KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT GÃY PHỨC HỢP MŨI - SÀNG - Ổ MẮT TẠI KHOA PHẪU THUẬT HÀM MẶT - TẠO HÌNH - THẨM MỸ, BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objective: To describe the clinical characteristics, computed tomography findings, surgical management and outcomes of naso-orbito-ethmoid (NOE) fractures at Viet Duc University Hospital.

Materials and Methods: This retrospective descriptive study included 30 patients with NOE fractures who underwent surgical treatment. Variables included demographics, injury mechanism, clinical signs, CT findings, Markowitz classification, surgical approaches, fixation methods, complications and postoperative outcomes.

Results: The mean age was 32.1 ± 11.6 years, and 76.7% of patients were male. Traffic accidents were the main cause (83.3%). Common clinical findings were periorbital edema and ecchymosis (90.0%), nasal deformity (76.7%), epistaxis (63.3%) and telecanthus (36.7%). Markowitz type I, II and III fractures accounted for 43.3%, 40.0% and 16.7%, respectively. Open reduction and titanium plate fixation were performed in 93.3% of patients, and medial canthal tendon fixation in 23.3%. Good or fair results were achieved in 86.7%. The most common postoperative complication was persistent epiphora (10.0%).

Conclusions: NOE fractures mainly affected young male patients and were commonly caused by traffic accidents. Multidetector CT is essential for diagnosis and treatment planning. Accurate anatomical reduction, stable fixation and medial canthal tendon repair when indicated can provide favorable functional and aesthetic outcomes.