Original Articles
Nasal bone fracture: mode of injury, management and complications at a tertiary care centre | |
Dr. Rupanjitasangma, Dr. Prakash Patel, Dr. Siddique Hassanul Masud | |
Background – Nasal bonefractures are most common fractures in facial trauma since it is most prominent structure of the mid face. Aim of the study was to analyse the mode of injury, management and complications of nasal bone fractures. Special attention was paid to age distribution, gender distribution, mode of injury, nature of injury, management and sequelae of nasal bone fractures. Method – This was a hospital based retrospective observational study carried out on 50 patients with nasal bone fractures attending the department of Otorhinolaryngology of a tertiary care centre during period of 1 year. Data were analysed in tabulated form with regard to age, gender, mode of injury, nature of injury, type & pattern of injury, management and complications of nasal bone fractures. Results – The average age of patients with nasalbone fracture was 35.2 years with predominance of male sex (74%). The main mode of injury was RTA (38%) followed by fall (24%). 74% patients found with undisplaced fractures were managed conservatively. Most common presentation was nasal bleed (52%). 42% patients found with septal fractures. septal deviation was found to be most common complication (62%). Under treatment of nasal trauma could lead to significant long-term problems like septal deformities (external nasal deformities). Conclusion- Theundisplaced fractures should be managed conservatively. Closed reduction is management of choice in displaced nasal bone fractures without complications. Open reduction to be done either Immediately in displaced nasal fractures using wide surgical exposure or delayed correction (usually > 6 months) of persistent nasal deformities using the standard techniques of rhinoplasty or septorhinoplasty (like osteotomy, dorsal rasping, cartilage graft augmentation). |
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