Naso-orbito-ethmoidal Complex Injuries

Abstract

Comprehensive reconstruction of naso-orbito-ethmoidal fractures remains among the most challenging clinical problems for plastic surgeons. Successful repair centers on accurate diagnosis through a comprehensive history and physical examination and diagnostic imaging. Once this foundation is achieved, accurate anatomic reconstruction requires a stepwise approach and an intimate knowledge of the normal bony and soft tissue anatomy. The cornerstone remains the precise repositioning of the medial canthal tendon. Once this foundation is successfully reconstructed, the remaining bony framework can be anatomically, repositioned, reinforced, replaced with bone grafts &stabilized with rigid internal fixation.