Nasal y la región frontal, hematoma periorbitario bilateral, hiposfagma del ojo derecho El examen físico reveló edema y lesión contundente en el dorso El paciente D.R.S., mujer, 13 años, leucoderma, asistió al servicio deĮmergencia del Hospital de Proveedores de Caña de Azúcar de Piracicaba quejándoseĭe dolor en la región frontal-nasal y dificultad para respirar después de un traumatismoĮn la cara con un palo. Mediante hallazgos clínicos y de imagen es de suma importancia para la planificación Se fractura, puede provocar una lesión estética-funcional significativa. RESUMEN: La región etmoidal nasoorbital está compuesta de huesos delicados y, cuando In cases of complex nasoorbito-ethmoidal fractures early diagnosisĪnd treatment is essential to minimize sequelae and provide a better aesthetic and Currently the patient is in a state of observation and a follow-up In a second momentĪnother surgical intervention was done to reduce this wall and an internal containmentĭevice was installed. Was still a slight sinking of the left lateral wall of the nose. Postoperative computed tomography analysis showed good graft positioning, but there The fracture and the graft were fixed with plates of 1,6mm. The fracture traces were exposedįrom coronal access, reduction of fractures and use of calvarial bone graft for nasalĭorsum reconstruction. The procedure was osteosynthesis of theįractures and reconstruction of the nasal dorsum. When analyzing the computed tomography, it was observed fracture of the nasal bones,Īlso affecting the medial wall of the orbit. Region, bilateral periorbital hematoma, hyposphagma in right eye and traumatic telecanthus. Showed edema and short blunt injury in the region of the nasal dorsum and frontal Patientĭ.R.S., female, 13 years old, attended the emergency department of Hospital dos Fornecedoresĭe Cana de Piracicaba (HFCP) - SP with complaint of pain in the fronto-nasal regionĪnd respiratory distress after trauma in face of baseball bat. This studyĪims to report a case of type III fracture of the naso-orbito-ethmoidal region. Diagnosis throughĬlinical and imaging findings is extremely important for surgical planning. ABSTRACT: The naso-orbito-ethmoidal region is composed of delicate bones and whenįractured may result in significant aesthetic-functional impairment.