Management of the Central Nasal Support Complex in Naso-orbital Ethmoid Fractures

Central nasal support structures are frequently injured in patients with naso-orbital ethmoid fractures. Diagnosis of these injuries can be difficult and, to optimally manage them, a thorough understanding of the complex anatomy is essential. The goal of surgical repair is to reestablish the aesthetics and function to this region without complication. Appropriate imaging and classification of the central nasal support injury and classification of the naso-orbital ethmoid fractures must be accomplished prior to formulating a successful treatment plan. This article reviews the anatomy, patient assessment, imaging, and classification systems. Currently accepted management of specific injuries are outlined.