Transnasal Fixation of NOE Fracture: Minimally Invasive Approach.

PURPOSE: Nasal fractures may occur in association with other facial injuries like Le-forte II and III and also severe comminuted midface fractures or by themselves. Bony fractures of the nose may involve one or both nasal bones, the frontal process of the maxilla, the bony septum, and in severe trauma the nasal-orbital-ethmoid complex. Treatment of these fractures range from closed reduction and support to open reduction and miniplate osteosynthesis. Purpose of this article is to describe a technique of managing nasal bone fractures associated with midface fractures. PATIENTS AND METHODS: Four consecutive patients who sustained nasal bone fracture associated with multiple midfacial fractures were included in the study.
RESULTS: Postoperatively, results showed symmetry in the intercanthal to lateral canthal width. Nasofronal angle and nasal prominence was established to the expected position in most of the cases.
CONCLUSION: This technique can be used for Le forte II and III cases where nasal bones to be addressed. This method has shown predictive results with minimal intervention.