Naso-orbital Ethmoid Fx


General Information

  1. Tend to be very complicated
  2. Anatomy
  3. NOE fractures result from high-energy impacts
  4. Usually LOWER impact than maxillary or frontal fractures
  5. Associated injuries
  6. Mortality due to

Pathophysiology

  1. Many different possibilities
  2. Fracture classification

Diagnostics

  1. History
  2. Symptoms
  3. Physical Exam
  4. Direct examination of the NOE complex
  1. Diagnostic imaging

Treatment

  1. ATLS ABCs
  2. Consult facial trauma
  3. Pain management
  4. Prophylactic antibiotics
  5. Definitive treatment often requires ORIF

Disposition

  1. Admit to surgical / Trauma service
  2. Consult s