Approach to naso-frontal-ethmoidal complex fractures.

Naso-fronto-ethmoidal complex fractures are infrequently encountered. The authors' approach to the management of the patient with this injury is presented emphasizing the importance of the adoption of a systematic approach to the evaluation of the patient with a maxillofacial injury. The frequency of associated injuries is stressed. The open reduction of this fracture and the use of interosseous fixation is recommended. The importance and technique of repair of the medial canthal ligaments is reviewed as well as the authors' preference for the use of the "open sky" exposure in most patients with this injury.