Acil servise başvurmuş izole nazal fraktürlü hastaların analizi

Amaç: Bu çalışmanın amacı acil servise başvurmuş ve nazal fraktür nedeniyle nazal fraktür redüksiyon yapılmış hastaların etyolojik faktörlerinin kırık tipleriyle ilişkisini araştırmaktır. Gereç ve Yöntem: Biz bu çalışmada izole nazal fraktür nedeniyle nazal fraktür redüksiyonu uygulanmış 74 hasta değerlendirdik. Hastalar Stranc ve Robertson sınıflaması kullanılarak Frontal etki grubu tip 1 (FI), Frontal etki grubu tip 2 (FII), Lateral etki grubu tip 1 (LI), Lateral etki grubu tip 2 (LII), Parçalı kırık grubu (C) olmak üzere sınıflandırıldı. Bulgular: Hastaların yaş ortalaması 25,17 idi. En sık görülen kırık tipleri sırasıyla FI (n=20), LI (n=20), LII (n=17), C (n=12), FII (n=5) idi. En sık başvuru nedeni sırasıyla kavga (n=30), düşme (n=27), trafik kazası (n=8), spor olayları (n=6), iş kazası (n=3) idi. En sık iki ana semptom bulguları şişme (%70,2) ve epistaksis (%16,2) idi. Septal fraktür hastaların %24,3 ünde, septal hematom ise %35,13 ünde görüldü. Sonuç: Kavga olaylarında en sık LII tip kırık, düşme olaylarında en sık LI tip, trafik kazası ve iş kazalarında en sık C tip kırık görülmektedir. Genç hastalarda nazal fraktürün en sık nedeni kavgadır.

Anahtar Kelimeler:

nasal fracture, emergency, tomography

Analysis of Patients with Isolated Nasal Fracture Applied to Emergency Service

Objectives: The aim of this study is to investigate the relationship between etiologic factors and fracture types of patients underwent nasal fracture reduction due to nasal fracture and applied to emergency service. Material and Methods: In this study, we evaluated 74 patients who underwent nasal fracture reduction due to isolated nasal fracture. Patients were classified as two groups according to Stranc and Robertson classification: Frontal impact group type 1 (FI), Frontal impact group type 2 (FII), Lateral impact group type 1 (LI), Lateral impact group type 2 (LII), Communited fracture group (C). Results: The mean age of the patients was 25.17. The most common types of fractures were FI (n=20), LI (n=20), LII (n=17), C (n=12) and FII (n=5). The most common cause of injury was fights (n=30), falls (n=27), traffic accidents (n=8), sports events (n=6), and occupational accidents (n=3). The two most common symptom findings were swelling (70.2%) and epistaxis (16.2%). Septal fractures were seen in 24.3% of patients and septal hematomas in 35.13%. Conclusion: LII type fractures are the most commonly seen in fighting events, LI type is the most common type of fall events, and C type fractures are the most common in traffic accidents and occupational accidents. The fight is also the most common cause of nasal fractures in young patients.

Keywords:

nasal, fracture, emergency,

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