Trend analysis of nasal bone fracture

Abstract

BackgroundNasal bone fractures occur frequently because the nasal bone is located at the forefront of the face. The goal of this study was to examine the cause, change in severity, change in incidence, and demographics of nasal bone fracture according to today’s lifestyle.MethodsA total of 2,092 patients diagnosed as having nasal bone fractures at our department between 2002 and 2017 were included in this study. We retrospectively examined patients’ medical records to extract information regarding age, sex, cause of injury, combined facial bone fractures, and related injuries such as skull base fracture, spinal cord injury, brain hemorrhage, and other bone fractures. Fracture severity was classified by nasal bone fracture type.ResultsNo statistically significant difference was found in annual number of patients treated for nasal bone fracture. The proportion of patients who underwent closed reduction was significantly decreased over time for those with nasal bone fractures caused by traffic accidents. However, it was not significantly changed for those with nasal bone fractures due to other causes. The number of patients with combined facial bone fractures increased over time. Incidences of severe nasal bone fracture also increased over time.ConclusionThe study suggested that there is a decrease in the frequency and increase in the severity of nasal bone fracture due to traffic accident. Many protective devices prevent nasal bone fractures caused by a small amount of external force; however, these devices are not effective against higher amounts of external force. This study highlights the importance of preoperative thorough evaluation to manage patients with nasal bone fractures due to traffic accident.

Effectiveness of Closed Reduction in the treatment of nasal bone fractures

“…Rhinoplasty is needed to correct these irregularities which will increase the cost of the patient and needs open surgical procedure. 1,9 With a successful initial reduction of the deformity, post op complication can be avoided.…”

Quality of life of patients with nasal bone fracture after closed reduction

“…Closed reduction is the standard surgical method for nasal bone fractures [1][2][3][4], which are the most common fracture of the facial bones. Kaukola et al [7] evaluated the quality of life of patients undergoing reduction due to zygomatic fractures and investigated the symptoms of patients who continued to complain of discomfort even months after surgery.…”

“…Nasal bone fractures, which are the most common type of facial bone fractures [1][2][3][4][5], often result in structural or functional complications. Surgical results vary depending on the type of nasal bone fracture and/or the presence of septal fracture or deviation, even after surgery.…”

Nasal Fractures: The Role of Primary Reduction and Secondary Revision

“…Common causes include assault, fall, and traffic accidents. 7 Previous studies showed that in 46.9% of nasal bone fractures have concomitant septal fracture. 8 The senior author (Y. D.) previously described three types of septal fracture patterns including isolated cartilaginous, single fracture through the osseocartilaginous junction, and multiple fractures at any location occurring at progressively higher amounts of force.…”

“…Of 45 patients who underwent open rhinoplasty within 4 weeks of fracture, spreader grafts and extracorporeal septoplasty were used predominantly in different fracture patterns, with a revision rate of 4.4%. 7 Proponents of acute septorhinoplasty approach stress that direct visualization of the nasal bones allows for more accurate reduction. In the Asian population, patients may request dorsal augmentation concurrently, and this can be addressed safely at the time of nasal fracture reduction per Kim et al 34 Challenges include fibrosis and difficult dissection of fractured nasal bone segments.…”