Abstract
Delayed or improper repair of nasoorbitoethmoid (NOE) fractures can lead to debilitating
outcomes including diplopia, epiphora, nasal obstruction, facial asymmetry, and poor
cosmesis. As such, NOE fractures should be repaired promptly and properly to prevent
these unwanted sequelae. Treating patients with delayed, untreated, or inadequately
reduced NOE fractures is challenging due to scarring and contracture. Saddle nose
deformity, telecanthus, enophthalmos, nasolacrimal duct obstruction, and soft-tissue
scarring are often encountered in the secondary management of NOE fractures and should
be addressed in the overall context of reestablishing facial symmetry and function.
Keywords
Nasoorbitoethmoid fractures - fractures - revision