[The use of degloving approach in the treatment of nasal-orbital-ethmoid fracture].

PURPOSE: To explore the method and effect of degloving approach in the treatment of nasal-orbital-ethmoid(NOE) complex fracture surgery.

METHODS

Eleven cases of unilateral nasal-orbital-ethmoid fracture(NOE) were selected from Medical Center of Stomatology, Foshan Hospital of Traditional Chinese Medicine. 6 were orbital fracture, 5 were nasal fracture. All the patients were treated open reduction and rigid internal fixation or rhinoplasty via midfacial degloving approach.

RESULTS

Eleven patients were followed up for 3 to 12 months, all patients had transient nasal crusting and bleeding,1 case had traumatic epiphora, 4 cases had infraorbital temporary numbness,1 case of crooked nose.

CONCLUSIONS

The degloving approach can achieve the advantages of a widely exposed field for operation,no facial scar,and no complications such as nasal vestibular stenosis. It is worthy of wide clinical application.