Avoiding and correcting complications in perinasal trauma.
Injuries to the nose and perinasal region are common. Although the nasal fractures are commonly recognized and properly addressed, injuries to adjacent structures such as the orbit, medial canthus, and midface skeleton can be missed or misdiagnosed, leading to improper primary treatment and subsequent secondary deformities. In this discussion, three common injuries will be discussed, including nasomaxillary fractures, limited naso-orbital-ethmoid fractures, and severe central facial injuries with naso-orbital-ethmoid fractures. For instructional purposes, a case example of inadequate primary diagnosis and subsequent delayed or secondary management will be followed by a case example of proper initial diagnosis and proper primary management.
Geisinger Cosmetic Surgery Center, Danville, PA 17822, USA. jfrodelmd@aol.com
John L
JL
Frodel
D000328:Adult; D018786:Bone Substitutes / Q000627:therapeutic use; D016025:Bone Transplantation; D002921:Cicatrix / Q000209:etiology / Q000601:surgery; D017886:Durapatite / Q000627:therapeutic use; D015841:Enophthalmos / Q000209:etiology / Q000601:surgery; D005004:Ethmoid Bone / Q000293:injuries; D005141:Eyelid Diseases / Q000209:etiology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D008297:Male; D008440:Maxillary Fractures / Q000601:surgery; D008446:Maxillofacial Injuries / Q000601:surgery; D008875:Middle Aged; D009295:Nasal Bone / Q000293:injuries*; D009296:Nasal Cavity / Q000293:injuries / Q000601:surgery; D015508:Nasal Obstruction / Q000209:etiology / Q000601:surgery; D009666:Nose / Q000293:injuries*; D009667:Nose Deformities, Acquired / Q000517:prevention & control / Q000601:surgery; D009917:Orbital Fractures / Q000601:surgery; D011183:Postoperative Complications / Q000517:prevention & control; D012225:Rhinoplasty / Q000379:methods; D012887:Skull Fractures / Q000601:surgery*; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed / Q000379:methods; D015051:Zygomatic Fractures / Q000601:surgery
D018786:Bone Substitutes; D017886:Durapatite