scholarly journals Effectiveness of Closed Reduction in the treatment of nasal bone fractures

2021 ◽  
Vol 23 (1) ◽  
pp. 37-40
Author(s):  
Brihaspati Sigdel ◽  
K Sah
Keyword(s):  
Bone Fracture ◽  
Closed Reduction ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Nasal Bone ◽  
College Teaching ◽  
Road Traffic Accidents ◽  
Functional Abnormality ◽  
Nasal Injury

This study was conducted to investigate the effectiveness of closed reduction of nasal bone fracture according to severity. It was a retrospective study carried on 60 patients with mean age of 30.2 years (range 10-67 years) who have undergone a closed reduction of a nasal bone fracture at Gandaki Medical College Teaching Hospital from January 2017 to December 2019. The patient with nasal bone fracture who underwent surgical intervention with closed reduction under General anaesthesia were included in this study. Fracture severity was evaluated according to Hwang et al.’s classification method. All patients underwent closed reduction with external nasal splinting under General anesthesia. The patients were followed-up for at least three months to assess the complications, such as fracture recurrence and functional abnormality in the Department. The most common cause of nasal bone fracture was road traffic accidents 25 (41.6%) followed by physical assaults 18 (30%), fall injuries 12 (20%), other incidences 3 (5%), and industrial accidents 2 (3%). Forty-three (72%) cases underwent closed reduction within 24 hours of those who arrived within 4-6 hour of nasal injury in the hospital and the remaining 17 (28%) cases were reduced after 5 days of trauma. Concurrent fracture found in 8 (13%) cases and it included maxillary, zygomatic, orbital, frontal bone fracture. Nasal bone fracture mostly occurs in road traffic accidents. Closed reduction with good alignment is the preferred method. Septorhinoplasty and extracorporeal septoplasty should be applied in difficult and comminuted nasoseptal fracture.

scholarly journals Management of frontobasal nasal fractures: a multidisciplinary approach

2020 ◽  
Vol 1 (1) ◽  
pp. 11-15
Author(s):  
Brihaspati Sigdel ◽  
Shabal Sapkota
Keyword(s):  
Bone Fracture ◽  
Closed Reduction ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Nasal Bone ◽  
Frontal Bone ◽  
Common Finding ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Road Traffic Accidents

Introduction: Frontonasal fracture and concomitant craniofacial injuries carry the significant potential for mortality and morbidity mainly in young adults. This study analyses the characteristics of frontonasal injuries and associated facial injuries, the management option, and its outcome. Methods: This retrospective study was performed at the Department of Otolaryngology and Head and Neck Surgery and Neurosurgery, Gandaki Medical College, Pokhara, Nepal. Patients who had undergone surgery for cranial and midline facial bone fracture between January 2018 to June 2020 were included in this study. The variable examined were age, sex, alcohol consumption, any chronic diseases, time from accident to surgery, duration of hospitalization, and postoperative complication. Continuous variables were expressed as mean± standard deviation, and categorical variables were expressed as number or percentage. All analyses were performed using SPSS software 26.0. Results: The majority of patients were in the 3rd to 4th decade (67.1%). The most common cause was Road traffic accidents 45(59.2%). Twenty Five (32.9%) patients had consumed alcohol at the time of the accident. Among midline anterior fracture most common finding was nasal bone fracture 42(55.3%). Frontal bone fracture was seen in 9(11.8%) cases. Closed reduction of nasal bone was performed in 43(56.58%) cases. Craniotomy and elevation of depressed frontal bone was done in 10.53% of cases. Conclusion: Road traffic accidents were found to be the commonest mode of frontonasal trauma and males in young adult age group were the most common victim. The most common injuries were nasal bone fracture which was managed by closed reduction.

scholarly journals Etiologies of zygomatic bone fracture at a tertiary care hospital of South Punjab, Pakistan

2020 ◽  
Vol 9 (1) ◽  
pp. 45
Author(s):  
Usman Qadir Khan ◽  
Qaimuddin Shaikh ◽  
Zahoor Ahmed Rana ◽  
Shazia Shabnum ◽  
Nadia Ambreen ◽  
...  
Keyword(s):  
Bone Fracture ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care Hospital ◽  
Bone Fractures ◽  
Tertiary Care ◽  
Care Hospital ◽  
Road Traffic Accidents ◽  
Zygomatic Bone ◽  
Personal Violence

