A Clinical Study of the Nasal Bone Fracture: 1488 Cases Review.

Chang, Weon Chul; Choe, Joon; Jeong, Doo Seong

Original Article

Journal of Korean Cleft Palate-Craniofacial Association 2003;4(1):9-14.

Weon Chul Chang, Joon Choe, Doo Seong Jeong

Department of Plastic and Reconstructive Surgery, Paik Hospital, Inje University, Seoul, Korea. psrrs@hanmail.net

Abstract

Nose is the most prominent of part of the face and prone to traumas. Therefore posttraumatic deformities are easily seen and play a major effect on the personal impression. Result of clinical analysis of nasal bone fracture that gives general understands and advices of diagnosis and treatment of nasal bone fracture is presented with reports discussed. The author has performed radiologic evaluation, clinical study and statistical analysis in 1488 cases of nasal bone fracture treated in Department of Plastic and Reconstructive Surgery, Inje University Sanggye Paik hospital, from March, 1992 to February, 2002 Most of operation were performed on 5th-10th posttraumatic days(80.7%), and 1040 cases were treated with closed reduction using C-arm. We could obtain satisfactory results using C-arm. In satisfaction rate, 1296 cases(87%) had satisfactory results. The rate of dissatisfaction was high in the patients performed operation after 11th posttraumatic days and who had septal fracture. The author used C-arm during closed reduction of nasal bone fracture and verified the outcomes intraoperatively and were able to get more accurate reduction. With this method, we could obtain satisfactory results cosmetically and functionally. We should follow-up for longer time and we think that further research will be needed in treatment of nasal bone fracture

Keywords: Nasal bone fracture; C-arm; Retrospective study