Maxillofac Plast Reconstr Surg.  2019 ;41(1):53. 10.1186/s40902-019-0236-y.

A retrospective clinical investigation for the effectiveness of closed reduction on nasal bone fracture

• Kang BH
• Kang HS
• Han JJ
• Jung S
• Park HJ
• Oh HK
• Kook MS

• KMID: 2469000
• DOI: http://doi.org/10.1186/s40902-019-0236-y

Abstract

BACKGROUND
The nasal bone is the most protruding bony structure of the facial bones. Nasal bone fracture is the most common facial bone fracture. The high rate of incidence of nasal bone fracture emphasizes the need for systematical investigation of epidemiology, surgical techniques, and complications after surgery. The objective of this study is to investigate the current trends in the treatment of nasal bone fractures and the effectiveness of closed reduction depending on the severity of the nasal bone fracture.
PATIENTS AND METHODS
A total of 179 patients with a nasal bone fracture from 2009 to 2017 were enrolled. Their clinical examination, patient's records, and radiographic images of nasal bone fractures were evaluated.
RESULTS
Patients ranged from children to elderly. There were 156 (87.2%) males and 23 (12.8%) females. Traffic accident (36.9%) was the most common cause of nasal fracture. Orbit fracture (44 patients, 24.6%) was the most common fracture associated with a nasal bone fracture. Complications after surgery included postoperative deformity in 20 (11.2%) patients, nasal obstruction in 11 (6.1%) patients, and olfactory disturbances in 2 (1.1%) patients and patients with more severe nasal bone fractures had higher rates of these complications.
CONCLUSION
Closed reduction could be performed successfully within 2 weeks after injury.

Keyword

Nasal bone fracture; Etiology; Closed reduction; Complication

MeSH Terms

Accidents, Traffic
Aged
Child
Congenital Abnormalities
Epidemiology
Facial Bones
Female
Humans
Incidence
Male
Nasal Bone*
Nasal Obstruction
Orbit
Retrospective Studies*