Journal of Rhinology 2008;15(2):115-119.
Published online November 30, 2008.
The Clinical Effectiveness of Open Septorhinoplasty for Primary Treatment of Nasal bone Fracture
Jun Hee Kim, Gyu Ho Lee, Hang Sun Cho, Kwang Ho Lee, Youn Kyoung Do, Kyung Soo Kim, Hyun Jik Kim
Department of Otorhinolaryngology-Head and Neck Surgery, College of Madicine, Chung-Ang University, Seoul, Korea. hyunjk@cau.ac.kr
비골 골절의 일차 치료로서 개방적 비성형술의 임상적 유용성
김준희, 이규호, 조항선, 이광호, 도윤경, 김경수, 김현직
중앙대학교 의과대학 이비인후-두경부외과학교실
Abstract
Background and Objectives
Closed reduction has been a primary treatment procedure for nasal bone fracture, but the post-operative results have not always been satisfactory. We compared the satisfaction rate of closed reduction with that of open septorhinoplasty for the treatment of nasal bone fracture and evaluated the effectiveness of open septorhinoplasty for the primary treatment of nasal bone fracture. MATERIALS AND METHOD: We performed a retrospective review of patients who underwent a closed reduction treatment for nasal bone fracture from March 2004 to February 2006 and conducted telephone surveys to monitor their post-operative cosmetic and functional problems. We estimated the factors that were involved in the low satisfaction rate and determined the indications of open septorhinoplasty. Prospectively, the patients who underwent open septorhinoplasty from September 2006 to August 2007 were interviewed for their cosmetic and functional satisfaction rate. RESULTS: Forty percent of the patients who underwent closed reduction had cosmetic concerns and twenty percent had functional concerns. The factors involved in the low satisfaction rate were septal fracture, associated fractures, and multiple fragmentation. Eight percent of the patients who underwent open septorhinoplasty had cosmetic concerns and other eight percent had functional concerns. CONCLUSION: A careful pre-operative evaluation of the type of fracture is important for the treatment of nasal bone fracture. Also, when nasal bone fracture is combined with septal fracture, associated fracture or unilateral fragmentation, open septorhinoplasty has to be considered to reduce secondary deformities and to improve the satisfaction rate of the patients.
Key Words: Nasal bone;Fracture;Rhinoplasty;Open septorhinopalsty




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