Download PDF
Facial Plast Surg 2000; 16(02): 181-192
DOI: 10.1055/s-2000-12578
To check

Management of the Central Nasal Support Complex in Naso-orbital Ethmoid Fractures

Authors

  • Neil M. Vora

  • Fred G. Fedok

Further Information
Also available at
   Permissions and Reprints
Preview

Abstract

Central nasal support structures are frequently injured in patients with naso-orbital ethmoid fractures. Diagnosis of these injuries can be difficult and, to optimally manage them, a thorough understanding of the complex anatomy is essential. The goal of surgical repair is to reestablish the aesthetics and function to this region without complication. Appropriate imaging and classification of the central nasal support injury and classification of the naso-orbital ethmoid fractures must be accomplished prior to formulating a successful treatment plan. This article reviews the anatomy, patient assessment, imaging, and classification systems. Currently accepted management of specific injuries are outlined.

KEYWORD

nasal support - naso-orbital ethmoid fractures - nasal septum


Publication History

Publication Date:
31 December 2000 (online)

© 2000. Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Thieme Medical Publishers
333 Seventh Avenue, New York, NY 10001, USA.

 

  • REFERENCES

  • 1 Converse J, Smith B. Naso-orbital fractures and traumatic deformities of the medial canthus. Plast Reconstr Surg 1966; 38: 147-162
    Search in Google Scholar
  • 2 Dingman R, Grabb W, Oneal R. Management of injuries of the naso-orbital complex. Arch Surg 1969; 98: 566-571
    Search in Google Scholar
  • 3 Cruse C, Blevins P, Luce E. Naso-ethmoid-orbital fractures. J Trauma 1980; 20: 551-556
    Search in Google Scholar
  • 4 Markowitz B, Manson P, Sargent L, Vander Kolk C, Yaremchuk M, Glassman D, Crawley W. Management of the medial canthal tendon in nasoethmoid orbital fractures: the importance of the central fragment in classification and treatment. Plast Reconstr Surg 1991; 87: 843-853
    Search in Google Scholar
  • 5 Gullane P, Gilbert R. Approach to naso-frontal-ethmoidal complex fractures. J Otolaryngol 1985; 14: 132-135
    Search in Google Scholar
  • 6 Zide B, McCarthy J. The medial canthus revisited-an anatomical basis for canthopexy. Ann Plast Surg 1983; 11: 1-9
    Search in Google Scholar
  • 7 Fedok F. Comprehensive management of nasoethmoid-orbital injuries. J Cranio-Maxillofac Trauma 1995; 1: 36-48
    Search in Google Scholar
  • 8 Paskert J, Manson P. The bimanual examination for assessing instability in naso-orbitoethmoidal injuries. Plast Reconstr Surg 1989; 83: 165-167
    Search in Google Scholar
  • 9 Gruss J. Naso-ethmoid-orbital fractures: classification and role of primary bone grafting. Plast Reconstr Surg 1985; 75: 303-315
    Search in Google Scholar
  • 10 Frodel J. Primary and secondary nasal bone grafting after major facial trauma. Facial Plastic Surgery 1992; 8: 194-208
    Search in Google Scholar