Journal article
Outcomes of Surgical Repair of Adult Naso‐Orbital‐Ethmoid Fractures: A Systematic Review and Meta‐Analysis
The Laryngoscope, v 135(3), pp 991-999
Mar 2025
PMID: 39422367
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives Adult naso‐orbital‐ethmoid (NOE) fractures are estimated to account for 5% of all adult facial fractures without published consensus on management. The purpose of this investigation was to assess the available literature regarding the treatment and outcomes of adult naso‐orbital‐ethmoid fractures. Data Sources Cochrane Library, PubMed, Scopus, and CINAHL. Methods Following PRISMA guidelines, databases were searched from inception through July 25, 2024 for studies pertaining to the treatment of NOE fractures. Measures of interest included patient demographics, associated fractures, type of intervention, and complications. Results A total of 16 studies were included for meta‐analysis, consisting of 459 patients. The patients included in the analysis had a mean age of 30.6 years (95% CI: 26.9–34.3 years) with a male‐to‐female gender ratio of 2.7:1. Operative intervention, specifically open reduction and internal fixation (ORIF) (90.1%; 95: CI: 76.6–98.1%), was the most commonly performed management. Closed reduction has been reported for all three types. The most frequently reported complications included nasolacrimal duct obstruction (38.6%; 95% CI: 10.6–71.7%), postoperative epiphora (24.9%; 95% CI: 6.4–50.4%), and telecanthus (20.9%; 95% CI: 1.7–53.5%). Conclusions Surgical intervention can be considered for all NOE types. Despite surgical intervention, NOE fractures remain difficult to treat, and inadequate repair may result in complications. Laryngoscope, 135:991–999, 2025 Adult naso‐orbital‐ethmoid (NOE) fractures are estimated to account for 5% of all adult facial fractures without published consensus on management. Our findings showed that surgical intervention can be considered for all NOE fracture types. Despite surgical intervention, NOE fractures remain difficult to treat, and inadequate repair may result in complications.
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Details
- Title
- Outcomes of Surgical Repair of Adult Naso‐Orbital‐Ethmoid Fractures: A Systematic Review and Meta‐Analysis
- Creators
- Keith R. Conti - St. Luke's University Health NetworkAkash M. Bhat - Medical University of South CarolinaShaun A. Nguyen - Medical University of South CarolinaRhonda Rohloff - St. Luke's University Health NetworkJarrod A. Keeler - St. Luke's University Health Network
- Publication Details
- The Laryngoscope, v 135(3), pp 991-999
- Publisher
- Wiley
- Number of pages
- 9
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Otolaryngology (and Head and Neck Surgery)
- Web of Science ID
- WOS:001334848600001
- Scopus ID
- 2-s2.0-85206850835
- Other Identifier
- 991022197402304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Medicine, Research & Experimental
- Otorhinolaryngology