ĐÁNH GIÁ KẾT QUẢ CHỨC NĂNG - THẨM MỸ SAU PHẪU THUẬT CHẤN THƯƠNG MŨI - SÀNG - Ổ MẮT TYPE I-II THEO MARKOWITZ - MANSON

Abstract

Objective: To evaluate 3-month functional and aesthetic outcomes after surgical treatment of Markowitz–Manson type I–II naso-orbito-ethmoidal (NOE) fractures.

Methods: This descriptive study with postoperative longitudinal follow-up included 38 patients with type I–II NOE fractures who underwent surgery at two clinical centres between June 2024 and May 2025. Outcomes included raw NOSE score (0–20), pain VAS, intercanthal distance (ICD), olfaction, ocular motility, facial aesthetics and complications. Preoperative and 3-month values were compared using the Wilcoxon signed-rank test.

Results: On CT, type I and type II injuries accounted for 18.4% and 81.6%, respectively; no type III injury was recorded. The mean NOSE score decreased from 15.50 ± 1.18 preoperatively to 1.55 ± 0.56 at 3 months (p < 0.001). Pain VAS decreased from 7.92 ± 0.63 to 0.66 ± 0.63 (p < 0.001). At 3 months, all patients had ICD <35 mm and normal ocular motility. Satisfactory facial symmetry, nasal bone alignment and endoscopic middle-meatal patency were each achieved in 94.7%. No vision loss, facial nerve injury or plate extrusion was observed.

Conclusion: In Markowitz–Manson type I–II NOE fractures, individualized surgical management was associated with improvement in nasal function, pain and ICD at 3 months, with favourable aesthetic results and a low complication rate. Findings should not be generalized to more complex type III injuries.