ABSTRACT
Naso-orbital-ethmoid complex fracture management requires a thorough understanding
of the anatomy of medial orbital structures, particularly the medial canthal tendon
apparatus. Modern C/T imaging allows one to accurately define the fracture patterns
present and to plan the surgical repair. The key structure in these fractures is the
“central segment” of bone to which the medial canthal tendon attaches. It is essential
to identify, anatomically reduce and fixate this fragment to prevent post operative
telecanthus. Standard craniofacial surgical approaches allow the surgeon to widely
expose these fractures with minimal secondary cosmetic deformities. Rigid fixation
of the fracture segments with titanium microplating systems allows for accurate and
stable fixation in a one stage surgical repair. The assessment, imaging, surgical
exposure, fixation and care of these fractures will be discussed. The goal of repair
is to reestablish a normal intercanthal distance and to anatomically repair the associated
fractures.
KEY WORDS
naso-orbital-ethmoid - telecanthus - microplate
