SURGERY INDICATION FOR NASO-ORBITO-ETMOIDAL FRACTURES
Aim of the study The purpose of this study is to demonstrate our experience in establishing the indication of surgery for fractures of the naso-orbito-ethmoidal (NOE) complex. Material and methods We reviewed 24 cases of NOE fractures, of which 18 patients had indication for surgery due to the prese...
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Romanian Dental Association for Education
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doaj-0af974f200f5496b9f20a57119747dae2020-11-24T20:56:23ZengRomanian Dental Association for EducationRomanian Journal of Medical and Dental Education2393-15312393-11082018-07-01714045SURGERY INDICATION FOR NASO-ORBITO-ETMOIDAL FRACTURESVictor-Vlad Costan0Raluca Neagu1Andrei Rosu2Daniela Sulea3Otilia Boisteanu4Eugenia Popescu5“Grigore T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry, Department of Surgery (Dentoalveolar and Maxillofacial Surgery)Saint Spiridon Hospital, Iasi, Otorhinolaryngology Department“Grigore T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry, Department of Surgery (Dentoalveolar and Maxillofacial Surgery)“Grigore T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry, Department of Surgery (Dentoalveolar and Maxillofacial Surgery)“Grigore T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry, Department of Surgery (Dentoalveolar and Maxillofacial Surgery)“Grigore T. Popa" U.M.Ph. - Iași, Romania, Faculty of Dentistry, Department of Surgery (Dentoalveolar and Maxillofacial Surgery)Aim of the study The purpose of this study is to demonstrate our experience in establishing the indication of surgery for fractures of the naso-orbito-ethmoidal (NOE) complex. Material and methods We reviewed 24 cases of NOE fractures, of which 18 patients had indication for surgery due to the presence of important deformity of the central face, the presence of telecanthus, diplopia or important nasal obstruction. The remaining 6 did not undergo surgery due to concurrent neurosurgical conditions, the presence of a cerebrospinal fluid fistula or associated general conditions. Results The results were favourable regarding both morphologic reconstruction and function restoration. The complex shape and projection of the nasal and paranasal areas were restored. Diplopia resolved postoperatively, and a good patency of the nasal cavity was achieved. There were no infectious complications postoperatively and no cerebrospinal fluid fistulas developed following surgery. Conclusions Primary surgery for NOE complex fractures should be performed when accurately indicated for avoiding the occurrence of sequelae.http://journal.adre.ro/surgery-indication-for-naso-orbito-etmoidal-fractures/diplopiafracturenaso-orbito-ethmoidalreconstructiontelecanthus |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Victor-Vlad Costan Raluca Neagu Andrei Rosu Daniela Sulea Otilia Boisteanu Eugenia Popescu |
spellingShingle |
Victor-Vlad Costan Raluca Neagu Andrei Rosu Daniela Sulea Otilia Boisteanu Eugenia Popescu SURGERY INDICATION FOR NASO-ORBITO-ETMOIDAL FRACTURES Romanian Journal of Medical and Dental Education diplopia fracture naso-orbito-ethmoidal reconstruction telecanthus |
author_facet |
Victor-Vlad Costan Raluca Neagu Andrei Rosu Daniela Sulea Otilia Boisteanu Eugenia Popescu |
author_sort |
Victor-Vlad Costan |
title |
SURGERY INDICATION FOR NASO-ORBITO-ETMOIDAL FRACTURES |
title_short |
SURGERY INDICATION FOR NASO-ORBITO-ETMOIDAL FRACTURES |
title_full |
SURGERY INDICATION FOR NASO-ORBITO-ETMOIDAL FRACTURES |
title_fullStr |
SURGERY INDICATION FOR NASO-ORBITO-ETMOIDAL FRACTURES |
title_full_unstemmed |
SURGERY INDICATION FOR NASO-ORBITO-ETMOIDAL FRACTURES |
title_sort |
surgery indication for naso-orbito-etmoidal fractures |
publisher |
Romanian Dental Association for Education |
series |
Romanian Journal of Medical and Dental Education |
issn |
2393-1531 2393-1108 |
publishDate |
2018-07-01 |
description |
Aim of the study The purpose of this study is to demonstrate our experience in establishing the indication of surgery for fractures of the naso-orbito-ethmoidal (NOE) complex. Material and methods We reviewed 24 cases of NOE fractures, of which 18 patients had indication for surgery due to the presence of important deformity of the central face, the presence of telecanthus, diplopia or important nasal obstruction. The remaining 6 did not undergo surgery due to concurrent neurosurgical conditions, the presence of a cerebrospinal fluid fistula or associated general conditions. Results The results were favourable regarding both morphologic reconstruction and function restoration. The complex shape and projection of the nasal and paranasal areas were restored. Diplopia resolved postoperatively, and a good patency of the nasal cavity was achieved. There were no infectious complications postoperatively and no cerebrospinal fluid fistulas developed following surgery. Conclusions Primary surgery for NOE complex fractures should be performed when accurately indicated for avoiding the occurrence of sequelae. |
topic |
diplopia fracture naso-orbito-ethmoidal reconstruction telecanthus |
url |
http://journal.adre.ro/surgery-indication-for-naso-orbito-etmoidal-fractures/ |
work_keys_str_mv |
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