J Korean Soc Plast Reconstr Surg Search

CLOSE


Journal of the Korean Society of Plastic and Reconstructive Surgeons 2008;35(5):589-596.
Published online September 1, 2008.
Simultaneous Rhinoplasty with Fracture Reduction in Nasal Bone Fracture.
Na Yeon Kim, Soo Hyang Lee, Hyun Gon Choi, Soon Heum Kim, Dong Hyeok Shin, Ki Il Uhm
Department of Plastic and Reconstructive Surgery, School of Medicine, Konkuk University, Seoul, Korea. sdhplastic@kuh.ac.kr
Abstract
PURPOSE
The nasal bone fracture is most common fracture in facial bone injuries. Regardless of the severity or type of fracture, closed reduction has traditionally been the common method of treatment. However, through detailed pre-operative evaluation, we found out that many patients consider rhinoplasty prior to trauma due to aesthetic desire or nasal deformity with or without septal deviation. In treatment of nasal bone fracture, we focused not only on the fracture management but also on the patients' desire prior to trauma, and we made additional operation according to patients' desire with fracture reduction and gained rewarding outcomes. METHODS: From March 2005 to June 2007, total 263 patients were treated for nasal bone fracture. Among these patients, 57 patients (21%) had the additional operation with nasal fracture reduction. The additional operations were categorized in three types: augmentation rhinoplasty with tip plasty (40%), septoplasty only (16%), corrective rhinoplasty (44%). The mean follow-up period was 5.6 months and results were evaluated by scoring.
RESULTS
Forty four of 57 patients (77%) were highly satisfied regardless of any additional operation kinds. The complications were one septal perforation, two displacement of implant and four remnant nasal deformities. For the septal perforation, no further management was performed because we lost the contact with the patient. Then 4 of the other complicated patients were revised.
CONCLUSION
In general, many physicians tend to consider nasal fracture as a simple trauma. However through the strict history taking, physical examination and professional counseling, we could catch the patient's cosmetic desire and get the eyes on new concept: the nasal fracture is not only a trauma but a cosmetic and functional field. In the treatment of nasal bone fracture, if additional rhinoplasty is performed, patients will be more satisfied and we also can expect higher profits.
Keywords: Nasal bone fracture; Rhinoplasty
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 164 View
  • 0 Download

Primary Septoplasty in the Treatment of Nasal Bone Fractures.2009 January;36(1)

A Clinical Study of Nasal Synechiae Causing by Closed Reduction for Nasal Bone Fractures.2009 March;36(2)

The Effect of Nasal Packing with Rolled Silastic Sheet after Closed Reduction of Nasal Bone Fracture.2011 September;38(5)

Simultaneous Reduction of Contralateral Malar Complex in Cases of Unilateral Zygoma Bone Fracture.2011 November;38(6)

Ultrasound-Guided Closed Reduction of Nasal Bone Fracture.2007 July;34(4)



ABOUT
ARTICLE & SPECIALITY
Article category

Browse all articles >

Speciality

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-2003, Lotte Castle President, 109, Mapodaero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-3472-8252    Fax: +82-2-3472-4254    E-mail: apsedit@gmail.com                

Copyright © 2019 by Korean Society of Plastic and Reconstructive Surgeons. All rights reserved.

Developed in M2community

Close layer
prev next