Management of Nasal Fractures

Renner, Gregory J.

doi:10.1016/s0030-6665(20)31175-0

Cited by 73 publications

(22 citation statements)

References 11 publications

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“…Even though temporary correction of immediate deformities is feasible through closed reduction, it is difficult to maintain the immediate postoperative state until the fractured nasal pyramid is completely healed. In such cases, more invasive methods are required to obtain desirable results [ 2 , 3 ].…”

Section: Discussionmentioning

confidence: 99%

Absorbable Plate as a Perpendicular Strut for Acute Saddle Nose Deformities

et al. 2012

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BackgroundNasal pyramid fractures accompanied by saddle nose deformities are not easily corrected by closed reduction. We used an absorbable plate as a perpendicular strut to support the collapsed "keystone area" and obtained good results.MethodsBetween September 2008 and June 2011, 18 patients who had nasal pyramid fractures with saddle nose deformities underwent surgery. Pre- and postoperative facial computed tomographic images and photographs were taken to estimate outcomes. The operative technique included the mucoperichondrial dissection of the nasal septum, insertion of an absorbable plate prepared to an appropriate length to support the "keystone area", and fixation of the absorbable plate strut to the cartilaginous septum.ResultsFunctional and esthetic outcomes were satisfactory in all patients. Eleven patients assessed the postoperative appearance of the external nose as 'markedly improved' and 7 patients as 'improved'. The 5 surgeons scored the results as a mean of 4.5 on a 5-point scale.ConclusionsThe use of an absorbable plate as a perpendicular strut requires no additional procedures because the plate is gradually absorbed. The mechanical strength provided by a buttress between the "keystone area" and the maxillary crest lasts for a long time before the strut is absorbed.

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Section: Discussionmentioning

confidence: 99%

Absorbable Plate as a Perpendicular Strut for Acute Saddle Nose Deformities

et al. 2012

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“…Renner suggested closed reduction with intranasal packing for the simple septal injury in which the distal portion of the cartilaginous septum is alone involved. 13 Pollock stressed the surgeon having a low threshold for open reduction of the nasal septum specifically in those patients suffering from a moderate to severe septal injury. 6 The complexity regarding management stems from variations of the nasal septum and the fact that there may be unseen septal injury.…”

Section: Discussionmentioning

confidence: 99%

Fracture patterns of the nasal septum

Lee

Inman

Callahan

et al. 2010

Otolaryngol.--head neck surg.

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“…2 Numerous studies estimate that nasal fractures and nasal trauma comprise approximately 50% to 60% of all facial trauma. 2-4 In the vast majority of cases, external nasal splints are routinely used as part of the postprocedural care in patients who undergo rhinoplasty and nasal fracture reduction procedures. 3,5-12…”

Section: Introductionmentioning

confidence: 99%

A Novel External Nasal Splint

2018

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Every year, hundreds of thousands of individuals suffer from nasal bone fractures, and in 2016, more than 780 000 rhinoplasty surgeries were performed globally. As part of the comprehensive care for these patients, external nasal splints are routinely used during the healing process. Nasal splints stabilize the bony and cartilaginous nasal framework and provide compression to the nose, thereby reducing nasal edema and hastening recovery. In this article, we present a novel external nasal splint that addresses some of the shortcomings of other commercially available nasal splints.

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Management of Nasal Fractures

Cited by 73 publications

References 11 publications

Absorbable Plate as a Perpendicular Strut for Acute Saddle Nose Deformities

Absorbable Plate as a Perpendicular Strut for Acute Saddle Nose Deformities

Fracture patterns of the nasal septum

A Novel External Nasal Splint

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