Nasal and sinus trauma

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Developments and new aspects concerning frontal sinus and naso-orbito-ethmoidal fracture treatment are reviewed. Controversy concerning the management of frontal sinus fractures continues, and the optimal method of treatment has yet to be determined. Cranialization, obliteration, and functional reconstruction have all been advocated. For the treatment of naso-orbito-ethmoidal fractures, open reduction and rigid fixation are usually performed. Recently published methods for the reduction of traumatic telecanthus are discussed. The advantages of simultaneous repair of cerebrospinal fluid rhinorrhea associated with severe fronto-ethmoidal trauma using recently developed extracranial techniques are reviewed. Also, the problems of correcting posttraumatic deformities are mentioned.

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