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The purpose of this investigation was to assess the available literature regarding the treatment and outcomes of adult naso\u2010orbital\u2010ethmoid fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources<\/jats:title><jats:p>Cochrane Library, PubMed, Scopus, and CINAHL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Following PRISMA guidelines, databases were searched from inception through July 25, 2024 for studies pertaining to the treatment of NOE fractures. Measures of interest included patient demographics, associated fractures, type of intervention, and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 16 studies were included for meta\u2010analysis, consisting of 459 patients. The patients included in the analysis had a mean age of 30.6\u2009years (95% CI: 26.9\u201334.3\u2009years) with a male\u2010to\u2010female gender ratio of 2.7:1. Operative intervention, specifically open reduction and internal fixation (ORIF) (90.1%; 95: CI: 76.6\u201398.1%), was the most commonly performed management. Closed reduction has been reported for all three types. The most frequently reported complications included nasolacrimal duct obstruction (38.6%; 95% CI: 10.6\u201371.7%), postoperative epiphora (24.9%; 95% CI: 6.4\u201350.4%), and telecanthus (20.9%; 95% CI: 1.7\u201353.5%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Surgical intervention can be considered for all NOE types. Despite surgical intervention, NOE fractures remain difficult to treat, and inadequate repair may result in complications. <jats:italic>Laryngoscope<\/jats:italic>, 135:991\u2013999, 2025<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31805","type":"journal-article","created":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T12:13:47Z","timestamp":1729253627000},"page":"991-999","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Outcomes of Surgical Repair of Adult Naso\u2010Orbital\u2010Ethmoid Fractures: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"135","author":[{"given":"Keith R.","family":"Conti","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery St. Luke's University Health Network  Bethlehem Pennsylvania 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