The Retrospective Study of Closed Reduction of Nasal Bone Fracture

Abstract

Purpose:This study was conducted in order to investigate the therapeutic effect of closed reduction according to a classification in patients with nasal bone fracture.Methods:The study was conducted retrospectively on 186 patients with a mean age of 38 years (range: 7 to 80 years). All patients were diagnosed by clinical and radiologic examination, and then classified according to Hwang’s classification by computed tomography. The patients were further classified by their age, gender, causes of fracture, operation timing after fracture, concurrent facial bone fracture, and complications. All patients underwent the same reduction and treatment protocol and were then followed up regularly for at least three months.Results:The cause of the fracture was slip down, and the highest prevalence was shown in the 20s. The mean operation timing after fracture was 4.1 days (range: 1 to 14 days), and it tended to be longer in the case of defected septal bone or more severe fracture. The most common concurrent facial bone fracture was orbital blow-out fracture, and zygomaticomaxillary complex and maxillary fracture occured frequently. The largest number of complications occurred in class III and IIBs patients, and the main complication was postoperative pain.Conclusion:Results of nasal bone closed reduction on the 186 patients showed that serious complications rarely occurred. Closed reduction is generally an effective treatment for nasal bone fracture. However, in the case of severe concurrent septal bone fracture or comminuted fracture with depression, open reduction should be considered. Further study with a larger number of patients and further classification is required.

Septal fractures predict poor outcomes after closed nasal reduction: Retrospective review and survey

“…This study represents one of the largest retrospective reviews on nasal bone fracture and closed nasal reduction outcomes, especially within the United States at a regional level 1 trauma center. 2,6,19,26 Other studies have similarly found assault to be the most common etiology of nasal bone fracture, especially in urban populations. 27,28 Of the patients who underwent CT evaluation, associated facial fractures tended to be in the midface region.…”

A Clinical Study on 299 Cases of Nasal Bone Fractures

“…Another study reported that the most common complication was postoperative pain. 18 Many patient satisfaction surveys have reported that 70 to 80% of the patients were satisfied; 1,4,26-29 however, satisfaction tended to be low in severe cases with nasal septum fracture. 28 Hwang et al 15 reported that it should be explained to the patient that nasal deformity and deviation and obstruction of the nasal septum are postoperatively observed in 10% of the cases of nasal bone fractures.…”

“…It is indicated that the coexisting facial bone fractures other than nasal septum fractures range from 5 to 15.7%; 1,4,5,15,17 blow-out fractures were most frequent, followed by cheekbone and maxillary bone fractures. 4,5,18 It appears that this is because the orbital wall and the cheekbone/maxilla are anatomically adjacent to the nasal bone. 5 Among our cases, 11.7% cases involved coexisting facial bone fractures.…”

Management of Fracture Nasal Bone by Closed Reduction in a Tertiary Care Hospital.

“…According to a study conducted by Han-Kyul Park, Jae-Yeol Lee et al, patients in their 20s accounted for the highest proportion, and those in their 40s to 50s accounted for the second highest proportion. [5].…”