The Effect of Half Day Nasal Packing in Results of Closed Reduction of Nasal Bone Fracture

2012 ◽  
Vol 13 (2) ◽  
pp. 119 ◽  
Author(s):  
Dong Gil Han ◽  
Tae Seob Kim
Keyword(s):  
Bone Fracture ◽  
Closed Reduction ◽  
Nasal Bone ◽  
Nasal Packing

scholarly journals The Usefulness of Nasal Packing with Vaseline Gauze and Airway Silicone Splint after Closed Reduction of Nasal Bone Fracture

2012 ◽  
Vol 39 (6) ◽  
pp. 612 ◽  
Author(s):  
Hyo Young Kim ◽  
Sin Rak Kim ◽  
Jin Hyung Park ◽  
Yea Sik Han
Keyword(s):  
Bone Fracture ◽  
Closed Reduction ◽  
Nasal Bone ◽  
Nasal Packing

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.

scholarly journals Precisely Closed Reduction of Nasal Bone Fracture Assisted With Plain Film Measurements Under the Picture Archiving and Communication System

2021 ◽  
pp. 014556132110121
Author(s):  
Tzu-Hsien Yang ◽  
Chien-Liang Fang ◽  
Chong-Bin Tsai ◽  
Ming-Shan Chen ◽  
Chih-Hsuan Changchien ◽  
...  
Keyword(s):  
Bone Fracture ◽  
Communication System ◽  
Closed Reduction ◽  
Operative Time ◽  
Nasal Bone ◽  
Plain Film ◽  
Ao Classification ◽  
Group A ◽  
Picture Archiving And Communication ◽  
Group B

Objectives: To prevent aesthetic and functional deformities, precisely closed reduction is crucial in the management of nasal fractures. Plain film radiography (PF), ultrasonography (USG), and computed tomography can help confirm the diagnosis and classification of fractures and assist in performing closed reduction. However, no study in the literature reports on precisely closed reduction assisted with PF measurements under the picture archiving and communication system (PACS). Methods: We retrospectively evaluated 153 patients with nasal bone fracture between January 2013 and December 2017. Surgeons conducted precisely closed reduction assisted with PF measurement of the distance between the fracture site and nasal tip under PACS on 34 patients (group A). Another group on 119 patients were reduced under surgeon’s experience (group B). Results: No significant differences in age, gender, Arbeitsgemeinschaft fur Osteosynthesefragen (AO) classification, and reduction outcome were observed between group A and group B ( P > .05). The operative time of the group A was significantly lower (12.50 ± 4.64 minutes) compared to group B (23.78 ± 11.20 minutes; P < .001). After adjusted age, gender, and AO classification, patients in group A scored 10.46 minutes less on the operative time than those in group B ( P < .001). In addition, the severity of nasal bone fracture (AO classification, β = 3.37, P = .002) was positive associated with the operative time. Conclusions: In this study, closed reduction in nasal bone fracture assisted with PF measurements under PACS was performed precisely, thereby effectively decreasing operative time and the occurrence of complications. This procedure requires neither the use of new instruments or C-arm nor USG or navigation experience. Moreover, reduction can be easily performed using this method, and it requires short operative time, helps achieve great reduction, less radiation exposures, and is cost-effective.

scholarly journals A comparative study of emergence agitation between sevoflurane and propofol anesthesia in adults after closed reduction of nasal bone fracture

2012 ◽  
Vol 63 (1) ◽  
pp. 48 ◽  
Author(s):  
Young-Shin Kim ◽  
Young Keun Chae ◽  
Young Soon Choi ◽  
Jin-Hye Min ◽  
So Woon Ahn ◽  
...  
Keyword(s):  
Comparative Study ◽  
Bone Fracture ◽  
Closed Reduction ◽  
Nasal Bone ◽  
Emergence Agitation

scholarly journals Tratamento de fratura nasal pediátrica: relato de caso clínico

