Abstract

MELO, Marcelo Fernandes Santos et al. Correction of fronto-naso-orbital-ethmoid fractures: surgical steps for aesthetic outcome. Rev. cir. traumatol. buco-maxilo-fac. [online]. 2015, vol.15, n.1, pp. 33-40. ISSN 1808-5210.

The fronto-naso-orbital-ethmoid (FNOE) fractures involves the upper and middle portion of the face and it is injuries of difficult to diagnostic and therapeutic. The diagnosis is based on clinical exams and imaging tests by computed tomography. The treatment of FNOE fractures aims to restore properly the architecture of the frontal bone, the correct intercantal distance between the medial palpebral commissure, the projection of the nasal dorsum, the leveling of the eyeball, and the ratio of frontal sinus drainage by naso-frontal duct that by often cannot be patent, resulting in possible pathological processes. It is known that the complexity of the trauma and hence of fractures, and the time of surgery, directly affect in the outcome of the functional and aesthetic treatment. The advances in the surgical techniques, CT, current osteosynthesis materials and the collective experience of the surgeons, have helped to reduce the sequelae resulting of the FNOE fractures and providing an outcome more predictable. The aim of this study is to report a treatment of FNOE fracture describing the surgical steps performed, discussing their advantages and disadvantages, and serving as a guide for surgeons and residents, besides showing satisfactory aesthetic and functional results.

Keywords : Frontal Sinus; fractures; face.