[Surgical management of naso-orbital-ethmoid fractures].

OBJECTIVE

To explore the clinical characteristics of naso-orbital-ethmoid (NOE) fracture, principles and surgical methods.

METHODS

Twenty-nine patients with NOE fractures were investigated. Operations for the treatment of NOE and subsequent deformities included reduction of central fragment, reconstruction of orbit walls, reattachment of medial canthal ligament and so on. The outcome of the treatment was evaluated.

RESULTS

Three cases were infected postoperatively. Of the 14 cases performed on reconstruction of orbit wall, 9 cases got complete correction for their dystopia/enophthalmos, 5 cases improved. Thirteen cases experiencing canthopexy obtained accepted outcome.

CONCLUSIONS

The satisfactory correction of NOE fracture and subsequent enophthalmos/dystopia and telecanthus can be achieved with elective surgery in most cases.