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[Nasal fractures--indications for open reposition]
1Klinik für Otorhinolaryngologie, Hals- und Gesichtschirurgie, Universitätsspital Zürich.
Laryngo- Rhino- Otologie
|September 23, 1998
Summary
Open reduction of nasal fractures offers high patient satisfaction for both appearance and function. This technique addresses hidden cartilage damage, improving outcomes for traumatic nasal injuries.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Trauma Surgery
Background:
- Septoplasties and septorhinoplasties often result from trauma.
- Closed reduction success rates for nasal fractures range from 30-82%.
- Hidden cartilage fractures contribute to poor outcomes in closed reduction.
Purpose of the Study:
- To analyze the outcomes of open reduction for nasal fractures.
- To evaluate the effectiveness of open reduction in cases of trauma-induced nasal deformities.
Main Methods:
- Performed 34 open reductions over a six-year period (1991-1996).
- Analyzed cases using clinical evaluation, nasal endoscopy, photography, and computer tomograms.
- Focused on relieving cartilage tension and reducing impacted bone fragments.
Main Results:
- Achieved an 88% patient satisfaction rate for cosmesis and function.
- Frontal impact was the most common indication for open reduction.
- Revision surgery was needed in 3 cases for obstruction and 1 for dissatisfaction with appearance.
Conclusions:
- Open reduction demonstrates high success rates for nasal function and appearance.
- Consider widening indications for open reduction of nasal fractures.
- Emphasize clinical evaluation and suspicion for subclinical fractures over radiographic imaging.