A retrospective clinical investigation for the effectiveness of closed reduction on nasal bone fracture
Kang Byung-Hun, Kang Hyo-Sun, 한정준, 정승곤, 박홍주, 오희균, 국민석,
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( Kang Byung-Hun ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
( Kang Hyo-Sun ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
한정준 ( Han Jeong-Joon ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
정승곤 ( Jung Seung-Gon ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
박홍주 ( Park Hong-Ju ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
오희균 ( Oh Hee-Kyun ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
국민석 ( Kook Min-Suk ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
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.
키워드
Nasal bone fracture; Etiology; Closed reduction; Complication
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