Avoiding and Correcting Complications in Perinasal Trauma
21. Juni 2012 (online)
Injuries to the nose and perinasal region are common. Although the nasal fractures are commonly recognized and properly addressed, injuries to adjacent structures such as the orbit, medial canthus, and midface skeleton can be missed or misdiagnosed, leading to improper primary treatment and subsequent secondary deformities. In this discussion, three common injuries will be discussed, including nasomaxillary fractures, limited naso-orbital-ethmoid fractures, and severe central facial injuries with naso-orbital-ethmoid fractures. For instructional purposes, a case example of inadequate primary diagnosis and subsequent delayed or secondary management will be followed by a case example of proper initial diagnosis and proper primary management.
- 1 Morgenstein KM, Bloom BS. Naso-maxillary fracture. Eye Ear Nose Throat Mon 1971; 50: 331-333
- 2 Markowitz BL, Manson PN, Sargent L , et al. Management of the medial canthal tendon in nasoethmoid orbital fractures: the importance of the central fragment in classification and treatment. Plast Reconstr Surg 1991; 87: 843-853
- 3 Fedok FG. Comprehensive management of nasoethmoid-orbital injuries. J Craniomaxillofac Trauma 1995; 1: 36-48
- 4 Frodel JL. Nasoethmoid fracture repair. In: Bailey BJ, ed. Head and Neck Surgery—Otolaryngology. Philadelphia: Lippincott-Raven; 1996: 550