Nasal Injury: Efficacy of Primary Reduction- A Retrospective Study
Journal Title: New Indian Journal of Surgery - Year 2017, Vol 8, Issue 4
Abstract
Aim of the Study: 1. This study was undertaken to evaluate the efficacy of primary reduction of nasal fractures and to study the need for secondary septorhinoplasty for the management of residual nasal deformity. 2. To study the demography of the nasal trauma. Materials and Methods: Medical records of all patients with nasal fractures were collected and plan of management by the department of surgery and ENT were evaluated and post OP follow up done for one year. Cases between June 2016 to 2017 were collected. Inclusion Criteria: All cases of Nasal trauma. Exclusion Criteria: Facial trauma associated with head injury and those associated with comorbidities like DM, immunosuppression. Results: Out of total 100 patients, 10 patients met the inclusion criteria. Four patients underwent closed reduction of nasal bones and septum within 1 week of injury. Six patients could not be included because of multisystem injury or comorbidities. All 10 cases were followed up to determine the efficacy of the initial treatment modality as well as the need for secondary septorhinoplasty. All 4 cases who underwent closed reduction had no residual deformity or the need for secondary septorhinoplasty. Out of 6 untreated cases, 1 case underwent secondary septorhinoplasty. Follow up period ranged from 1 month to 10 months. All patients who were treated primarily were pleased with the results and one patient who underwent secondary septorhinoplasty also had satisfaction. Conclusion: Closed reduction of nasal fractures appears to be an effective method of treatment with good patient compliance, reduced hospital stay and good cosmetic outcome. Best results are obtained if the surgery is done within 1 week of injury and the factors that affect the outcome are timing of surgery, status of the nasal septum, delay in treatment and associated injuries.
Authors and Affiliations
Santhosh V.
Keywords
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- EP ID EP473573
- DOI 10.21088/nijs.0976.4747.8417.23
- Views 65
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