Closed technique for naso-orbito-ethmoid fracture management: Technical note

Area of Science:

• Otolaryngology
• Plastic Surgery
• Ophthalmology

Background:

• Naso-orbito-ethmoid (NOE) fractures commonly cause medial canthal tendon (MCT) detachment.
• MCT integrity is crucial for both the aesthetic appearance and functional integrity of the eye socket.
• Current surgical treatments often involve open approaches, resulting in visible scars in a cosmetically sensitive area.

Purpose of the Study:

• To present an innovative closed-approach technique for treating NOE fractures.
• To evaluate the efficacy of this new technique in achieving accurate medial canthus repositioning.
• To offer an alternative to open procedures, minimizing visible scarring.

Main Methods:

• A novel closed-approach technique was developed for NOE fracture repair.
• This technique allows for precise adjustments during the procedure.
• The technique was utilized in the treatment of four patients with NOE fractures.

Main Results:

• The innovative closed technique demonstrated predictable outcomes in all four treated cases.
• Accurate repositioning of the medial canthus was achieved.
• The closed approach successfully avoided the need for extensive external incisions.

Conclusions:

• The presented closed-approach technique is an effective method for treating naso-orbito-ethmoid fractures.
• This innovative technique allows for precise medial canthus repositioning with favorable aesthetic and functional results.
• It offers a viable alternative to traditional open surgeries, reducing scarring in a prominent facial region.