Efficacy of closed reduction for nasal fractures in children

Yılmaz, Mahmut Sinan; Güven, Mehmet; Kayabaşoğlu, Gürkan; Varlı, Ali Fuat

doi:10.1016/j.bjoms.2013.07.008

Cited by 20 publications

(13 citation statements)

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“…12,16 Type I nasal bone fractures were the commonest in our study as against type II fractures in the above-mentioned studies. The disparity may be due to the fact that our study was a descriptive one, whereas the abovesaid studies were retrospective and the study population was on patients who required hospitalization and intervention.…”

Section: Discussionmentioning

confidence: 46%

Patterns of Maxillofacial Fractures in Road Traffic Crashes in an Indian Rural Tertiary Center

Jayaraju¹,

Sagayaraj²,

Reddy³

et al. 2014

Panamerican Journal of Trauma, Critical Care &Amp; Emergency Surgery

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Background and objectives: Road traffic crashes are reported to be the leading cause of maxillofacial fractures in developing countries. The large variability in reported incidence and etiology is due to a variety of contributing factors, including environmental, cultural and socioeconomic factors. The study aims at describing the patterns of maxillofacial fractures in road traffic crashes by clinical and radiological methods and to study the complications associated with these fractures. Materials and methods:The study included 100 road traffic crash patients with maxillofacial injuries. Patients were evaluated for any maxillofacial fracture by clinical assessment and, radiologically, using plain radiographs and computed tomography scan. Results:Midfacial skeleton was more prone to fractures. Isolated fractures of the maxilla was the commonest (58%) followed by nasal bone fractures (43%). Among the complex fractures, Le Fort type II was the commonest. Mandibular fractures were seen in 33% of the patients, parasymphysis being the commonest site. Majority of the patients had associated soft tissue injuries. The incidence of complications associated with maxillofacial fractures was 11%, malocclusion being the commonest. Conclusion:Maxillofacial fractures are commoner in the mobile population in the most productive age group, more so in two wheeler riders causing significant morbidity and mortality. Midface region is more prone to fractures and is most of the time associated with complications.

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Section: Discussionmentioning

confidence: 46%

Patterns of Maxillofacial Fractures in Road Traffic Crashes in an Indian Rural Tertiary Center

Jayaraju¹,

Sagayaraj²,

Reddy³

et al. 2014

Panamerican Journal of Trauma, Critical Care &Amp; Emergency Surgery

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“…Most of the physicians use the splint for a maximum of 2 weeks, but bone healing and stability take much longer. 17–19 Therefore, splints are removed before stability is gained. In addition, a misplaced, bulky external splint can alter the cosmetic result, which can become unpredictable.…”

Section: Discussionmentioning

confidence: 99%

Rhinoplasty and External Nasal Splinting: Is It Really a Must?

Challita

Shouman²,

Ghanime

2019

Plastic and Reconstructive Surgery - Global Open

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Background:Rhinoplasty is a common and challenging procedure. Lateral osteotomy is routinely performed in most cases. Most of the surgeons have the habit of applying external nasal splints to stabilize the nasal tissues and bone in their new position postrhinoplasty. These splints are widely used despite the absence of any evidence supporting this practice. Moreover, these splints have a lot of disadvantages, so we conducted this study to evaluate the cosmetic result in their absence.Patients and Methods:A retrospective cross-sectional study was performed. Medical records of 211 patients operated on for rhinoplasty by the same surgeon from 2015 to 2017 were reviewed. All patients were operated using open technique. After surgery, a Steri-Strips dressing with an overlying layer of surgical tape was applied to the nose without the use of an external nasal splint. Most of the patients were followed up for 18 months. Complication rates, revision rates, and nasal bone widths were recorded.Results:Complication rates and revision rates were as follows: skin infection 0.99%, skin necrosis 0.99%, and secondary revision 3.48%. Finally 79.60% of patients had a decrease in their nasal bone width postsurgery.Conclusion:Based on the present study, external nasal splinting postrhinoplasty should not be routinely used. Satisfactory cosmetic results can be obtained while avoiding the complications, cost, and bulky dressings associated with external splints.

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“…Closed reduction gives good results in the treatment of nasal fractures in children. Early intervention increases the rate of satisfaction . Reconstructive septal surgery does not cause significant growth retardation in children if the mucoperichondrium is preserved …”

Section: Discussionmentioning

confidence: 99%