Outcomes of Severely Comminuted (Type III) Nasoorbitoethmoid Fractures

Herford, Alan S.; Ying, Thomas; Brown, Brandon T.

doi:10.1016/j.joms.2005.05.297

Cited by 57 publications

(30 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…No matter to which of the two classification archetypes is resorted to, attention must be paid to the clinical status of the medial canthal ligament. 57,58 The fragmentation within the insertion zone of the ligamentous apparatus might permit to infer whether an avulsive injury is present or not. 13 Fractures and disruption of the structures essential for internal nasal support (perpendicular ethmoid plate, vomer, and quadrangular cartilage septum including lower lateral cartilages) must not be neglected in the recordings.…”

Section: Discussionmentioning

confidence: 99%

The Comprehensive AOCMF Classification System: Midface Fractures - Level 3 Tutorial

Cornelius

Audigé

Kunz

et al. 2014

Craniomaxillofacial Trauma & Reconstruction

View full text Add to dashboard Cite

Fractures of the midface occur in a high variety of fracture patterns and are difficult to classify appropriately to assign standardized categories of fracture classes reflecting the injury status of the patient. Requirements for a fracture classification are its clinical relevance and the ability to provide reliable and reproducible means to communicate Keywords ► fracture classification ► midface ► anatomic regions AbstractThe AOCMF Classification Group developed a hierarchical three-level craniomaxillofacial classification system with increasing level of complexity and details. The highest level 1 system distinguish four major anatomical units including the mandible (code 91), midface (code 92), skull base (code 93), and cranial vault (code 94). This tutorial presents the level 2 system for the midface unit that concentrates on the location of the fractures within defined regions in the central (upper, intermediate, and lower) and lateral (zygoma, pterygoid) midface, as well as the internal orbit and palate. The level 2 midface fracture location outlines the topographic boundaries of the anatomical regions. The common nasoorbitoethmoidal and zygoma en bloc fracture patterns, as well as the time-honored Le Fort classification are taken into account. This tutorial is organized in a sequence of sections dealing with the description of the classification system with illustrations of the topographical cranial midface regions along with rules for fracture location and coding, a series of case examples with clinical imaging and a general discussion on the design of this classification. Individual fracture mapping in these regions regarding severity, fragmentation, displacement of the fragment or bone defect is addressed in a more detailed level 3 system in the subsequent articles.

show abstract

Section: Discussionmentioning

confidence: 99%

The Comprehensive AOCMF Classification System: Midface Fractures - Level 3 Tutorial

Cornelius

Audigé

Kunz

et al. 2014

Craniomaxillofacial Trauma & Reconstruction

View full text Add to dashboard Cite

show abstract

“…It is also important to report the degree of comminution of the nasal bones, frontal processes of the maxilla, and nasal processes of the frontal bones to help surgeons decide whether bone grafting is required [30,41].…”

Section: Naso-orbito-ethmoid Fracturesmentioning

confidence: 99%

Facial fractures: classification and highlights for a useful report

et al. 2020

View full text Add to dashboard Cite

In patients with facial trauma, multidetector computed tomography is the first-choice imaging test because it can detect and characterize even small fractures and their associated complications quickly and accurately. It has helped clinical management and surgical planning, so radiologists must communicate their findings to surgeons effectively. In Le Fort fractures, there is a breach between the pterygoid plates and the posterior maxilla. These fractures are classified in three basic patterns that can be combined and associated with various complications. Conceptualized when low-speed trauma was predominant, the Le Fort classification system has become less relevant giving more importance on maxillary occlusion-bearing segments. The classification of naso-orbito-ethmoid depends on the extent of injury to the attachment of the medial canthal tendon, with possible complications like nasofrontal duct disruption. Displaced fractures of the zygomaticomaxillary complex often widen the angle of the lateral orbital wall, resulting in increased orbital volume and sometimes in enophthalmos. Severe comminution or angulation can lead to wide surgical exposure. In orbital fractures, entrapment of the inferior rectus muscles can lead to diplopia, so it is important to assess its positioning and morphology. Orbital fractures can also result in injuries to the globe or infraorbital nerve. Frontal sinus fractures that extend through the posterior sinus wall can create a communication with the anterior cranial fossa resulting in leakage of cerebrospinal fluid, intracranial bleeding. It is essential to categorize fracture patterns and highlight features that may affect fracture management in radiology reports of facial trauma.

show abstract

“…In most patients early reduction and fixation of fractures, along with correction of the traumatic telecanthus during the initial surgery, yields the best results. 8 The injuries presented by patients can affect several special anatomical structures, mainly in the periorbital area.…”

Section: Discussionmentioning

confidence: 99%

Complex Traumatic Facial Degloving Injury

Ramdas²,

Lingam³

et al. 2016

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

By definition, degloving is detachment of skin and subcutaneous tissue, most often affecting the limbs and extremities and occasionally the scalp. Degloving generally occurs from high-energy trauma. This paper describes a patient of traumatic facial degloving injury. This is an extremely rare condition, as the patient survived despite the risk of imminent death. This patient report addresses the decisions made regarding the emergency management, prevention of necrosis and infection by surgical debridement, and timely repair of the vital soft tissue structures that guided the management.

show abstract

Outcomes of Severely Comminuted (Type III) Nasoorbitoethmoid Fractures

Cited by 57 publications

References 22 publications

The Comprehensive AOCMF Classification System: Midface Fractures - Level 3 Tutorial

The Comprehensive AOCMF Classification System: Midface Fractures - Level 3 Tutorial

Facial fractures: classification and highlights for a useful report

Complex Traumatic Facial Degloving Injury

Contact Info

Product

Resources

About