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Approach to naso-frontal-ethmoidal complex fractures.

P J Gullane, R W Gilbert

    The Journal of Otolaryngology
    |April 1, 1985
    PubMed
    Summary

    Management of naso-fronto-ethmoidal complex fractures requires a systematic approach. Open reduction with interosseous fixation and medial canthal ligament repair are recommended for optimal outcomes in these complex facial injuries.

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    Area of Science:

    • Maxillofacial Surgery
    • Trauma Surgery
    • Otolaryngology

    Background:

    • Naso-fronto-ethmoidal complex (NFEC) fractures are rare but complex injuries.
    • Effective management necessitates a structured evaluation process for maxillofacial trauma.
    • Associated injuries are common and require careful assessment.

    Purpose of the Study:

    • To present a systematic approach to managing NFEC fractures.
    • To emphasize the importance of evaluating associated injuries.
    • To recommend specific surgical techniques for NFEC fracture repair.

    Main Methods:

    • Systematic evaluation of patients with maxillofacial injuries.
    • Open reduction and interosseous fixation for NFEC fractures.
    • Review of medial canthal ligament repair techniques.
    • Preference for the "open sky" surgical approach.

    Main Results:

    • Open reduction with interosseous fixation is effective for NFEC fractures.
    • Proper repair of medial canthal ligaments is crucial.
    • The "open sky" approach facilitates comprehensive management.

    Conclusions:

    • A systematic approach is vital for managing NFEC fractures.
    • Surgical intervention involving open reduction and fixation yields good results.
    • Attention to associated injuries and ligamentous repair improves patient outcomes.

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