The Effect of Half Day Nasal Packing in Results of Closed Reduction of Nasal Bone Fracture

2017

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BackgroundNasal fractures have a tendency of resulting in structural or functional complications, and the results can vary according to the type of nasal bone fracture. The aim of this study was to evaluate the objective postoperative results according to the type of nasal bone fractures.MethodsWe reviewed 313 patients who had a closed reduction of nasal bone fracture. The classification of nasal bone fracture by Stranc and Robertson was used to characterize the fracture type: frontal impact group type I (FI), frontal impact group type II (FII), lateral impact group type I (LI), lateral impact group type II (LII), and comminuted fracture group (C). For each patient, we tried to use the same axial image section of computed tomographic (CT) scans before and immediately after operation. Postoperative outcomes were classified into 4 grades: excellent (E), good (G), fair (F), and poor (P). We also analyzed postoperative complications by fracture type.ResultsRegarding the postoperative CT images, 189 subjects showed E results, 99 subjects showed G, 18 subjects showed F, and 7 subjects showed P reduction. The rate of operation results graded as E by each fracture type was 66.67% in FI, 52.0% in FII, 64.21% in LI, 62.79% in LII, and 21.74% in C. Complications of FI (7.14%), LII (13.95%), and C (13.04%) groups occurred more than in the FII (4.00%) and LI (4.21%) groups.ConclusionIt seems that the operation result by fracture type was better in the FI, LI, and LII type than the FII and C type; after one month, however, LII type showed more complications than other types. The septal fracture can be thought to affect early reduction results in nasal bone fractures.

Section: Methodsmentioning

confidence: 99%

Objective Outcomes of Closed Reduction According to the Type of Nasal Bone Fracture

Kang

2017

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“…Merocels were packed in nasal airways, and external nasal thermo-splint were applied. Packed Merocels were removed six hours after operation, and packed vaseline roll gauzes were removed one day after operation for patient comfort, as we have detailed in a previous study on the effect of early removal of nasal packing in a previous report, which showed that there was no difference in outcomes [ 3 ].…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, exact diagnosis and treatment is important to obtain good outcome. Because nasal bone fracture is considered a minor injury, accurate diagnosis and precise reduction tend to be overlooked, and often results in multiple forms of nasal deformities even after the operation [ 3 ]. However, we found that nasal deformity from the immediate postoperative period tended to improve with time.…”

Section: Introductionmentioning

confidence: 99%

Acute Bone Remodeling after Reduction of Nasal Bone Fracture on Computed Tomography Imaging

Lee

2014

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BackgroundA number of studies have reported complication after reduction of nasal bone fractures. Among complicated cases, some showed improvement in shape of the nose with passage of time. Therefore, we examined these changes using computed tomography (CT) images taken over intervals.MethodsCT scans of 50 patients with new nasal bone fractures were reviewed, and the images were compared amongst preoperative, immediately postoperative, and one month scans. Changes in nasal bone shape, were evaluated based on the angle of nasal bone arch between the nasal bone and frontal process of maxilla, overall shape of arch, mal-alignment of fracture segments involving bony irregularity or bony displacement. These evaluations were used to separate postoperative outcomes into 5 groups: excellent, good, fair, poor, and very poor.ResultsImmediate postoperative nasal shape was excellent in 10 cases, good in 31 cases, fair in 8 cases, and poor results in a single case. Postoperative shape at one month was excellent in 37 cases, good in 12 cases, fair in a single case.ConclusionThe overall shape of nasal bone after fracture reduction tended to improve with passage of time.

“…No significant difference in outcomes was found, and 1 day after the operation (after the nasal filling had been removed), most of the patients had no complaints of discomfort, with the exception of five with headache, one with nausea, and two with generalized discomfort ( Fig. 1) [15]. Another previous study reported that reduced nasal segments tended to undergo progressive remodeling; furthermore, postoperative outcomes continued to improve over the first month postoperatively despite the early removal of nasal packings, and early packing removal contributed to an increase in patient satisfaction by reducing discomfort [16].…”

Section: Timing Of Packing Removalmentioning

confidence: 97%

Considerations for nasal bone fractures: Preoperative, perioperative, and postoperative

2020

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Nowadays, the incidence of nasal bone fracture is increasing because of social complexity with frequent social activity, and reduction of fractures is relatively simple and can be corrected in short operation time. However, the postoperative results are known to be less satisfied with higher complication rates relatively. These problems could have resulted from inaccurate recognition and interpretation of fracture aspect, inaccurate planning of operation resulting in under or overcorrection, ignoring septal management, complication related nasal packings with removal, postoperative management, and patient satisfaction with complication.