Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-05T13:37:20.476Z Has data issue: false hasContentIssue false
  • English
  • Français

Long-term results after treatment of nasal fractures

Published online by Cambridge University Press:  29 June 2007

Peter Illum
Peter Illum*
Affiliation:
Aarhus, Denmark
*
Associate Professor, ENT Department, University Hospital of Aarhus, Aarhus Kommunehospital, DK-8000 Aarhus C, Denmark.
Get access Rights & Permissions [Opens in a new window]

Abstract

One hundred and six patients with nasal fractures, treated by reduction in 65 percent, were seen three months and three years after the trauma. The results were compared with a normal group.

Sixteen patients (15 per cent) had sustained recent nasal injuries, and another four patients had undergone correction of the nose during the follow-up period. These patients were left out of the statistical analysis, which thus comprises 88 patients.

Ninety per cent were satisfied with the result, and 84 per cent reported normal passage of air. Physical examination revealed a considerable number of deformities in all groups. including the normal group. Deviation of the external nose was significantly more common in the patients than in the normals. During the follow-up period, secondary deformity—saddling or hump—developed in some cases. Most deformities were slight and of little importane to the patient. Septal deformities were present in over 50 per cent of all groups, including the normal group. There was no aggravation of septal deformities or increasing nasal stenosis during the follow-up period. There patients were interested in secondary corrective treatment.

It is concluded that closed reduction of nasal fractures affords satisfactory long-term results. The study does not support the view that a large number of cases of nasal fracture should be treated by open reduction.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 100 , Issue 3 , March 1986 , pp. 273 - 278
Copyright
Copyright © JLO (1984) Limited 1986

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Fry, H. (1967) The importance of the septal cartilage in nasal trauma. British Journal of Plastic Surgery, 20: 392–402.CrossRefGoogle ScholarPubMed
Hurst, A. (1960) The importance of nasal fractures. The Laryngoscope, 70: 68–77.CrossRefGoogle ScholarPubMed
Illum, P., Kristensen, C., Jøroensen, K. and Pedersen, C. B. (1983) Role of fixation in the treatment of nasal fractures. Clinical Otolaryngology, 8: 191–195.CrossRefGoogle ScholarPubMed
Marcks, R. and Pirsig, W. (1977) Spätergebnisse der Nasenbeinfrakturen bei Erwachsenen. Eine klinische und röntgenologische Studie. H.N.O.-Praxis, 25: 187–192.Google Scholar
Mayell, M. J. (1973) Nasal fractures. Journal Royal College of Surgeons of Edinburgh, 18: 31–36.Google ScholarPubMed
Murray, J. A. M. and Maran, A. G. D. (1980) The treatment of nasal injuries by manipulation. The Journal of Laryngology and Otology, 94: 1405–1410.CrossRefGoogle ScholarPubMed
Rozner, L. (1964) Nasal obstruction due to restriction of the bony nasal inlet. British Journal of Plastic Surgery, 17: 287–296.CrossRefGoogle ScholarPubMed
Stell, P. M. (1980) The fractured nose. Clinical Otolaryngology, 5: 362–363.CrossRefGoogle ScholarPubMed