Challenges in the management of comminuted fronto-naso-ethmoidal fracture in a resource-limited environment

This report describes the challenges in the management of a comminuted fronto-naso-ethmoidal fracture secondary to road traffic crash (RTC) in a resource-limited environment. A 55-year-old homemaker referred from Federal Medical Centre with a 3 days history of trauma to the face following RTC. Examination revealed an oblique laceration extending from the right supraorbital region and over the frontonasal region to the left nasolabial fold with exposed comminuted and depressed frontal bone and naso-ethmoidal bone. She had wound exploration, elevation of depressed frontal bone, and soft-tissue repair under general anesthesia without a computed tomography scan.