Abstract <em>Introduction: </em>Trauma to the nose, ethmoid, and orbit is a common clinical condition that makes challenges in treating. Management of these lesions remains a challenge, and there are few studies on this issue in Vietnam. <em>Subjects and methods</em>: Retrospective study. The 100 patients with naso- orbito-ethmoid (NOE) fractures were hospitalized and treated at the Department of Maxillofacial - Plastic – Aesthetic Surgery of Viet Duc University Hospital from January 2021 to December 2022. <em>Results: </em>The male/female ratio was 4/1, the common age group was 20- 40 years old (65%); the mean age was 30.1±11.46, the main cause was traffic accident (93%), 15% had blood alcohol concentration exceeding the legal limit. Regarding clinical symptoms: 94% had soft tissue contusion, 74% had skin laceration, 87% had a hematoma in the eye area, 60% had nosebleeds, and 63% had combined traumatic brain injury. First aid: 17% needed endotracheal intubation, 72% had nasal wicks to stop bleeding. Grades based on Markowitz classification: grade 1 (60%), grade 2 (30%), grade 3 (10%). 82% had a fracture of the maxilla. About the treatment: 98% of cases were repaired the nasal bone, 54% of NOE were fixed with plates and screws, 13% needed grafting materials for the orbital cavity and 7% were reconstructed medial orbital ligaments. Follow-up during hospital stay, no complications were noted. <em>Conclusions: </em>NOE trauma mainly occurred in men of working age and the main cause of injury was traffic accidents. The rate of combined lesions was high, and treatment requires coordination of multi-disciplinary specialties. <em>Keywords: </em>facial trauma, nasal bone fractures, naso-orbito-ethmoid fractures References <ol> <li>Goodmaker C, Hohman MH, De Jesus Naso- Orbito-Ethmoid Fractures. 2023 Mar 1. In: StatPearls [Internet]. Treasure Island (FL): <em>StatPearls Publishing</em>; 2023</li> <li>Le Thanh Huyen, Hoang Tien Overview of facial trauna treatment at Thai Nguyen General Centre Hospital. <em>TNU journal of Science and Technology </em>2011, 89(01)/1: 270 – 275.</li> <li>Phan Van Anh, Nguyen Hong Ha, Le Van Characteristics on computed tomography in patients with naso-orbito-ethmoid fractures at Viet Duc University Hospital. <em>Vietnam Medical Journal</em>, 2021, 507(1): 145-149.</li> <li>Han PS, Kim Y, Herford AS, Inman Complications and Treatment of Delayed or Inadequately Treated Nasoorbitoethmoid Fractures. <em>Semin Plast Surg</em>. 2019 May;33(2):138-142.</li> <li>Markowitz BL, Manson Panfacial fractures: organization of treatment. <em>Clin Plast Surg </em>1989;16:105</li> <li>Fonseca, R. J. <em>Oral and maxillofacial surgery. </em> p. 220-223 vol 2.</li> <li>Bonanthaya K. Oral and Maxillofacial Surgery for the <em>Springer, </em>Singapore. 2021; p. 1251–1266</li> <li>Septa D, Newaskar VP, Agrawal D, Tibra Etiology, incidence and patterns ofmid-face fractures and associated ocular injuries. <em>J Maxillofac Oral Surg</em>. 2014 Jun;13(2):115-9.</li> <li>Phan Duy Clinical and X-rays features of combined facial fractures. <em>Journal of 108 – clinical medicine and pharmacy</em>, 2022, 17(6).</li> <li>Tran Tan Tai, Ðang Van Tri, Hoang Le Trong Chau. Clinical, radiographic characteristics and results of surgical treatment of maxillofacial fractures. <em>Journal of Medicine and Pharmacy - Hue University of Medicine and Pharmacy</em>, 2021, 11(4): 87-94.</li> <li>Pati D, Mishra N, Kar I, Meher B, Samal D, Rath KC. Nasoorbitoethmoid fractures in a tertiary care hospital of eastern India: A prospective <em>Natl J Maxillofac Surg</em>. 2021 Jan-Apr;12(1):42-49.</li> <li>Dinh Van Quynh, Nguyen Duc , Pham Hai Bang. Situation of pre-hospital trauma first-aid through cases of severe brain injuries due to emergency traffic accidents at Viet Duc University Hospital. <em>Vietnam Medical Journal</em>, 2021, 509(1): 189-193.</li> <li>Pisano J, Tiwana PS. Management of Panfacial, Naso- Orbital-Ethmoid and Frontal Sinus Fractures. <em>Atlas Oral Maxillofac Surg Clin North Am</em>. 2019 Sep;27(2):83-92.</li> </ol> <!--more--> <a href="https://vjsel.vn/wp-content/uploads/2024/01/BAI-6.pdf">Download file PDF</a>
Vu Trung TrucNguyen Huy KienLe Van Nam Vu Trung TrucNguyen Huy KienLe Van Nam