Naso-ethmoid-orbital fractures

C. Wayne Cruse, Phillip K. Blevins, Edward Luce

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

This report reviews the experience with naso-ethmoid-orbital fractures at a major medical center. Thirty-three patients were treated between 1 October 1976 and 1 January 1979, who met our definition of naso-ethmoid-orbital fractures. The majority sustained trauma in a motor vehicle accident and 60% of the patients had associated nonfacial injuries. All patients had other facial injuries and fractures; orbital rim or floor, 94%; complex maxillary (LeForte II-III), 72%; and mandible fractures, 25%. Slightly over one half of the group of naso-ethmoid fractures were open; the remainder were closed injuries. Traumatic telecanthus was noted in 70% of the patients on initial examination. Cerebrospinal fluid rhinorrhea was evident in 40%, and frontal sinus fractures were detected in 25% of the group. Severe ocular injury with initial or subsequent loss of sight occurred in an alarming 30% of the patients. In addition, nasolacrimal duct system lacerations occurred in 20%. One patient developed a large carotid artery-cavernous sinus fistula 1 month postinjury. The severity of these injuries and the potential for deformity and dysfunction have not been properly emphasized in the past. Our experience has defined several diagnostic and therapeutic guidelines. For example, vastly improved results were obtained with an open reduction and internal fixation procedure. A multidisciplinary approach by a neurosurgeon, ophthalmologist, and plastic surgeon is mandatory.

Original languageEnglish (US)
Pages (from-to)551-556
Number of pages6
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume20
Issue number7
DOIs
StatePublished - Jan 1 1980

Fingerprint

Orbital Fractures
Wounds and Injuries
Carotid-Cavernous Sinus Fistula
Cerebrospinal Fluid Rhinorrhea
Facial Injuries
Nasolacrimal Duct
Eye Injuries
Frontal Sinus
Open Fractures
Lacerations
Motor Vehicles
Mandible
Accidents
Guidelines

All Science Journal Classification (ASJC) codes

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

Naso-ethmoid-orbital fractures. / Cruse, C. Wayne; Blevins, Phillip K.; Luce, Edward.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 20, No. 7, 01.01.1980, p. 551-556.

Research output: Contribution to journalArticle

Cruse, C. Wayne ; Blevins, Phillip K. ; Luce, Edward. / Naso-ethmoid-orbital fractures. In: Journal of Trauma - Injury, Infection and Critical Care. 1980 ; Vol. 20, No. 7. pp. 551-556.
@article{42ecfb7a68e44da6a5d0f0dfc483134c,
title = "Naso-ethmoid-orbital fractures",
abstract = "This report reviews the experience with naso-ethmoid-orbital fractures at a major medical center. Thirty-three patients were treated between 1 October 1976 and 1 January 1979, who met our definition of naso-ethmoid-orbital fractures. The majority sustained trauma in a motor vehicle accident and 60{\%} of the patients had associated nonfacial injuries. All patients had other facial injuries and fractures; orbital rim or floor, 94{\%}; complex maxillary (LeForte II-III), 72{\%}; and mandible fractures, 25{\%}. Slightly over one half of the group of naso-ethmoid fractures were open; the remainder were closed injuries. Traumatic telecanthus was noted in 70{\%} of the patients on initial examination. Cerebrospinal fluid rhinorrhea was evident in 40{\%}, and frontal sinus fractures were detected in 25{\%} of the group. Severe ocular injury with initial or subsequent loss of sight occurred in an alarming 30{\%} of the patients. In addition, nasolacrimal duct system lacerations occurred in 20{\%}. One patient developed a large carotid artery-cavernous sinus fistula 1 month postinjury. The severity of these injuries and the potential for deformity and dysfunction have not been properly emphasized in the past. Our experience has defined several diagnostic and therapeutic guidelines. For example, vastly improved results were obtained with an open reduction and internal fixation procedure. A multidisciplinary approach by a neurosurgeon, ophthalmologist, and plastic surgeon is mandatory.",
author = "Cruse, {C. Wayne} and Blevins, {Phillip K.} and Edward Luce",
year = "1980",
month = "1",
day = "1",
doi = "10.1097/00005373-198007000-00003",
language = "English (US)",
volume = "20",
pages = "551--556",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "7",

}

TY - JOUR

T1 - Naso-ethmoid-orbital fractures

AU - Cruse, C. Wayne

AU - Blevins, Phillip K.

AU - Luce, Edward

PY - 1980/1/1

Y1 - 1980/1/1

N2 - This report reviews the experience with naso-ethmoid-orbital fractures at a major medical center. Thirty-three patients were treated between 1 October 1976 and 1 January 1979, who met our definition of naso-ethmoid-orbital fractures. The majority sustained trauma in a motor vehicle accident and 60% of the patients had associated nonfacial injuries. All patients had other facial injuries and fractures; orbital rim or floor, 94%; complex maxillary (LeForte II-III), 72%; and mandible fractures, 25%. Slightly over one half of the group of naso-ethmoid fractures were open; the remainder were closed injuries. Traumatic telecanthus was noted in 70% of the patients on initial examination. Cerebrospinal fluid rhinorrhea was evident in 40%, and frontal sinus fractures were detected in 25% of the group. Severe ocular injury with initial or subsequent loss of sight occurred in an alarming 30% of the patients. In addition, nasolacrimal duct system lacerations occurred in 20%. One patient developed a large carotid artery-cavernous sinus fistula 1 month postinjury. The severity of these injuries and the potential for deformity and dysfunction have not been properly emphasized in the past. Our experience has defined several diagnostic and therapeutic guidelines. For example, vastly improved results were obtained with an open reduction and internal fixation procedure. A multidisciplinary approach by a neurosurgeon, ophthalmologist, and plastic surgeon is mandatory.

AB - This report reviews the experience with naso-ethmoid-orbital fractures at a major medical center. Thirty-three patients were treated between 1 October 1976 and 1 January 1979, who met our definition of naso-ethmoid-orbital fractures. The majority sustained trauma in a motor vehicle accident and 60% of the patients had associated nonfacial injuries. All patients had other facial injuries and fractures; orbital rim or floor, 94%; complex maxillary (LeForte II-III), 72%; and mandible fractures, 25%. Slightly over one half of the group of naso-ethmoid fractures were open; the remainder were closed injuries. Traumatic telecanthus was noted in 70% of the patients on initial examination. Cerebrospinal fluid rhinorrhea was evident in 40%, and frontal sinus fractures were detected in 25% of the group. Severe ocular injury with initial or subsequent loss of sight occurred in an alarming 30% of the patients. In addition, nasolacrimal duct system lacerations occurred in 20%. One patient developed a large carotid artery-cavernous sinus fistula 1 month postinjury. The severity of these injuries and the potential for deformity and dysfunction have not been properly emphasized in the past. Our experience has defined several diagnostic and therapeutic guidelines. For example, vastly improved results were obtained with an open reduction and internal fixation procedure. A multidisciplinary approach by a neurosurgeon, ophthalmologist, and plastic surgeon is mandatory.

UR - http://www.scopus.com/inward/record.url?scp=0018821283&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0018821283&partnerID=8YFLogxK

U2 - 10.1097/00005373-198007000-00003

DO - 10.1097/00005373-198007000-00003

M3 - Article

VL - 20

SP - 551

EP - 556

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 7

ER -