Naso-orbito-ethmoid fracture management

Naso-orbito-ethmoid fractures involve injury to the central mid-face, resulting in significant cosmetic and functional deformities. Management of this fracture is considered one of the most challenging because diagnosis may be difficult and surgical outcomes can be variable. In this article, we present our surgical approach for repairing this challenging injury. We have developed and refined our technique during the past decade while repairing central mid-face defects secondary to trauma or anterior skull base tumor ablation.