The naso-orbito-ethmoidal or the NOE complex is an anatomically complicated bony structure on our face. If any damage or trauma is sustained by the naso-orbito-ethmoidal complex, its treatment and surgery pose a great challenge to the surgeons. The trauma to the naso-orbito-ethmoidal complex causes multiple problems including loss of aesthetics and loss of functions as well. When damage is inflicted upon the naso-orbito-ethmoidal complex, there are very high chances that there could be damage to the ocular structure and the brain also. The naso-orbito-ethmoidal complex separates the cranial cavity from the orbital and the nasal cavity. The nasal septum which is a part of the naso-orbito-ethmoidal complex acts as the separator.

Broadly, the bony part of the naso-orbito-ethmoidal complex can be understood to be made up of six bones; nasal, maxilla, frontal, ethmoid, sphenoid and lacrimal. The nasal septum forms a part of the bone structure of the naso-orbito-ethmoidal complex. The lateral nasal wall in the naso-orbito-ethmoidal complex houses the lacrimal system. The buttress (the most stable bones in the naso-orbito-ethmoidal complex) can be considered to be made up of two parts namely medial buttress and the horizontal buttress. The horizontal buttress is categorized into further two parts. The soft tissue in the naso-orbito-ethmoidal complex is known as the Medial canthal tendon. It acts as the lacrimal pump and enables the coordination of the eye and the eyelids. Apart from all these structures the naso-orbito-ethmoidal complex also consists of nerves and arteries.

Symptoms of the fracture in naso-orbito-ethmoidal complex:-

  • Septal hematoma
  • Double vision
  • Lacerations on the eyelids
  • Swelling of the face especially the nose and forehead
  • Deformity of the bridge of the nose
  • Leakage of cerebrospinal fluid which indicates severe damage to cranial cavity

Treatment and surgery of naso-orbito-ethmoidal complex:-

 The intricate and complicated design of the naso-orbito-ethmoidal complex is one of the top challenges that are faced by surgeons who perform the treatment and surgery of naso-orbito-ethmoidal complex. To ensure that the patient is given the best treatment, a thorough diagnosis is done on the naso-orbito-ethmoidal complex before the treatment begins. The diagnosis of the naso-orbito-ethmoidal complex is done by observing the physical signs and performing the imaging tests. The treatment plan which is made before the surgery is dependent upon the extent of injuries, the location of the injuries and the resultant displacement of bones. The treatment begins with imaging tests. One of the best tests that present an accurate picture of naso-orbito-ethmoidal fractures is a CT scan. The injuries and fractures sustained by naso-orbito-ethmoidal complex are divided into three categories.

The best approach for the treatment for the fracture of the naso-orbito-ethmoidal complex is the one which does not require big incisions. Facial scars are avoided by taking a coronal approach for the surgery and after the treatment of the naso-orbito-ethmoidal fractures, the resultant scars are negligible. But if the naso-orbito-ethmoidal fractures has affected the lower portion of the face just a coronal incision may not be enough for the correct treatment.

A big part of the treatment of the naso-orbito-ethmoidal complex is reconstructive surgery after the repair surgery has been completed. The reconstructive surgery is important for treatment of aesthetics and function of the face. Also, the naso-orbito-ethmoidal fractures may cause rupture of the orbital wall also. Orbital reconstruction surgery also should be performed for the best overall treatment of the naso-orbito-ethmoidal fractures. A naso-orbito-ethmoidal fracture should be repaired by a surgeon who is an expert in treatment and surgery of maxillofacial complex. The naso-orbito-ethmoidal structure forms a very prominent part of the facial structure. Improper treatment of the naso-orbito-ethmoidal complex can result in permanent loss of function and distortion of the face.

Treatment for naso-orbito-ethmoidal complex is performed in Mumbai by Dr. Debraj Shome. The Esthetic Clinics in Mumbai have regularly been applauded by various agencies in India. Because of him, in India, maxillofacial surgery has evolved by leaps and bounds. He is the top surgeon of India who has not only pioneered maxillofacial and reconstructive surgery, but also facial plastic surgery. Dr. Debraj Shome has his successful practice in Mumbai and is a revolutionary with best interests of his patients at his heart. Maxillofacial surgery and the treatment should be handled by the best only as there are very high chances of deformity accompanied with intolerable pain. Dr. Shome is known in Mumbai for the way he customizes treatment plan for every patients who travel from all over India just to get treatment from him in Mumbai. Dr. Shome has been at the top in his field for several years now and he is bound to stay at the top in the years to come. The reason behind is his dedication and perseverance which is driven by his aim to provide best treatment to all people of India. He has established several branches of The Esthetic Clinics in Mumbai so that more people of Mumbai and rest of India can take benefit from his treatment.

Dr. Debraj Shome is a researcher and innovator in addition to being the best facial plastic, oculoplastic and maxillofacial surgeon in India. He is on a constant lookout for top new technology and treatment techniques which he can bring to India and to his Mumbai clinics. He has made India proud by being one of the few doctors in India to have a US patent in his name. He has more than a decade of experience in surgery which shows in his work at his clinics in Mumbai. He is not just the best surgeon in India but also a surgeon with a compassionate approach towards his patients. His awards like the ‘Best plastic surgeon in India’ are a proof of his proficiency in his field but the testimonials of his patients from all over India are a proof of his concern towards people.

Naso-orbito-ethmoidal fractures treatment cannot be performed by any general surgeon in India. They have to be dealt by a specialist like Dr. Shome in Mumbai. In Mumbai he performs all kinds of treatments and surgeries including reconstructive surgery that should be done after naso-orbito-ethmoidal fractures. At his clinics in Mumbai, the lives of many people have been improved by his best treatment. So, in case you are looking for the top specialist in Mumbai, Dr. Shome could be the person you are looking for. In India and in Mumbai, there are only a few surgeons who are as qualified as him. He is creating wonders in the medical field in Mumbai.

About Dr. Debraj Shome

Dr. Debraj Shome- Facial Plastic Surgeon in Mumbai, India

Dr. Debraj Shome – Founder, The Esthetic Clinics, is a top facial plastic surgeon. Dr. Shome is currently a Consultant at the best Mumbai hospitals like Saifee Hospital, Breach Candy Hospital, Nanavati Hospital & Apollo Spectra Hospital in Mumbai, India. He has 40+ research papers in the best international journals, numerous presentations at conferences & many awards such as “Best Plastic Surgeon in Mumbai”, “Best Plastic Surgeon in India”, Best Cosmetic Surgeon in India”, “Best Cosmetic Surgeon in Mumbai”, “Breakthrough Innovator in Facial Plastic Surgery” etc. A celebrity plastic surgeon, Dr. Shome believes plastic, reconstructive & cosmetic face surgery can allow you to lead a more fulfilled life….Read more

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