Background: Fracture of the zygomatic bone is a frequent maxillofacial trauma, due to its distinction which influences it to bear the brunt of facial trauma but its pattern seems to vary geographically. This study was planned to find out etiologies of zygomatic bone fracture at a tertiary care hospital of South Punjab, Pakistan.Methods: This descriptive observational study was conducted at The Department of Oral and Dental Surgery, Shaikh zayed Medical College Hospital Rahim Yar Khan, Pakistan, from July December 2017. A total of 114 patients with isolated tripod zygomatic bone fracture were enrolled. Demographic characteristics of the patients along with etiologies of zygomatic bone fracture were recorded.Results: Out of a total of 114 patients having zygomatic bone fractures, there were 85 (74.6%) male. Majority of the patients, 58 (50.9%) were aged between 21 to 30 years, 78 (68.4%) belonged to rural areas, 42 (36.8%) laborers while socio-economic class of 66 (57.9%) patients was recorded to be middle income. Road traffic accidents were the commonest, seen among 48 (42.1%) patients followed by inter-personal violence and falls, noted among 26 (22.8%) and 17 (14.9%) patients respectively.Conclusions: Zygomatic bone fractures were most commonly seen among male gender and young age groups. Road traffic accidents and inter-personal violence were the most commonly noted etiologies in the present study.

scholarly journals NASAL BONE FRACTUR

2009 ◽  
Vol 16 (02) ◽  
pp. 258-262
Author(s):  
EJAZ RAHIM ◽  
SUHAIL ASLAM ◽  
MUHAMMAD ALI
Keyword(s):  
Effective Treatment ◽  
Closed Reduction ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Age Groups ◽  
Nasal Bone ◽  
Functional Results ◽  
Female Ratio ◽  
Nasal Fractures

b j e c t i v e : To analyze modes of presentation, types of the nasal fractures and their management. Setting and Period:From 01 Apr 2006 to 31 Mar 2007 at Frontier Corps Hospital, Quetta. Patients and methods: This descriptive study consists of 50 patientsof both sexes and all age groups, managed for nasal bone fractures, presented in emergency as well as in outpatient department. Selectionof cases was non probability, convenient type. All patients were admitted in the hospital for evaluation and further management. Every caseof nasal fracture was properly evaluated, assessed and was managed accordingly. Diagnosis was based on proper history, thorough clinicalexamination and radiological confirmation. Results: From this study it was concluded that adults (80%) were affected more than children.Highest incidence was seen in the age group 18-30 years (46%). The male to female ratio was 3:1. The main aetiological factors in adultswere Sports injuries (30%), personal falls (24%), road traffic accidents (22%) and interpersonal assaults (20%) and in children personal falls(24%). Most of the patients (90%) presented within 2 weeks of the nasal trauma. Epistaxis (92%), nasal deformity (76%), pain andtenderness (72%) and nasal obstruction (70%) were main clinical features. Closed reduction under general anaesthesia (80%) was the mostcommon and effective treatment awarded and complications were minimal. Three cases who presented after 1 year of trauma were treatedby Septorhinoplasty (1), Septoplasty(1 )and SMR(1). 14%(7) patients were treated conservatively. Conclusion: Nasal bone fractures shouldnot be considered minor injuries until they have been thoroughly assessed. Closed reduction under GA is most effective treatment for thepatients presenting within 2 weeks of injury. Prognosis of un-complicated nasal fractures, in general, is good and they heal within 2-3 weekswith good cosmetic and functional results.

scholarly journals Maxillofacial Injuries Related to Road Traffic Accidents: A Five Year Multi Center Analysis

2019 ◽  
Vol 3 (1) ◽  
pp. s-0039-1694708
Author(s):  
Utsav Singh Gurung ◽  
Gaurav Singh ◽  
Madan Mishra ◽  
Shubhamoy Mondal ◽  
Amit Gaur
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Treatment Protocol ◽  
Care Program ◽  
Epidemiological Data ◽  
Road Traffic Accidents ◽  
Maxillofacial Injuries ◽  
Chi Square ◽  
Periodic Evaluation

The purpose of this study was to assess the epidemiological data on maxillofacial injuries related to road traffic accidents from two multispecialty medical centers in India, and then evaluate their incidence and pattern. Data were extracted from the medical records of all road traffic accident victims with maxillofacial injuries who reported to the centers between January 2013 and December 2017. Descriptive statistics and chi-square test were used for statistical analysis; significance was set at p < 0.05. Out of 1,110 patients, highest incidence of injuries was observed in the males of age group 20 to 29 years with mean age of 25.95 years (standard deviation, 9.35 years). Head injury, laceration, and tooth luxation were the most common forms of associated injuries. The use of protective helmets and seatbelts was extremely low which was associated to higher risk of facial bone fractures. Violation of traffic rules was the most common etiology behind these accidents. These findings were statistically significant ( p < 0.05). The ever increasing incidence of maxillofacial injuries related to road traffic accidents suggests the need to deal with them promptly and wisely. Keeping an update on the changing pattern of these injuries by continuous recording and periodic evaluation of epidemiological data is helpful in the primary prevention of trauma by evolving a better trauma care program and effective treatment protocol focused on the target groups. The updated data can guide treating physicians in anticipating and diagnosing maxillofacial injuries.

