Journal of Rhinology 2005;12(2):108-111.
Published online November 30, 2005.
Clinical Study of Open Nasal Bone Fracture
Chan Hum Park, Duk Young Kim, Taek Gun Kwan, Sung Ju Hong, Ki Nam Jung
Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Hallym University, Chuncheon, Korea. hlpch@lycos.co.kr
개방성 비골 골절의 치료
박찬흠, 김덕영, 권택근, 홍성주, 정기남
한림대학교 의과대학 이비인후-두경부외과학교실
Abstract
Background and Objectives
Little is known about the treatment of open nasal bone fracture (ONF). The operative technique, timing, and management of ONF is still confusing. This study presents our treatment policy of ONF to help otolaryngologists decide proper management plan.
Materials and Method
S: Of 380 consecutive patients who required surgical intervention, 57 patients underwent open nasal reduction. Of 57 patients, 15 had one-stage operation, and 42 had two- stage operation. Postoperative patients' satisfaction was evaluated using a visual analogue scale and the reasons of dissatisfaction were analyzed.
Results
ONF had poorer outcome than closed nasal bone fracture. Unsatisfactory cosmetic results such as scan of the external nose and change of the skin color were the most common problems associated with open nasal reduction.
Conclusion
Operation timing and technique should be selectively applied to different types of nasal bone fracture and wound state. Meticulous wound care as well as accurate nasal bone reduction is mandatory for ONF.
Key Words: Open;Nasal bone;Fractures




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