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The broken nose: does familiarity breed neglect?

J A Crowther¹, G M O'Donoghue

¹Department of Otolaryngology, Radcliffe Infirmary, Oxford.

Annals of the Royal College of Surgeons of England

|November 1, 1987

Summary

Early primary reduction effectively treats nasal fractures, with most patients satisfied with appearance. However, a significant number experience nasal obstruction, necessitating further discussion on treatment value and limitations.

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Area of Science:

Otolaryngology
Plastic Surgery
Trauma Surgery

Background:

Nasal fractures are common injuries.
Delayed treatment of nasal deformities can result from neglected injuries.

Purpose of the Study:

To assess patient satisfaction and outcomes following early primary reduction of nasal fractures.
To evaluate the effectiveness and limitations of early intervention for nasal fractures.

Main Methods:

A questionnaire was administered to 128 patients who underwent early primary reduction for nasal fractures.
Patient-reported satisfaction with nasal appearance and incidence of nasal obstruction were recorded.
A separate study investigated the causes of nasal deformity in patients undergoing septorhinoplasty.

Main Results:

85% of patients reported satisfaction with their nasal appearance post-reduction.
36% of patients experienced nasal obstruction, with 21% desiring further surgery.
65.5% of patients undergoing septorhinoplasty had deformities resulting from neglected nasal injuries.

Conclusions:

Early primary reduction offers good aesthetic outcomes for many nasal fracture patients.
Nasal obstruction is a notable complication requiring consideration in treatment planning.
The study highlights the importance of timely intervention for nasal fractures to prevent long-term deformities.

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