An Asian perspective on improving outcomes for nasal bone fractures by establishing specific treatment options.
Clin Otolaryngol 2016;
42:46-52. [PMID:
27086767 DOI:
10.1111/coa.12660]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/11/2016] [Indexed: 11/30/2022]
Abstract
OBJECTIVE
To report treatment outcomes of patients with different types of nasal bone fracture, following a tailored treatment protocol.
DESIGN
The patterns and the severity of the fractures were determined by a preoperative facial photo and nasal bone computed tomography (CT) retrospectively.
SETTING
A tertiary referral centre.
PARTICIPANTS
We evaluated 129 patients who underwent surgery between March 2002 and January 2014. Patients were subjected to five different treatment methods depending on the severity of injury.
MAIN OUTCOME MEASURES
Medical records were reviewed to assess rates of complications and revision surgery. Cosmetic and functional (the degree of nasal obstruction) outcomes were measured using the Likert scale from 1 (very dissatisfied, severe obstruction) to 5 (very satisfied, no obstruction).
RESULTS
The mean elapsed time from injury to surgery was 14.9 days. The overall treatment failure rate, defined as a deformity that required revision, was 6.2%. The patient satisfaction scores for aesthetic and functional outcomes were 3.9 and 4.6 respectively.
CONCLUSION
The prudent selection of patients with indication for closed reduction, and further specification of variable treatment options for the various degrees of nasal bone fracture, may be helpful in achieving an improved treatment outcome.
LEVEL OF EVIDENCE
level IV.
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