Naso-orbital reduction and osteosynthesis
Facial skeleton restoration surgery involving nose and eye socket fractures.
Naso-orbital fractures involve damage to multiple anatomical structures, including nasal bones, eye sockets, and the cheekbones. Such fractures result from significant impacts, such as car accidents, falls from great heights, or blows during sports. A minor displacement of the fragments can result in impaired vision and facial expressions.
Patients sustaining such injuries typically experience functional impairments in addition to significant cosmetic defects, including eyeball drooping and facial asymmetry. Reduction and osteosynthesis help restore the anatomical form and function of the facial skeleton. The procedure involves precisely aligning and securing the fragments using titanium plates.
Prior to the procedure, the patient will undergo a CT or X-ray scan of the head, as well as a thorough medical examination. This will include general and biochemical blood tests, a coagulogram, infection tests, urinalysis, an ECG, and fluorography. The patient is also required to consult with an ophthalmologist, otolaryngologist, general practitioner, and anesthesiologist.
The surgery is performed under general anesthesia. The surgeon will then reposition the bone fragments and fix them with miniplates and screws, either through external or intraoral access. In cases where the walls of the eye socket are damaged and cannot be accurately repositioned, bone transplantation using an autograft (from the patient's own parietal or iliac bone, for example) is a treatment option. All stages of the intervention are performed under visual control to ensure accurate anatomical reconstruction. Depending on the extent of the surgery, the patient typically remains in the hospital for 5-7 days.
We use advanced surgical and endoscopic equipment, titanium miniplates and screws.
The patient remains under observation in the hospital after the surgery. In the first few days there may be swelling and slight soreness, which are managed with medication. The patient is advised to keep bed rest, limit facial expressions and chewing loads. During 4-6 weeks it is necessary to avoid physical activity, overheating, hypothermia and sunlight exposure. Complete healing usually takes 1.5-2 months.
Benefits
Anatomic precision
Helps restore natural facial contours and avoid complications.
Functional restoration
Eliminates visual, breathing and facial muscle dysfunction.
Minimal trauma
Microincisions and endoscopic techniques reduce the risk of complications.
Individual planning
Preoperative imaging increases the accuracy of the intervention.
Frequently Asked Questions
Is surgery possible without bone transplant?
How visible will the scars be?
When can I return to my usual activities?
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Врачи
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Maxillofacial surgeon. Candidate of Medical Sciences.
Similar referral activities
Post-traumatic facial deformities treatment
Surgical restoration of facial bones and soft tissues after trauma to restore function and appearance.
Maxillofacial purulent inflammations diagnostics and dissection
Surgical treatment of abscesses, phlegmons, and other acute inflammations with drainage and sanitation.
Facial and neck surgical wound treatment
Primary surgical treatment and soft tissue plasty aimed at preventing complications and accelerating healing.
Cheekbone reduction and osteosynthesis
Surgical restoration of the zygomatic bone using titanium plates to fix the fragments.
Lower jaw osteosynthesis
A surgical procedure designed to repair broken bones in cases of mandibular fractures.
How to reach
How to get
From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.
Travel time
9 minutes
Landmark
Olympus Clinic MARS sign
How to get
From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS
Travel time
11 minutes
Landmark
Olympus Clinic MARS sign
From the metro station "Tsvetnoy Bulvar"
1 exit to the city, then left to the Garden Ring, at the crossing to the right, crossing the boulevard, one more crossing and at the traffic light to the left. The Olymp Clinic building is located overlooking the Garden Ring to the right of the crossing. Travel time is approximately 9 minutes. Landmark - sign Olymp Clini
From the metro station "Sukharevskaya"
Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic
Parking lot map
Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic
From Sokol metro station
The last car from the center: follow the signs for Exit 5. From the glass doors to the right and go to the end of the passage. Exit to the city by the steps to the left. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn right (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.
Travel time
10-12 minutes
From the Airport metro station
The first car from the center: follow the Exit 2-3 signs. Turn left out of the glass doors and walk to the end of the passage. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn left (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.
Travel time
12-15 minutes
How to get
Entry to the territory is prohibited, but there are free city parking lots around the Triumph Palace residential complex, where you can easily find a place for your car. Free parking area:
How to get
From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.
Travel time
9 minutes
Landmark
Olympus Clinic MARS sign
How to get
From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS
Travel time
11 minutes
Landmark
Olympus Clinic MARS sign