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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Main Authors: Victor-Vlad Costan, Raluca Neagu, Andrei Rosu, Daniela Sulea, Otilia Boisteanu, Eugenia Popescu
Format: Article
Language:English
Published: Romanian Dental Association for Education 2018-07-01
Series:Romanian Journal of Medical and Dental Education
Subjects:
Online Access:http://journal.adre.ro/surgery-indication-for-naso-orbito-etmoidal-fractures/
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spelling 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 AT victorvladcostan surgeryindicationfornasoorbitoetmoidalfractures
AT ralucaneagu surgeryindicationfornasoorbitoetmoidalfractures
AT andreirosu surgeryindicationfornasoorbitoetmoidalfractures
AT danielasulea surgeryindicationfornasoorbitoetmoidalfractures
AT otiliaboisteanu surgeryindicationfornasoorbitoetmoidalfractures
AT eugeniapopescu surgeryindicationfornasoorbitoetmoidalfractures
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