Arch Craniofac Surg.  2018 Jun;19(2):102-107. 10.7181/acfs.2018.00010.

Usefulness of indirect open reduction via a transconjunctival approach for the treatment of nasal bone fracture associated with orbital blowout fracture

• Kim TH
• Kang SJ
• Jeon SP
• Yun JY
• Sun H

• KMID: 2417792
• DOI: http://doi.org/10.7181/acfs.2018.00010

Abstract

BACKGROUND
Nasal fracture and orbital blowout fracture often occur concurrently in cases of midface blunt trauma. Generally, these multiple fractures treatment is surgery, and typically, the nasal bone and orbit are operated on separately. However, we have found that utilizing a transconjunctival approach in patients with concurrent nasal bone fracture and orbital blowout fracture is a useful method.
METHODS
The participants in the present study included 33 patients who visited the Plastic Surgery outpatient department between March 2014 and March 2017 and underwent surgery for nasal fracture and orbital blowout fracture. We assessed patients' and doctors' satisfaction with surgical outcomes after indirect open reduction via a transconjunctival approach for the treatment of nasal bone fracture with associated orbital blowout fracture.
RESULTS
According to the satisfaction scores, both patients and doctors were satisfied with transconjunctival approach.
CONCLUSION
We presented here that our method enables simultaneous operation of nasal fracture accompanied by orbital blowout fracture, rather than treating the two fractures separately, and it allows precise reduction of the nasal fracture by direct visualization of the fracture site without any additional incisions or difficult surgical techniques. Also, by preventing the use of excessive force during reduction, this method can minimize damage to the nasal mucosa, thereby reducing the incidence of nasal bleeding.

Keyword

Nasal bone; Orbital fractures; Facial bones

MeSH Terms

Epistaxis
Facial Bones
Fractures, Multiple
Humans
Incidence
Methods
Nasal Bone*
Nasal Mucosa
Orbit*
Orbital Fractures
Outpatients
Surgery, Plastic