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Pediatric nasal bone fractures: does delayed treatment really lead to adverse outcomes?

Dong Hwan Lee1, Yong Ju Jang

  • 1Department of Otolaryngology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Republic of Korea.

International Journal of Pediatric Otorhinolaryngology
|February 26, 2013
PubMed

Insights

Delayed treatment of pediatric nasal bone fractures yields good cosmetic results and minimal nasal obstruction. Early intervention is recommended, but surgical outcomes remain favorable even with delayed treatment for these fractures.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Plastic Surgery

Background:

  • Pediatric nasal bone fractures often require timely surgical intervention.
  • Current recommendations suggest treatment within 3-7 days for pediatric nasal bone fractures.
  • The impact of delayed treatment on surgical outcomes in pediatric nasal bone fractures is not well-established.

Purpose of the Study:

  • To evaluate the effect of delayed treatment on surgical outcomes in pediatric nasal bone fractures.
  • To compare early versus delayed surgical intervention for pediatric nasal bone fractures.
  • To assess long-term cosmetic and functional results after surgical correction of pediatric nasal bone fractures.

Main Methods:

  • Retrospective review of pediatric patients (≤17 years) who underwent corrective surgery for nasal bone fractures between 2003 and 2011.
  • Exclusion of patients with prior septo/rhinoplasty, previous nasal fractures, or combined facial bone fractures.
  • Telephone survey to assess long-term cosmetic outcomes and nasal obstruction, comparing early (≤7 days) and delayed (>7 days) treatment groups.

Main Results:

  • Out of 56 eligible patients, 48 underwent closed reduction (CR) and 8 had combined CR+ approaches.
  • Among 35 respondents, long-term cosmetic results had a median score of 2, and nasal obstruction had a median score of 1.
  • Time from injury to surgery did not significantly impact patient satisfaction with cosmetic outcomes (P=0.939) or nasal obstruction (P=0.264).

Conclusions:

  • Surgical outcomes for pediatric nasal bone fractures are consistently good, with excellent cosmetic results and minimal nasal obstruction, irrespective of treatment timing.
  • Delayed treatment (>7 days) for pediatric nasal bone fractures does not adversely affect surgical outcomes.
  • The findings support the possibility of good surgical outcomes even when treatment for pediatric nasal bone fractures is delayed.
Abstract

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