Improving Results in Closed Nasal Reduction: A Protocol for Reducing Secondary Deformity

Area of Science:

• Otolaryngology
• Facial Plastic Surgery
• Trauma Surgery

Background:

• Nasal fractures are the most frequent facial bone injuries.
• Improper reduction often leads to residual deformities requiring corrective surgery.
• A standardized protocol aims to minimize secondary deformities after nasal fracture treatment.

Purpose of the Study:

• To evaluate the efficacy of a specific treatment protocol for nasal fractures.
• To reduce the incidence of secondary deformities and the need for revision surgery.
• To assess the overall success rate of closed nasal reduction with this protocol.

Main Methods:

• Retrospective review of 90 closed nasal reductions performed by a single surgeon (2006-2015).
• Data collected included patient demographics, secondary deformities, and need for correctional surgery.
• Clinical records were analyzed for postoperative outcomes and interventions.

Main Results:

• 15.6% of patients (14/90) developed postoperative deformities.
• 4.4% experienced avulsion of the upper lateral cartilage.
• External manipulation successfully managed 64.3% of secondary deformities, avoiding surgery; 5.5% required revision surgery.

Conclusions:

• The described protocol resulted in a low rate of postreduction deformity.
• A low percentage of patients required secondary operations, with an overall success rate of 94.5%.
• Adherence to this protocol can decrease secondary deformities following closed nasal reduction.