Purpose: To explore the method and effect of degloving approach in the treatment of nasal-orbital-ethmoid(NOE) complex fracture surgery.
Methods: Eleven cases of unilateral nasal-orbital-ethmoid fracture(NOE) were selected from Medical Center of Stomatology, Foshan Hospital of Traditional Chinese Medicine. 6 were orbital fracture, 5 were nasal fracture. All the patients were treated open reduction and rigid internal fixation or rhinoplasty via midfacial degloving approach.
Results: Eleven patients were followed up for 3 to 12 months, all patients had transient nasal crusting and bleeding,1 case had traumatic epiphora, 4 cases had infraorbital temporary numbness,1 case of crooked nose.
Conclusions: The degloving approach can achieve the advantages of a widely exposed field for operation,no facial scar,and no complications such as nasal vestibular stenosis. It is worthy of wide clinical application.
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Article Synopsis
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- A study over 12 years analyzed 105 patients, categorizing them by age and employing various individualized surgical techniques based on injury characteristics, revealing significant differences in healing times across age groups.
- The findings highlighted a high complication rate of 46.7%, particularly among older patients, and emphasized the importance of tailoring treatment plans to the specific needs and conditions of each patient for better recovery outcomes.
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