scholarly journals Analysis of Simple Nasal Bone Fracture and Interpreting Results of Closed Reduction under Local Anesthesia

2014 ◽  
Vol 7 (2) ◽  
pp. 70-72
Author(s):  
Aamir Yousuf ◽  
Rafiq Ahmad Pampori ◽  
Zafarullah Beigh
Keyword(s):  
Local Anesthesia ◽  
Bone Fracture ◽  
Closed Reduction ◽  
Traffic Accidents ◽  
Nasal Bone ◽  
Sports Injury ◽  
Tertiary Hospital ◽  
Medical College ◽  
Work Related ◽  
Group A

ABSTRACT Objective To analyze the age, gender and the most frequent causes of nasal fractures evaluated in the otorhinolaryngology service of a tertiary hospital and interpreting the result of closed reduction of nasal bone fracture under local anesthesia and need for revision surgery. Study design Prospective case study. Materials and methods The prospective analysis of 60 patients diagnosed as simple nasal bone fracture over a period of 6 months (between Jan 1st 2011 and July 1st 2011) who presented in department of ENT and HNS at Government Medical College, Srinagar. All the patient underwent closed fracture reduction under local anesthesia after proper assess ment and documentation. The patients were analyzed in groups and followed up to period of 6 months. Results Total of 60 patients (group A) with nasal bones fracture were included in the study, including 48 men and 12 women. The most common age was between 25 and 65 years. Violence was the most frequent cause seen (48%), followed by traffic accidents (35%), 12% of cases were due to sports injury other causes about 5% (fall from their own height and work related injury). After performing closed reduction under local anesthesia, the immediate results were analyzed using linear analog scale. The followup period ranged from 1 week to 6 months. The functional and esthetic outcome of procedure were seen in followup period. Patients in group A1 (80%) were pleased with their results and did not require a secondary surgery 20%. Patients developed a posttraumatic nasal deformity requiring a posttraumatic septorhinoplasty (group A2). How to cite this article Yousuf A, Pampori RA, Beigh Z. Analysis of Simple Nasal Bone Fracture and Interpreting Results of Closed Reduction under Local Anesthesia. Clin Rhinol An Int J 2014;7(2):7072.

scholarly journals PATTERN OF FACIAL BONE FRACTURES IN ROAD TRAFFIC ACCIDENTS RIDING ON TWO WHEELERS IN A TERTIARY HOSPITAL IN BANGALORE, INDIA

2020 ◽  
pp. 1-3
Author(s):  
Kumaraswamy Mohan Kumar
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Bone Fractures ◽  
Tertiary Hospital ◽  
Road Traffic Accidents ◽  
Facial Bone ◽  
Retrospective Case ◽  
Case Record ◽  
The Face ◽  
Single Bone

The injury to the face is second most common in cases with road traffic accidents in patients on two wheelers. This adds to physical, social, emotional, economical burden and also psychological problems to the patient. It is a retrospective case record study of patients who had come to casualty with Road traffic accidents and were riding a two wheeler. 89 patients were selected with facial bone fractures and analyzed. Out of 89 patients 19% patients had single bone fracture and 67% had multiple bone fractures. Most common fractures were maxilla and nasoethmoid fractures. Conclusion- wearing full helmets can decrease the severity of these injuries. Awareness about wearing full helmets should increase.

scholarly journals A retrospective clinical investigation for the effectiveness of closed reduction on nasal bone fracture

2019 ◽  
Vol 41 (1) ◽  
Author(s):  
Byung-Hun Kang ◽  
Hyo-Sun Kang ◽  
Jeong Joon Han ◽  
Seunggon Jung ◽  
Hong-Ju Park ◽  
...  
Keyword(s):  
Bone Fracture ◽  
Closed Reduction ◽  
Traffic Accident ◽  
Bone Fractures ◽  
Clinical Investigation ◽  
Nasal Bone ◽  
Surgical Techniques ◽  
High Rate ◽  
Radiographic Images ◽  
Current Trends

Abstract Background The nasal bone is the most protruding bony structure of the facial bones. Nasal bone fracture is the most common facial bone fracture. The high rate of incidence of nasal bone fracture emphasizes the need for systematical investigation of epidemiology, surgical techniques, and complications after surgery. The objective of this study is to investigate the current trends in the treatment of nasal bone fractures and the effectiveness of closed reduction depending on the severity of the nasal bone fracture. Patients and methods A total of 179 patients with a nasal bone fracture from 2009 to 2017 were enrolled. Their clinical examination, patient’s records, and radiographic images of nasal bone fractures were evaluated. Results Patients ranged from children to elderly. There were 156 (87.2%) males and 23 (12.8%) females. Traffic accident (36.9%) was the most common cause of nasal fracture. Orbit fracture (44 patients, 24.6%) was the most common fracture associated with a nasal bone fracture. Complications after surgery included postoperative deformity in 20 (11.2%) patients, nasal obstruction in 11 (6.1%) patients, and olfactory disturbances in 2 (1.1%) patients and patients with more severe nasal bone fractures had higher rates of these complications. Conclusion Closed reduction could be performed successfully within 2 weeks after injury.

