Facial plast Surg 2017; 33(06): 591-597
DOI: 10.1055/s-0037-1608766
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Secondary Treatment of Naso-orbital Ethmoid Injuries

Alan S. Herford
1  Department of Oral and Maxillofacial Surgery, Loma Linda University, Loma Linda, California
› Author Affiliations
Further Information

Publication History

Publication Date:
01 December 2017 (online)


Central midface fractures should be treated early due to their propensity for secondary devastating and disfiguring consequences. For example, the expected sequelae to inadequately repaired naso-orbital ethmoid (NOE) injuries include shortened retruded nose, altered palpebral fissures, telecanthus, enophthalmos, and ocular dystopia, to name a few. Secondary repair of NOE fractures is indicated when primary surgical repair is not possible and for any of the aforementioned sequelae. When secondary repair of NOE fractures is necessary, these should be planned carefully while focusing on restoring facial function and aesthetics. Specific attention should focus on midface projection and intercanthal relationship. Virtual surgical planning as intraoperative navigation can be helpful for complex secondary reconstructions.