A retrospective clinical trial on nasal bone fractures admitted to a level three emergency room

A retrospective clinical trial on nasal bone fractures admitted to a level three emergency room

Aim: The anatomical location and protruding structure of the nasal bone can easily lead to fracture as a result of trauma. The high incidence rates have emphasized that the causes, treatments, and complications of these fractures should be investigated. The purpose of this study is to investigate our treatment modalities and complications by reviewing the current information about suchfractures.Material and Methods: A total of 582 patients presented with nasal bone fractures between January 2014 and December 2019 were retrospectively analyzed. Examination findings, patient records, and radiological examinations of fractures were analyzed in detail.Results: The age of the patients was between 2 and 83 years (mean age: 33.9 ± 6.11 years). The study included 451 (77.5%) males and 131 (22.5%) females. The most common etiologic factor was assault (35.7%). The most common postoperative complications included deformity (53 patients; 9.1%), nasal congestion (41 patients; 7.1%), and smell disorders (5 patients; 0.9%), with thecomplications increased with the severity of fracture.Conclusion: Reduction procedures are successfully performed within the first 2 weeks following nasal fractures, and if there is a suspicion of causing deformity in patients under observation, necessary surgical interventions should be performed.

___

  • 1. Gassner R, Tuli T, Hachl O, et al. Cranio-maxillofacial trauma: a 10 year review of 9,543 cases with 21,067 injuries. J Craniomaxillofac Surg 2003;31:51-61.
  • 2. Kang BH, Kang HS, Han JJ, et al. A retrospective clinical investigation for the effectiveness of closed reduction on nasal bone fracture. Maxillofac Plast Reconstr Surg 2019;41:53.
  • 3. Ziccardi VB, Braidy H. Management of nasal fractures. Oral Maxillofac Surg Clin North Am 2009;21:203-8.
  • 4. Lee KH, Snape L, Steenberg LJ, et al. Comparison between interpersonal violence and motor vehicle accidents in the aetiology of maxillofacial fractures. ANZ J Surg. 2007;77:695-8.
  • 5. Higuera S, Lee EI, Cole P, et al. Stal S. Nasal trauma and the deviated nose. Plast Reconstr Surg 2007;120:64- 75.
  • 6. Hwang K, You SH, Kim SG, et al. Analysis of nasal bone fractures; a six-year study of 503 patients. J Craniofac Surg 2006;17:261-4.
  • 7. Fornazieri MA, Yamaguti HY, Moreira JH, et al. Fracture of nasal bones: an epidemiologic analysis. Int Arch Otorhinolaryngol 2008;12:498-501.
  • 8. Turvey TA. Midfacial fractures: a retrospective analysis of 593 cases. J Oral Surg 1977;35:887-91.
  • 9. Nishioka H, Kondoh S, Yuzuriha S. Convex bone deformity after closed reduction of nasal bone fracture. J Plast Reconstr Aesthet Surg 2018;71:85-9.
  • 10. Oh HK, Park YJ, Kim HS, et al. A recent 5-year retrospective study on nasal bone fracture. Journal of the Korean Association of Oral and Maxillofacial Surgeons 2008;34:230-6.
  • 11. Hwang K, Ki SJ, Ko SH. Etiology of Nasal Bone Fractures. J Craniofac Surg 2017;28:785-8.
  • 12. Rohrich RJ, Adams WP, Jr. Nasal fracture management: minimizing secondary nasal deformities. Plast Reconstr Surg 2000;106:266-73.
  • 13. Harrison DH. Nasal injuries: their pathogenesis and treatment. Br J Plast Surg 1979;32:57-64.
  • 14. Yoon HY, Han DG. Delayed Reduction of Nasal Bone Fractures. Arch Craniofac Surg 2016;17:51-5.
  • 15. Hwang K, Yeom SH, Hwang SH. Complications of Nasal Bone Fractures. J Craniofac Surg 2017;28:803-5.
  • 16. Wrobel BB, Leopold DA. Olfactory and sensory attributes of the nose. Otolaryngol Clin North Am 2005;38:1163-70.
Annals of Medical Research-Cover
  • Yayın Aralığı: 12
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

Evaluation of the demographic and clinical findings of pediatric patients that developed acute graft-versus-host disease after allogeneic hematopoietic stem cell

Yontem YAMAN, Mavise YÜKSEL, Murat ELLİ

Does tadalafil 5 mg/day affect lymphocyte to monocyte and monocyte to high-density lipoprotein ratios in patients with erectile dysfunction?

Mehmet Necmettin MERCİMEK, Yakup BOSTANCI, Engin KOLUKCU

Effects of Pelargonium sidoides (UMCA ®) on pulmonary contusion from blunt thoracic trauma in rats

Onur KARACA, Gul DOGAN, Ercan AYAZ, Güvenç DOGAN

Evaluation of poisoning cases applying to pediatric emergency service unit: Retrospective study

Ahmet GÜZELÇİÇEK

Morphometric MRI assessment of lumbar region in healthy individuals

Vedat AÇIK, Semih Kıvanç OLGUNER, Ali ARSLAN, Ismail ISTEMEN

Hygiene habits and infection risks of hairdressers and beauty salons employees during applications in different anatomic regions

Suna AYDIN, Hacer CEYLAN, Aziz AKSOY

Emergency service units in Turkey don't have enough resources to implement the one-hour sepsis bundle components and sepsis guidelines recommendations, 238 emergency department directors opinion

Gülseren ELAY, Behcet AL

Examination of the frequency of patients with pre-diagnosed allergic contact dermatitis attending dermatology outpatient clinics and evaluation of patch test results

Ömer KUTLU, Selami Aykut TEMİZ

A scale development study:The readiness to smoking cessation scale

Zeynep ERDOGAN, Mehmet Ali KURCER, Zeynep OZKAN

The relationship between residual SYNTAX score and neutrophil/lymphocyte ratio in ST segment elevation myocardial infarction patients

Ali DOGAN