Aim and objective : The aim of this presentation is to assess the results of the primary intervention of fractures of the nasoethmoid complex which can pose a challenge to the treating clinician and inadequate treatment can result in secondary deformities which is even more difficult to treat.

Methods : This is a retrospective study of 22 patients with comminuted fractures of the nasoethmoid who reported to a tertiary care trauma centre. The patients were grouped as per Markowitz’s classification and the treatment included from reduction, transnasal wiring, ORIF and bone grafting. The patients were followed up at the end of 6 months with regard to nasofrontal angle, nasal prominence and intercanthal width.

Results and conclusion : Patients with closed reduction tended to have decreased nasal prominence and 10% increase in intercanthal width while the patients while the patients with ORIF had no residual deformities. The patients who had bone grafting done had a more obtuse frontonasal angle. In conclusion the patients who received ORIF tended to have better results with minimal secondary deformities.