[Entire restoration of deformities caused by naso-orbito-ethmoidal complex and adjacent craniomaxillofacial fracture].
OBJECTIVE
To introduce the therapy of malformation caused by naso-orbito-ethmoidal (NOE) complex and adjacent craniomaxillofacial fracture.


METHODS
Seventy-six cases with NOE complex and adjacent craniomaxillofacial fracture underwent surgical replacement and internal fixation, using several cosmetically favorable incisions. At the same time, nasal reconstruction was performed to correct nasal deformities and defect through the coronal access during the exposure for the treatment of the NOE fracture. If larger nasal fragments were present, they were reduced and fixed by microplates or wires. If there was lack of septal support, dorsal nasal bone grafting was used to reestablish the height and anterior projection of the nose. Synthetic material (Medpor) was chosen for restoration of the orbital defects. Transnasal reduction was used for canthopexy.


RESULTS
After 3 - 6 months follow-up, the outcomes of these patients were satisfactory functionally and esthetically. Posttraumatic nasal malformation and enophthalmos were corrected in most cases, and residual enophthalmos occurred in 3 cases, diplopia in 2 cases, insufficient prominence in 5 cases which underwent secondary correction with good results. Transnasal reduction of canthal realignment in the type III fracture was also satisfactory. There was no complication in this group.


CONCLUSIONS
Comprehensive pre-operative evaluation of the patient and careful examinations should be taken to workout an appropriate operation plan. Simultaneous restoration for this type of complicated fracture is critical to obtain good results.
Wang
Yu-xin
YX
Department of Oral and Maxillofacial Surgery, School of Stomatology, China Medical University, Shenyang 110002, China. wyx6431@hotmail.com
Yang
Ming-liang
ML
Lu
Li
L
Han
Si-yuan
SY
Li
Zeng-jian
ZJ
Liu
Qiang
Q
D000293:Adolescent; D000328:Adult; D005004:Ethmoid Bone / Q000293:injuries / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D008875:Middle Aged; D009295:Nasal Bone / Q000293:injuries / Q000601:surgery*; D009917:Orbital Fractures / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D055815:Young Adult