The Current Knowledge of the Treatment of Nasal Bone Fractures

Park, Chan Hum

Abstract

The external nose is the most prominent part of the face and, as such, is susceptible to injury. Such injuries occur most frequently concurrent with facial trauma. Nas al bone fracture patients are generally treated by nasal bone reduction before edema sets in after injury or between 5-10 days after injury for adults, and between 3-7 days after injury for infants. Nasal bone fractures are, in many cases, treated simply by closed reduction but the outcomes of such treatment are frequently unsatisfactory, causing distress to both patients and clinicians. In the present study, we analyzed 800 cases of patients who were treated for nasal bone fractures using a CT, and propose a new classification of types of nasal bone fracture. In this series, we were able to obtain good results by performing closed reduction together with active treatments such as septoplasty or rhinoplasty. Thus, in nasal bone fracture patients, more active treatment such as open reduction or septoplasty and rhinoplasty may lead to better results than those of early conservative treatment.