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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
New nasal fracture classification for patients with silicone implants
Seong Pin Jeon1, Seok Joo Kang, Jin Woo Kim
1Department of Plastic and Reconstructive Surgery, Busan-Baik Hospital, Inje University , Busan , Korea.
Journal of Plastic Surgery and Hand Surgery
|May 29, 2013
Summary
Nasal bone fractures are rising in patients with silicone rhinoplasty. A new classification and treatment approach are needed for these complex cases.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Trauma
Background:
- Aesthetic nasal augmentation is increasingly popular in Asian populations.
- Nasal bone fractures are the most common facial bone fractures.
- The incidence of nasal bone fractures is rising in patients who have had silicone augmentation rhinoplasty.
Purpose of the Study:
- To analyze nasal bone fractures in patients with prior silicone rhinoplasty.
- To propose a novel classification system for these fractures.
- To suggest new diagnostic and treatment strategies.
Main Methods:
- Retrospective review of 36 patients with nasal bone fractures and silicone implants (June 2007-December 2011).
- Classification of fractures into three types based on fracture level: Type I (high), Type II (low), and Type III (entire nasal bone).
Main Results:
- Type I fractures were most common (67%), followed by Type III (22%) and Type II (11%).
- Symptoms and surgical outcomes may differ in patients with silicone implants.
- Existing classification and treatment may be inadequate.
Conclusions:
- Nasal bone fractures in patients with silicone implants present unique challenges.
- A novel classification system is required for accurate diagnosis and tailored treatment.
- Further research into specialized diagnostic and therapeutic approaches is necessary.

