J Korean Soc Plast Reconstr Surg Search

CLOSE


Journal of the Korean Society of Plastic and Reconstructive Surgeons 2001;28(4):362-366.
Published online July 1, 2001.
New Classification of Naso-Ethmoid-Orbital Fracture using Computerized Tomography.
Ji Won Woo, Dae Hwan Park, Ki Young Ahn, Dong Gil Han
Department of Plastic and Reconstructive Surgery, College of Medicine, Taegu Catholic University, Taegu, Korea.
Abstract
Naso-ethmoid-orbital fractures are the most challenging of all craniofacial fractures to treat because of the intricate anatomy of this region and the difficulty in fracture fixation. Inadequate initial treatment will often result in severe deformity that may be extremely difficult or impossible to correct adequately. Naso-ethmoid-orbital injuries have been described in detail by numerous authors, but to date, no adequate classification of these injuries exits. In this study, we reviewed and analyzed the medical records and facial bone CT scans of 66 patients from May 1990 to August 1998 by retrospective analysis method. The pattern of injury in these patients was carefully analyzed in order to formulate a working classification based on clinical features and fracture types. Injuries may be unilateral or bilateral, and three clinical types of fractures have been recognized, each of which may occasionally have a combination of features. The types of fracture were divided into Type I, Type II and Type III. Type I was isolated bony NEO injury (31 cases), Type II was bony NEO injury with maxilla (11 cases) and Type III was extended NEO injury (24 cases). Also, type II was subdivided into 1) Bony NEO injury with central maxillay crush only, 2) with central maxilla and one lateral maxillary crush, and 3) with central and bilateral maxillary crush, and type III was 1) with craniofacial injuries, 2) with Le Fort II and III fractures and 3) with orbital displacement. The recognition and diagnosis of each specific injury pattern by our new classification method will define the correct treatment choice in each case.
Keywords: Naso-ethmoido-orbital fracture; Classification; Computed tomography
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 1,260 View
  • 0 Download

Closed Reduction of Zygomatic Arch Fracture with Intraoperative Mobile Computed Tomography Scan.2010 January;37(1)

Effective Reconstruction of Extensive Orbital Floor Fractures Using Rapid Prototyping Model.2010 September;37(5)

Preoperative Evaluation of the Facial Artery Using Facial Angio Computed Tomography.2011 November;38(6)

Measurement Method of the Masseter Muscle Volume Using 3D Computed Tomography.2005 September;32(5)

Classification of Blowout Fracture.2007 November;34(6)



ABOUT
ARTICLE & SPECIALITY
Article category

Browse all articles >

Speciality

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-2003, Lotte Castle President, 109, Mapodaero, Mapo-gu, Seoul 04146, Korea
E-mail: apsedit@gmail.com                

Copyright © 2024 by Korean Society of Plastic and Reconstructive Surgeons.

Developed in M2PI

Close layer
prev next