Everyday Oral Surgery NOE and Frontal Sinus Fracture Repair (with Dr. Harkaran Rana, Oculoplastic Surgeon)
Apr 28, 2025
AI Snips
Chapters
Transcript
Episode notes
NOE Anatomy And Central Role Of MCT
- The NOE complex includes nasal process of the frontal bone, frontal process of the maxilla, lacrimal and ethmoid components along the medial orbital wall.
- The medial canthal tendon is central to NOE fractures and guides classification and repair.
Assess Soft Tissue, MCT, And Globe First
- After stabilization, inspect swelling, lacerations, and the medial canthal region before planning surgery.
- Use the bowstring test and a focused eye exam to assess medial canthal mobility and globe function.
Use CT And Watch For CSF Leaks
- Always obtain non-contrast CT with 3D reconstructions to plan NOE and frontal sinus repair.
- Check for CSF leak signs and coordinate with ENT or neurosurgery if the anterior skull base is disrupted.