Facial plast Surg 2000; 16(2): 181-192
DOI: 10.1055/s-2000-12578
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Management of the Central Nasal Support Complex in Naso-orbital Ethmoid Fractures

Neil M. Vora, Fred G. Fedok
  • Division of Otolaryngology-Head and Neck Surgery, The Milton S. Hershey Medical Center, The Pennsylvania State University, Hershey, PA
Further Information

Publication History

Publication Date:
31 December 2000 (online)


Central nasal support structures are frequently injured in patients with naso-orbital ethmoid fractures. Diagnosis of these injuries can be difficult and, to optimally manage them, a thorough understanding of the complex anatomy is essential. The goal of surgical repair is to reestablish the aesthetics and function to this region without complication. Appropriate imaging and classification of the central nasal support injury and classification of the naso-orbital ethmoid fractures must be accomplished prior to formulating a successful treatment plan. This article reviews the anatomy, patient assessment, imaging, and classification systems. Currently accepted management of specific injuries are outlined.