Bone remodeling after conservative treatment of nasal bone fracture in pediatric patients

Kang, Won Ki; Han, Dong Gil; Kim, Sang Hoon; Lee, Yong Jig; Shim, Jeong Su

doi:10.7181/acfs.2020.00192

Cited by 8 publications

(9 citation statements)

References 10 publications

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“…X-ray imaging may not provide an exact examination of pediatric nasal bone fractures during the recovery period because nasal fractures that have not completely ossified may be inadequately determined. 16 Overall, the results of our study indicated that the number of nasal fracture cases decreased during the pandemic period compared to the 1-year period before the pandemic. We observed the most common fracture type to be the IIA nasal fracture.…”

Section: Discussionsupporting

confidence: 48%

Effects of the COVID-19 Pandemic on Pediatric Nasal Fractures

et al. 2021

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Objectives Nasal bone fracture is a frequent entity consulted to the otolaryngologists, approximately accounting for 39% of all facial bone fractures. The most frequent mechanisms of injury consist of assault, sport-related injuries, falls, and motor vehicle accidents. In this study, we examined the effects of the COVID-19 pandemic on pediatric nasal fractures. Methods Children with nasal fracture who applied to Malatya Training and Research Hospital during the year before the first case and the following year were included in this study. Data of 172 patients for the pre-pandemic period and 79 patients for pandemic were available and included in the study. Demographic information, clinical features, nasal fracture etiology, nasal fracture type, type and time of intervention, and other accompanying pathologies were recorded. Results While falls was the leading cause of fracture etiology before the pandemic (64 patients [37.21%]), assault seems to be the leading cause during the pandemic period (27 children [34.18%]). In the pre-pandemic period, the intervention for patients with nasal fractures was performed on an average of 5 days, while this period was calculated as an average of 6 days during the pandemic period. When the 2 groups are compared in terms of nasal fracture intervention time, it was seen that the intervention time was statistically significantly later in the pandemic period ( P < .001). According to the results of the analysis, the most cases in the pandemic period were seen in the fourth month, which indicated a-month period between 11 June and 11 July. Conclusions In conclusion, our number of nasal fracture cases was decreased during the pandemic period compared to the 1-year period before the pandemic. We observed the most common type IIA nasal fracture. We gave outpatient treatment to most of the patients. Our most common cause of fracture was assault. We intervened in our cases in an average of 6 days and preferred closed reduction most frequently. We could not find any study on the same subject in the literature, and we aimed to contribute to the literature with this study.

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Section: Discussionsupporting

confidence: 48%

Effects of the COVID-19 Pandemic on Pediatric Nasal Fractures

et al. 2021

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“…The follow-up results were favorable, without nasal skeletal asymmetry or irregularity. The other patients who received conservative treatment did not undergo follow-up CT examinations, and did not show any nasal deformity or discomfort at 1 month after the initial injury, and based on these results, favorable bone remodeling could be expected after long-term follow-up in minor adolescent nasal fractures, as in the pediatric nasal bone fracture [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical characteristics of adolescent nasal bone fractures

Kim

Han

Shim

et al. 2022

Arch Craniofac Surg

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Background: There have been many reports of nasal bone fractures in adults, but there are few clinical reports of them in adolescents, although adolescence is the main growth period of the nasal bone. In addition, previous studies have tended to classify and describe child and adolescent nasal fractures in the same category. The aim of this study was to identify the clinical aspects of nasal fractures in adolescents, and to evaluate the characteristics of nasal fractures in the growth period.Methods: Our institution’s database was reviewed to extract data on adolescent patients between the age of 13 to 18 who had isolated nasal bone fractures from March 2012 to February 2020. The study excluded patients with other facial fractures, previous facial fractures, or congenital deformities.Results: This study included 243 boys and 26 girls. Interpersonal violence and sports-related accidents accounted for 85 and 79 cases, respectively. There were 128 frontal impact injuries and 132 lateral impact injuries, and 97 patients had accompanying septal fractures. An accompanying septal fracture was present in 36.06% of all patients, but in 51.20% of those who underwent surgery.Conclusion: The prevalence of adolescent nasal fractures was significantly higher in boys, to a greater extent than observed for pediatric or adult fractures. The main causes of fractures were interpersonal violence and sports-related accidents. An explanation for these results is that adolescent boys are more prone to have violent accidents or companionship with active sports than other age or sex groups, leading to substantially more fractures.

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“…The outcome was considered excellent if there was no malalignment of the fracture segment, bony irregularity, or displacement, and good if there was mild malalignment of the fracture segment with one segment of bony irregularity or displacement. A fair outcome was defined as an irregular nasal pyramid with malalignment, bony irregularity, and displacement ( Table 1 ) [ 10 ].…”

Section: Methodsmentioning

confidence: 99%

Comparison of postoperative outcomes between early and delayed surgery for pediatric nasal fractures

Kang

Han

Kim

et al. 2021

Arch Craniofac Surg

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Background: Pediatric nasal fractures, unlike adult nasal fractures, are treated surgically as early as 7 days after the initial trauma. However, in some cases, a week or more elapses before surgery, and few studies have investigated the consequences of delayed surgery for pediatric nasal fractures. The purpose of this study was to evaluate the postoperative outcomes of pediatric nasal fractures according to the time interval between the initial trauma and surgery. Methods: The records of pediatric patients under 12 years old who underwent closed reduction of nasal bone fracture from March 2012 to February 2020 were reviewed. The interval between trauma and surgery was divided into within 7 days (early reduction) and more than 7 days (delayed reduction). Postoperative results were classified into five grades (excellent, good, moderate, poor, and very poor) based on the degree of reduction shown on computed tomography. Results: Ninety-eight patients were analyzed, of whom 51 underwent early reduction and 47 underwent delayed reduction. Forty-two (82.4%) of the 51 patients in the early reduction group showed excellent results, and nine (17.6%) showed good results. Thirty-nine (83.0%) of the 47 patients in the delayed reduction group showed excellent results and eight (17.0%) showed good results. No statistically significant difference in outcomes was found between the two groups (chi-square test p = 0.937). However, patients without septal injury were significantly more likely to have excellent postoperative outcomes (chi-square test p < 0.01). Conclusion:No statistically significant difference was found in the outcomes of pediatric nasal fractures between the early and delayed reduction groups. Successful surgical results were found even in patients who received delayed reduction (more than 7 days after trauma).

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Bone remodeling after conservative treatment of nasal bone fracture in pediatric patients

Cited by 8 publications

References 10 publications

Effects of the COVID-19 Pandemic on Pediatric Nasal Fractures

Effects of the COVID-19 Pandemic on Pediatric Nasal Fractures

Clinical characteristics of adolescent nasal bone fractures

Comparison of postoperative outcomes between early and delayed surgery for pediatric nasal fractures

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