title: The management of pediatric type 1 nasoorbitoethmoidal fractures with resorbable fixation.
abstract: Nasoorbitoethmoid (NOE) fractures are rare in the pediatric population. A recent study reported that NOE fractures account for 1% to 8% of all pediatric craniofacial fractures based on the National Trauma Data Bank. Although infrequent, NOE fractures must be appropriately identified and treated because of potential severe esthetic and functional complications. In this report, we discuss our experience treating the uncommon case of a 9-year-old girl who was involved in a motor vehicle accident and had traumatic injuries to the midface, including a type 1 NOE fracture. We elected to use biodegradable plates to treat her left type 1 NOE fracture because of concerns of facial growth disturbances with the use of conventional rigid fixation techniques at her young age. At 1-year follow-up, the patient demonstrated an acceptable outcome with no functional problems reported. We have also incorporated in this article a thorough review of the literature relating the evolution of biodegradable plates for the treatment of pediatric facial fractures.
authors.affiliation: From the Division of Plastic Surgery, Albany Medical College, ALbany, NY.
authors.forename: Jose
authors.initials: J
authors.lastname: Rodriguez-Feliz
authors.forename: Karan
authors.initials: K
authors.lastname: Mehta
authors.forename: Ash
authors.initials: A
authors.lastname: Patel
mesh_terms: D020341:Absorbable Implants; D000063:Accidents, Traffic; D001860:Bone Plates; D002648:Child; D005004:Ethmoid Bone / Q000293:injuries* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006801:Humans; D008445:Maxillofacial Development / Q000502:physiology; D009295:Nasal Bone / Q000293:injuries* / Q000601:surgery; D009917:Orbital Fractures / Q000601:surgery*; D012887:Skull Fractures / Q000601:surgery*; D016896:Treatment Outcome