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Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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Nasal Bone Fractures: Differences Amongst Sub-Specialty Consultants.

Jason E Cohn¹, Sammy Othman², Michael Toscano³

¹Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA.

The Annals of Otology, Rhinology, and Laryngology

|June 9, 2020

Summary

Management of nasal fractures varies significantly between otolaryngologists and plastic surgeons, impacting operative rates and settings. A standardized approach to nasal bone trauma is needed for better patient outcomes.

Keywords:

Facial Plastic and Reconstructive Surgery Facial trauma Miscellaneous Nose Reconstruction nasal fracture

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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Area of Science:

Maxillofacial Surgery
Facial Trauma Management
Otolaryngology
Plastic Surgery

Background:

Nasal fractures are common facial injuries with no standardized treatment protocols.
This study examines consultant roles and outcomes in managing nasal bone fractures.

Purpose of the Study:

To investigate the impact of consulting subspecialty on the management and outcomes of nasal bone fractures.
To compare functional and aesthetic results between different surgical approaches.

Main Methods:

Retrospective chart review of 136 patients with nasal bone fractures (8/1/14–1/23/18).
Analysis of categorical data using chi-squared and Fisher's exact tests.
Comparison of continuous variables via Mann-Whitney U testing.

Main Results:

Otolaryngologists were more likely to assess pre-operative nasal obstruction and opt for operative management compared to plastic surgeons.
Plastic surgeons performed operations faster (7.3 days vs. 20 days) and favored inpatient care, while otolaryngologists preferred outpatient settings.
Consulting service did not correlate with the need for revision surgery.

Conclusions:

Significant differences exist in how otolaryngologists and plastic surgeons manage nasal bone trauma.
A standardized management approach for maxillofacial trauma is recommended.