Ferro Morales Andrés, Martínez Gil Sofia, Zannin Ferrero Andreina
From the Fundación Cardioinfantil-LaCardio, Bogotá, Colombia.
Plastic Surgery Postgraduate Program, Universidad El Bosque, Bogotá, Colombia.
Plast Reconstr Surg Glob Open. 2025 Jun 18;13(6):e6774. doi: 10.1097/GOX.0000000000006774. eCollection 2025 Jun.
The naso-orbito-ethmoidal (NOE) region is formed by the confluence of the frontal sinuses, ethmoidal sinuses, anterior cranial fossa, orbits, and frontal and nasal bones. Fractures involving this area correspond to 9%-10% of facial fractures, with a higher prevalence in male patients between 20 and 30 years of age. In 1991, Dr. Markowitz and Dr. Manson classified these types of fractures based on the following characteristics: the state of the central bone fragments, the position of the medial canthal tendon, and whether they are unilateral or bilateral fractures. NOE fractures can be associated with a number of complications, with traumatic telecanthus and nasolacrimal duct obstruction being the most frequent complications. The authors report a case of a bilateral NOE type II fracture, in which transnasal canthal fixation was performed using nonabsorbable sutures and the support base of a 1-mL syringe plunger, for the correction of traumatic telecanthus and restoration of the nasal dorsum projection. Transnasal canthal fixation is a simple and reproducible technique that reduces operative time and uses frequently used materials without the need for additional equipment. This technique not only presents few complications but also offers aesthetic results by improving traumatic telecanthus while restoring nasal dorsum projection.
鼻眶筛（NOE）区域由额窦、筛窦、前颅窝、眼眶以及额骨和鼻骨的交汇处构成。累及该区域的骨折占面部骨折的9% - 10%，在20至30岁的男性患者中更为常见。1991年，马克维茨博士和曼森博士根据以下特征对这类骨折进行了分类：中央骨块的状态、内眦肌腱的位置以及骨折是单侧还是双侧。NOE骨折可能伴有多种并发症，其中创伤性内眦距增宽和鼻泪管阻塞是最常见的并发症。作者报告了一例双侧II型NOE骨折病例，该病例采用不可吸收缝线和1毫升注射器活塞的支撑底座进行经鼻内眦固定，以矫正创伤性内眦距增宽并恢复鼻背高度。经鼻内眦固定是一种简单且可重复的技术，可缩短手术时间，使用常用材料，无需额外设备。该技术不仅并发症少，而且通过改善创伤性内眦距增宽并恢复鼻背高度，还能获得美观效果。