scholarly journals Patterns of Facial Bone Fractures in Western Region of Nepal

2018 ◽  
Vol 6 (1) ◽  
pp. 5-7
Author(s):  
Rishi Bhatta ◽  
Manita Pyakurel ◽  
Namdeo Prabhu ◽  
Niva Kansakar
Keyword(s):  
Bone Fracture ◽  
Road Traffic ◽  
Bone Fractures ◽  
Nasal Bone ◽  
Physical Assault ◽  
Western Region ◽  
Facial Bone ◽  
Cross Sectional ◽  
Zygomatic Bone ◽  
Male Patients

Objective: The aim of this study was to determine pattern of facial bones fracture in western region of Nepal.Material and Methods: A descriptive cross sectional study was carried out in department of ENT, Nepalgunj medical college, Nepalgunj. Records from emergency department, inpatient ward and OPD of ENT and dental department of last 3 years (Jan 2012 to Dec 2014) were enrolled in the study and entered into proforma.  Comparison was done between mode of injury, demography and types of injuries. Data was analyzed using SPSS 17 software.Results: Out of included 626 cases, there were 410 male patients and 216 female patients. Age ranged from 3 to 68 years with average age being 32.4 years. Most of the male patients sustained trauma due to road traffic accidents (51.7%) followed by physical assault (23.9%). In female also same mode of injuries were common with higher proportion due to physical assault. Majority of cases were from Midwestern Terai region (35.4%). There were 288(46.0%) cases with isolated facial bone fracture. The maximum was that of mandibular fracture (29.1%) followed by nasal bone fracture (27.7%) and maxilla (24.3%). Rest of 338 patients had multiple facial bone fractures with zygomatic bone fracture (79.2%) being commonest. It was followed by maxilla (64.4%) and mandible fracture (36.6%). The overall frequency of fracture is mainly involving zygomatic bone (49.5%) followed by maxilla (46.0%) and mandible (33.2%).Conclusion: Middle aged male patients are usually involved in facial bone fractures with road traffic accident and physical assault being common modes of injury. Zygomatic bone is the commonest bone to get fractured in isolated cases while mandible is commonest bone to get fractured in multiple fracture cases.Nepalese Journal of ENT Head and Neck Surgery, Vol. 6, No. 1, 2015  

scholarly journals Antibiotic use in nasal bone fracture: a single-center retrospective study

2021 ◽  
Vol 22 (6) ◽  
pp. 319-323
Author(s):  
Ji Hyuk Jung ◽  
Yeo Reum Jeon ◽  
Joon Ho Song ◽  
Seum Chung
Keyword(s):  
Retrospective Study ◽  
Bone Fracture ◽  
Closed Reduction ◽  
Bone Fractures ◽  
Nasal Bone ◽  
Antibiotic Use ◽  
Careful Consideration ◽  
Antibiotic Usage ◽  
Nasal Packing ◽  
Related Complication

Background: Prophylactic antibiotics are used to prevent surgical wound infection; however, proper indications must be followed with careful consideration of the risks and benefits, especially in clean or clean-contaminated wounds. Nasal bone fractures are the most common type of facial bone fracture. The most common method for treating nasal bone fracture is closed reduction, which is performed inside the nasal cavity without an incision. The purpose of this study was to determine the need for antibiotic use in the closed reduction of nasal bone fractures.Methods: A retrospective study was conducted using data from the National Insurance Service Ilsan Hospital of the Republic of Korea between 2016 and 2018. The records of patients who underwent closed reduction of nasal bone fracture were reviewed and classified according to sex, age, comorbidities, perioperative antibiotic usage, postoperative complications, nasal packing, anesthesia type, surgeon’s specialty, and operation time.Results: Among the 373 patients studied, the antibiotic prescription rate was 67.3%. Just 0.8% of patients were prescribed preoperative antibiotics only, 44.0% were prescribed postoperative antibiotics only, and 22.5% were prescribed both preoperative and postoperative antibiotics. There were no cases that satisfied the definition of “surgical site infection.” Furthermore, 2.1% of infection-related complications (e.g., mucosal swelling, synechia, and anosmia) occurred only in the antibiotic usage group. The use of nasal packing, anesthesia type, and surgeon’s specialty did not show any difference in infection-related complication rates.Conclusion: According to the study findings, the routine use of perioperative antibiotics is not recommended in uncomplicated nasal bone fracture surgery.

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