A Study of Nasal Fracture Healing

Facial Trauma Affects the Radiological Diagnosis of Nasal Bone Fractures

“…2). 12 The presence of concomitant facial bone fractures significantly increases the likelihood of interpretation discrepancies. Nasal bones' intricate connections to adjacent facial bones mean that fractures in other facial regions can displace nasal bones, creating misleading appearances of torsion and angulation.…”

Nasal Fractures: The Taming of the Shrewd

“… 10,11 In my hands, although it is possible to predict the closed reductions that will definitely fail, I am unable to predict those closed reductions that will definitely succeed despite the patient having a straight nose on the operating table. Various factors have been apportioned blame for this, including failure to recognize a deviated septum, 12 dislocated upper lateral cartilages, 14 early scarring, a preexisting deformity, and unknown causes 5,8,14,23,25–28 . Even after correction of the nasal septum, a certain proportion of noses still remain deviated.…”

“…Several authors favor early surgery. 5,8,14,23,25–28 In some instances, circumstances beyond our control prohibit early intervention, although this would be ideal. However, because a full septorhinoplasty operation was contemplated in this protocol, a longer time interval assumes lesser importance.…”

“…In summary, early full septorhinoplasty correction is indicated because the results of closed reduction are poor, and most patients are usually unwilling to undergo a second operation. The esthetic results are better and easier to achieve if the full correction is performed early, before significant scarring has taken place 5,8,14,23,25–28 (Figs. 5–8).…”