What is the primary surgical method for stabilizing a Type III NOE fracture?

For a Type III naso-orbital-ethmoid (NOE) fracture, transnasal wiring of the canthus is recognized as the primary surgical method for stabilization. This approach effectively addresses the disruption of both the medial canthal ligaments and the surrounding structures involved in the fracture.

Transnasal wiring utilizes a technique that provides optimal stability to the bony fragments and restores the anatomical position of the nose and the medial canthus of the eye. By re-establishing the integrity of the medial canthal region, this method also aids in restoring optimal ocular function and alignment, which can be compromised in severe NOE fractures.

Other options, while they may have therapeutic applications in different contexts or fracture types, do not serve as the primary method for Type III NOE fracture stabilization. For instance, external fixation is more commonly associated with managing complex maxillofacial trauma or fractures involving major displacement, whereas intranasal stabilization and endoscopic repair are less direct in achieving the necessary structural support and alignment critical for Type III NOE fractures. These alternatives may be useful in specific scenarios or adjunctive techniques but fall short of the effectiveness offered by transnasal wiring in this particular context.