As the diagnosis of nasal bone fracture is mostly clinical therefore imaging is rarely required and is cost restrictive.9,10 However in case of suspicious naso-orbito-ethmoid fracture computed tomography is necessary to rule out intracranial injuries and periorbital injuries.
In naso-orbito-ethmoid fracture plain nasal bone x-ray is least reliable and CT scan has to be done for continuous epistaxis or cerebrospinal fluid discharge from nose.
An open comminuted fracture or any of the above types with concomitant septal hematoma, cerebrospinal fluid rhinorrhea, airway obstruction, crush injury, severe displacement or associated naso-orbito-ethmoid
midface fractures are defined as type V fractures (16).
The 3D images were found to be inferior in the assessment of detection, extent and displacement of fractures in the naso-orbito-ethmoid
region when compared with coronal and axial images in most patients.
The mandible was the most common bone to be fractured, with 307 fractures (50.1%), followed by 116 fractures (18.9%) of zygomatic bone, 83 fractures (13.5%) of maxillary bone, 64 patients (10.5%) had panfacial trauma, 26 (4.3%) were having nasal fracture while Naso-orbito-ethmoid
fractures (NOE) were seen in 15 (2.4%) cases.
Nasotracheal intubation prohibits the midfacial degloving approach for LeFort II, LeFort III, nasoseptal, and naso-orbito-ethmoid
Type of Facial Bone Fracture: Naso-orbito-ethmoid
region noted to be the most common site of fracture (i.e.