Surgical management of fnoe fracture associated with telescopic Le Fort I fracture

Abstract

Objective: Fronto-naso-orbito-ethmoidal (FNOE) fractures result from complex high-energy trauma. They represent a therapeutic challenge and require adequate surgical planning, especially when associated with other fractures, as they affect the function and aesthetics of the patient. This paper aims to describe the surgical management of a FNOE fracture associated with a Le Fort 1 fracture. Case Report: A male patient, a victim of a traffic accident, was admitted to the reference public service in CTBMF, being referred to the ICU for neurological surveillance due to the associated TBI. After stabilization of the general condition, the patient was released to undergo the surgical procedure by the CTBMF team. A facial tomography was requested, which showed an FNOE fracture associated with a Le Fort 1 fracture. The procedure was performed under general anesthesia and ventilation via OTI. After 01 year of follow-up, the patient evolved without sequelae of the trauma, both in the aesthetic and functional scope. Conclusion: Complex fractures of the face are challenging due to the need to maintain the transverse dimension of the face and the patient's occlusion. When performing an early diagnosis, associated with good surgical planning, the chances of the patient developing associated sequelae are minimized, thus presenting a good prognosis.