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The Algorithm-Oriented Management of Nasal Bone Fracture according to Stranc's Classification System
Ki-Sung Park1, Seung-Soo Kim1, Wu-Seop Lee1
1Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital, Ulsan, Korea.
Archives of Craniofacial Surgery
|September 16, 2017
Summary
A new treatment algorithm for nasal bone fractures effectively restored facial contour and patient satisfaction. This approach minimized pain and minor complications, leading to high satisfaction rates.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Trauma Management
Background:
- Nasal bone fractures are common facial injuries impacting facial aesthetics and patient satisfaction.
- Surgical goals include preventing secondary deformity and restoring original bone structure.
- A modified open reduction technique and postoperative care algorithm were developed.
Purpose of the Study:
- To establish and evaluate a treatment algorithm for nasal bone fractures.
- To assess surgical outcomes regarding nasal contour, pain, complications, and patient satisfaction.
Main Methods:
- Retrospective chart review of 417 surgically treated patients (2014-2015).
- Evaluation using questionnaires and visual analogue scale for nasal contour, pain, and complications.
- Assessment of patient satisfaction with surgical outcomes.
Main Results:
- High average scores for postoperative nasal contour (4.5-4.6) and patient satisfaction (4.2).
- Low postoperative pain requiring minimal analgesia.
- Low incidence of minor complications: dry mouth (36.4), sleep disturbance (40.8), swallowing difficulty (65.2), conversation difficulty (32.3), and headache (34).
Conclusions:
- Algorithm-oriented management of nasal bone fractures yields satisfactory results.
- The treatment algorithm significantly reduces postoperative pain and minor complications.
- High patient satisfaction with improved nasal contour is achieved.
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