Nasoorbitoethmoid (NOE) fractures

Abstract

Nasoorbitoethmoid (NOE) fractures comprise a relatively uncommon subset of facial injuries. Although the incidence of NOE fractures varies amongst authors, the occurrence is approximately 5 % in adults. These patients often suffer a significant high-velocity, direct blow to the upper midface. Concomitant injuries to the remainder of the craniofacial skeleton are not uncommon, and a thorough evaluation of such must be carried out. Significant physiologic and cosmetic morbidity can occur with NOE fractures, and delay in their repair can further exacerbate them. Thus, decisions to manage these injuries operatively must be swift and decisive. Multiple surgical approaches exist for the management of NOE fractures, and the choice for such is made on a case-by-case basis.