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Treatment of Nasoethmoid-Orbital Fractures Using Kirschner Wire Fixation of the Nasal Septum

Yabe, Tetsuji MD, PhD*; Ozawa, Toshiyuki MD, PhD

Journal of Craniofacial Surgery: July 2011 - Volume 22 - Issue 4 - p 1510-1512
doi: 10.1097/SCS.0b013e31821d4dc9
Brief Clinical Studies

As a postoperative complication in nasoethmoid-orbital fractures, nasal depression often occurs. The cause of this is an overlooked left nasal septum fracture. By reducing and fixing the nasal septum, nasal depression could have been avoided. Kirschner wire is useful for the fixation of the nasal septum, and it is fixed with zygomatic bone or/and frontal process of the maxillary bone. Three cases of nasoethmoid-orbital fractures were treated with this method. Kirschner wire fixation of the nasal septum is a simple and an easy method and can avoid unnecessary bone graft.

From the *Department of Plastic and Reconstructive Surgery, Ishikiri-Seiki Hospital; and †Department of Plastic and Reconstructive Surgery, Osaka City University Medical School, Osaka, Japan.

Received August 17, 2010.

Accepted for publication September 25, 2010.

Address correspondence and reprint requests to Dr. Tetsuji Yabe, Department of Plastic Surgery, Ishikiri-Seiki Hospital, 18-28, Yayoi-Cho, Higashi-Osaka City, Osaka 579-8026, Japan; E-mail:

The authors report no conflicts of interest.

© 2011 Mutaz B. Habal, MD