External Fixation for Inappropriate Closed Reduction of Nasal Bone Fracture.

Min, Wan Kee; Seo, Dong Wan; Lee, Sung Jun; Hong, Joon Pio; Chung, Yoon Kyu; Bong, Jeong Pyo; Kim, Sug Won

Original Article

Journal of Korean Cleft Palate-Craniofacial Association 2001;2(2):134-138.

Wan Kee Min, Dong Wan Seo, Sung Jun Lee, Joon Pio Hong, Yoon Kyu Chung, Jeong Pyo Bong, Sug Won Kim

¹Department of Plastic and Reconstructive Surgery, Wonju College of Medicine, Yonsei University, Seoul, Korea. skim@wunju.yonsei.ac.kr
²Department of Otorhinolaryngology, Wonju College of Medicine, Yonsei University, Seoul, Korea.

Abstract

Nasal bone fracture is the most common fracture among facial fractures. The nasal bone fracture has a very complex and infinitive variety but often is undermanaged only by closed reduction. The prognosis and outcome after operation had been reported by many surgeons and it's result is dependant upon many factors such as etiology, experience of surgeons, type of anesthesia and maintenance of fixation after surgery. In our study, we have grouped our fractures as favorable and unfavorable fractures. Favorable fractures are simple fractures that are easily reduced by closed reduction, whereas unfavorable fractures were fractures that remain unstable after reduction. In our opinion, the method of reduction and fixation after reduction plays an important role in unfavdrable fracture. We applied a new method of external fixation for unfavorable fractures After closed reduction to gain optimal reduction and maintenance.

Keywords: Nasal bone fracture; External fixation