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Delayed Reduction of Nasal Bone Fractures
Han Young Yoon1, Dong Gil Han1
1Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine, Daegu, Korea.
Archives of Craniofacial Surgery
|September 16, 2017
Summary
Delayed reduction of nasal bone fractures beyond two weeks can yield excellent outcomes, particularly for complex fractures. This study supports considering delayed treatment when bony reunion is anticipated.
Area of Science:
- Orthopedics
- Trauma Surgery
- Otolaryngology
Background:
- Nasal bone fractures are typically managed with closed reduction within two weeks.
- Literature on delayed reduction (beyond two weeks) for nasal fractures is limited.
- This study investigates outcomes of delayed closed reduction for nasal bone fractures.
Purpose of the Study:
- To evaluate the effectiveness of delayed closed reduction for nasal bone fractures.
- To identify factors influencing outcomes in delayed nasal fracture treatment.
Main Methods:
- Retrospective review of patients undergoing closed reduction of isolated nasal bone fractures.
- Inclusion criteria: reduction performed at or more than two weeks post-injury.
- Data collected: demographics, injury mechanism, fracture type, delay, and outcomes via CT scans.
Main Results:
- Ten patients were included, with an average reduction time of 22.1 days.
- Five patients had reduction between 15-20 days, five between 21-41 days.
- Postoperative outcomes were excellent in 80% and good in 20% of patients.
Conclusions:
- Outcomes were superior in nasal fractures with displaced end plates and multiple segments.
- Delayed reduction of isolated nasal fractures may be supported by factors delaying bony reunion.
- The findings suggest favorable results for carefully selected delayed nasal fracture reductions.
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