2019 ◽  
Vol 7 (12) ◽  
Author(s):  
Júlio Leite de Araújo-Júnior ◽  
Elma Mariana Verçosa de Melo-Silva ◽  
Anderson Maikon de Souza-Santos ◽  
Tiburtino José de Lima-Neto ◽  
Murilo Quintão dos Santos ◽  
...  
Keyword(s):  
Bone Fracture ◽  
Closed Reduction ◽  
Motor Vehicle ◽  
Nasal Bone ◽  
Facial Trauma ◽  
Motor Vehicle Collisions ◽  
Bone Deformity ◽  
Vehicle Collisions ◽  
Nasal Fractures ◽  
Zygomatic Fractures

Introdução: Os ossos nasais são os mais proeminentes do esqueleto facial, tornando esses os mais frequentes nas fraturas faciais, sendo o terceiro osso mais comumente fraturado do esqueleto humano. Objetivo: Apresentar um relato de caso de fratura nasal em um paciente pediatrico tratado com redução incruenta. Método: Estudo descritivo com um paciente que apresentou diagnóstico clínico/imaginológico de fratura nasal. Conclusão: O tratamento através de redução incluenta mostrou-se adequado em pacientes pediatricos. A ocorrência de traumatismos e lesões associadas a fraturas nasais reforça a importância de uma abordagem multidisciplinar.Descritores: Fraturas Ósseas; Osso Nasal; Traumatismos Faciais.ReferênciasMa L, Shen SH, Hu P, Wu ZQ. The observation of curative effect on closed reduction of nasal bone fracture under ultrasound guidance: report of 38 cases. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017;52(12):933-35.Schoinohoriti O, Igoumenakis D, Rallis G. Fractures of the nasal bones: is external splinting really warranted? J Craniofac Surg. 2017;28(8):e760-e63.Kang CM, Han DG. Correlation between Operation Result and Patient Satisfaction of Nasal Bone Fracture. Arch Craniofac Surg. 2017;18(1):25-9.Kyung H, Choi JI, Song SH, Oh SH, Kang N. Comparison of postoperative outcomes between monitored anesthesia care and general anesthesia in closed reduction of nasal fracture. J Craniofac Surg. 2018;29(2):286-88.Nishioka H, Kondoh S, Yuzuriha S. Convex bone deformity after closed reduction of nasal bone fracture. J Plast Reconstr Aesthet Surg. 2018;71(1):85-9.Lu GN, Humphrey CD, Kriet JD. Correction of Nasal Fractures. Facial Plast Surg Clin North Am. 2017;25(4):537-546.Kim SW, Park B, Lee TG, Kim JY. Olfactory Dysfunction in Nasal Bone Fracture. Arch Craniofac Surg. 2017;18(2):92-6.Davidson J, Nickerson D, Nickerson B. Zygomatic fractures: comparison of methods of internal fixation. Plast Reconstr Surg. 1990;86(1):25-32.Yabe T, Tsuda T, Hirose S, Ozawa T. Comparison of pediatric and adult nasal fractures. J Craniofac Surg. 2012;23(5):1364-6.Murphy RX Jr, Birmingham KL, Okunski WJ, Wasser TE. Influence of restraining devices on patterns of pediatric facial trauma in motor vehicle collisions. Plast Reconstr Surg. 2001;107(1):34-7.

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.

Patient satisfaction following closed reduction of nasal bone fracture

2015 ◽  
Vol 17 (2) ◽  
pp. 37
Author(s):  
Ahmad Al Arfaj ◽  
YasinS Subhan ◽  
Tareq Al Otaibi ◽  
AmaniAhmed Obeid
Keyword(s):  
Patient Satisfaction ◽  
Bone Fracture ◽  
Closed Reduction ◽  
Nasal Bone

scholarly journals The Retrospective Study of Closed Reduction of Nasal Bone Fracture

2014 ◽  
Vol 36 (6) ◽  
pp. 266-272 ◽  
Author(s):  
Han-Kyul Park ◽  
Jae-Yeol Lee ◽  
Jae-Min Song ◽  
Tae-Seup Kim ◽  
Sang-Hun Shin
Keyword(s):  
Retrospective Study ◽  
Bone Fracture ◽  
Closed Reduction ◽  
Nasal Bone
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