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Nasal injuries: their pathogenesis and treatment
British Journal of Plastic Surgery
|January 1, 1979
Summary
Nasal fracture manipulation yields poor results in most cases due to septal displacement. A submucous resection technique during primary treatment significantly improves outcomes for fractured noses.
Area of Science:
- Otorhinolaryngology
- Plastic Surgery
- Anatomy
Background:
- Nasal fractures are common injuries.
- Current manipulation techniques for nasal fractures have shown suboptimal results in achieving a
- perfect
- anatomical outcome.
Purpose of the Study:
- To investigate the anatomical basis for poor outcomes after nasal fracture manipulation.
- To evaluate the efficacy of a modified surgical approach for treating nasal fractures.
Main Methods:
- Analysis of 40 cases treated by manipulation, noting outcomes.
- Experimental creation and anatomical description of nasal fractures in 15 cadavers.
- Surgical intervention involving local submucous resection for specific fracture patterns.
Main Results:
- Only one-third of cases achieved a
- perfect
- result with standard manipulation.
- A consistent pattern of septal fracture and displacement was identified as the cause of poor results.
- The modified technique incorporating submucous resection led to significantly improved outcomes.
Conclusions:
- Standard manipulation of nasal fractures is often inadequate due to underlying septal displacement.
- A defined local submucous resection as part of primary treatment effectively addresses septal locking and improves nasal fracture repair.
- This approach offers a more reliable method for achieving optimal results in nasal fracture management.
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