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Nasoorbitalethmoidal Fracture
Bernadette L. Koch, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Nasoorbitalethmoidal fracture (NOE fx)
            • Definitions

              • Central upper midface fracture complex
                • Involving confluence of medial and upper maxillary buttresses and their posterior extensions along medial orbital wall and floor
                • Distinguished from simple nasal fractures by posterior disruption of medial canthal regions, ethmoids, and medial orbital walls

            IMAGING

            • General Features

              • Imaging Recommendations

                • CT Findings

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Staging, Grading, & Classification

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Reporting Tips

                                  Selected References

                                  1. Pawar SS et al: Frontal sinus and naso-orbital-ethmoid fractures. JAMA Facial Plast Surg. 16(4):284-9, 2014
                                  2. Wolff J et al: Late reconstruction of orbital and naso-orbital deformities. Oral Maxillofac Surg Clin North Am. 25(4):683-95, 2013
                                  3. Chapman VM et al: Facial fractures in children: unique patterns of injury observed by computed tomography. J Comput Assist Tomogr. 33(1):70-2, 2009
                                  4. Papadopoulos H et al: Management of naso-orbital-ethmoidal fractures. Oral Maxillofac Surg Clin North Am. 21(2):221-5, vi, 2009
                                  5. Fraioli RE et al: Facial fractures: beyond Le Fort. Otolaryngol Clin North Am. 41(1):51-76, vi, 2008
                                  6. Hopper RA et al: Diagnosis of midface fractures with CT: what the surgeon needs to know. Radiographics. 26(3):783-93, 2006
                                  7. Remmler D et al: Role of three-dimensional computed tomography in the assessment of nasoorbitoethmoidal fractures. Ann Plast Surg. 44(5):553-62; discussion 562-3, 2000
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Pathology

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Abbreviations

                                              • Nasoorbitalethmoidal fracture (NOE fx)
                                            • Definitions

                                              • Central upper midface fracture complex
                                                • Involving confluence of medial and upper maxillary buttresses and their posterior extensions along medial orbital wall and floor
                                                • Distinguished from simple nasal fractures by posterior disruption of medial canthal regions, ethmoids, and medial orbital walls

                                            IMAGING

                                            • General Features

                                              • Imaging Recommendations

                                                • CT Findings

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      • Staging, Grading, & Classification

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Demographics

                                                            • Natural History & Prognosis

                                                              • Treatment

                                                                DIAGNOSTIC CHECKLIST

                                                                • Reporting Tips

                                                                  Selected References

                                                                  1. Pawar SS et al: Frontal sinus and naso-orbital-ethmoid fractures. JAMA Facial Plast Surg. 16(4):284-9, 2014
                                                                  2. Wolff J et al: Late reconstruction of orbital and naso-orbital deformities. Oral Maxillofac Surg Clin North Am. 25(4):683-95, 2013
                                                                  3. Chapman VM et al: Facial fractures in children: unique patterns of injury observed by computed tomography. J Comput Assist Tomogr. 33(1):70-2, 2009
                                                                  4. Papadopoulos H et al: Management of naso-orbital-ethmoidal fractures. Oral Maxillofac Surg Clin North Am. 21(2):221-5, vi, 2009
                                                                  5. Fraioli RE et al: Facial fractures: beyond Le Fort. Otolaryngol Clin North Am. 41(1):51-76, vi, 2008
                                                                  6. Hopper RA et al: Diagnosis of midface fractures with CT: what the surgeon needs to know. Radiographics. 26(3):783-93, 2006
                                                                  7. Remmler D et al: Role of three-dimensional computed tomography in the assessment of nasoorbitoethmoidal fractures. Ann Plast Surg. 44(5):553-62; discussion 562-3, 2000