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Journal of the Korean Society of Plastic and Reconstructive Surgeons 2011;38(6):775-782.
Published online November 1, 2011.
Clinical and Statistical Analysis in 452 Cases of Nasal Bone Fracture Patients.
Jae Hoon Kang, Yoo Hyun Bang, Yong Hae Lee, Chang Yong Choi
1Department of Plastic and Reconstructive Surgery, Konyang University Hospital, Daejeon, Korea. yoohyunbang@hanmail.net
2Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Kyunsangbuk-do, Korea.
Nasal bone fracture is most common facial bone fracture. The cause of fractures is mainly trauma such as fighting, automobile accident and fall down, and it commonly involves young males. Very frequently nasal bone fractures are associated with other facial injuries such as orbital bone fracture, maxillary bone fracture and nasal septal deformities. Because of various dynamic directions of power are involved, phenomenon of fractures are also various and treatment cannot be simple. METHODS: We studied and analyzed retrospectively 452 cases nasal bone fractures from January 2008 to December 2010. Diagnosis were made with physical examination, Nasal bone X-rays, Facial bone CT and 3D facial bone CT. Four surgeons are involved in treatments of these patients and applied different procedure along patient's condition and deformity. We analyzed the cause of nasal bone fractures, deformities, associate injuries and applied surgical technique, and patient's satisfaction rate. In this study, old nasal bone fractures were excluded.
Young male group was most commonly sustained nasal bone fracture and physical violence was most common cause of injury. 64 of 452 patient was involved associate injuries of face. Closed reduction were applied 246 cases and C-arm quide reduction were 167 cases and in 20 cases lateral osteotomy were applied. Approximately, more than 80% of the Patients were satisfied with the outcomes.
Diagnosis and treatment of nasal bone fractures are considered simple but because of various deformity and associate injuries, treatment is not always simple and universal. Time to time, we face unsatisfied patient after treatment of nasal bone fractures. For obtaining satisfactory result, cause of injury and state of deformities and associate injuries such as nasal septal deformity should be evaluated properly and proper treatment should be applied.
Keywords: Nasal bone fracture; Lateral osteotomy
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