Sequencing treatment for naso-orbito-ethmoid fractures

Abstract

This article presents a strategy for treating naso-orbito-ethmoid fractures. Eight steps for the management of such injuries are presented: surgical exposure, identification of the medial canthal tendon/tendon-bearing bone fragment, reduction/reconstruction of medial orbital rim, reconstruction of the medial orbital wall, transnasal canthopexy, reduction of septal fractures, nasal dorsum reconstruction/augmentation, and soft tissue adaptation. Following these steps can make treatment outcomes more predictable.