis, classification, surgical techniques and complication management, with a review of the current literature published over the past 18 months.

Recent findings Advanced imaging modalities, bioabsorbable versus titanium rigid fixation, nasolacrimal duct stenting, NOE fracture management in children and the elderly, and novel techniques of medial canthopexy.

Summary The treatment of NOE fractures has not changed dramatically in the last 5 years. Advanced surgical techniques, intraoperative computed tomography and absorbable plating hold promise requiring future research prior to broad implementation.

Facial Plastic and Reconstructive Surgery, University of Kansas Otolaryngology, Kansas City, Kansas, USA

Correspondence to Eric Rosenberger, MD, University of Kansas Otolaryngology, 3901 Rainbow Blvd, Mail Stop 3010, Kansas City, KS 66160, USA. Tel: +1 913 588 6701; e-mail:

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins