DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20213283

Incidence, evaluation and management of nasal bone fracture: study of 60 cases

Sanjay M. Tota, Niral R. Modi

Abstract


Background: It was retrospective and prospective study of 60 nasal bone fracture patients we treated at our hospital. We analyzed them for their age and sex incidence, side prevalance, presentation and their treatment option.

Methods: Through history was taken and examination was done and these cases were investigated with CT scan or X-ray than treated period.

Results: Most common involved patients were males (73%) than the females (27%). In our study, most common cause of nasal bone fracture was the road traffic accident (59%) and less common cause of nasal bone fracture was assaulted trauma. Most commonly done about 60% radiological investigation were only X-ray bilateral nasal bone. In this study fracture bone reduction was done under local anesthesia or sedation in 87% of patients and general anesthesia in 13% of patients. Most commonly affected patients of nasal bone fracture had lateral impact injury (70%) than the frontal impact injury. We treated 77% patients of nasal bone fracture by closed reduction and the patients with linear non-displaced nasal bone fracture by medication.

Conclusions: Male were more affected than the female and common age group was 11 to 30 years. Most common cause of nasal bone fracture was the road traffic accident. In nasal bone fracture the lateral impact injury was more common, in treatment of nasal bone fracture simple nasal X-ray were useful tool for management of nasal bone fracture. Closed nasal bone fracture reduction did under local anesthesia in most of patients.


Keywords


Fracture nasal bones, Closed reduction, Frontal and lateral impact injury

Full Text:

PDF

References


Murray JA. Management of septal deviation with nasal fractures. Facial Plast Surg. 1989;6(2):88-94.

Nahum AM. The biomechanics of maxillofacial trauma. Clin Plast Surg. 1975;2(1):59-64.

Courtney MJ, Rajapakse Y, Duncan G, Morrissey G. Nasal fracture manipulation: a comparative study of general and local anaesthesia techniques. Clin Otolaryngol Allied Sci. 2003;28(5):472-5.

Park HK, Lee JY, Song JM, Kim TS, Shin SH. The Retrospective Study of Closed Reduction of Nasal Bone Fracture. Maxillofac Plast Reconstr Surg. 2014;36(6):266-72.

Small EW. Survey of maxillofacial fractures. J Oral Surg. 1976;34(1):27-8.

Logan M, Driscoll K, Masterson J. The utility of nasal bone radiographs in nasal trauma. Clin Radiol. 1994;49(3):192-4.

Turvey TA. Midfacial fractures: a retrospective analysis of 593 cases. J Oral Surg. 1977;35(11):887-91.

Wild DC, Alami MA, Conboy PJ. Reduction of nasal fractures under local anaesthesia: an acceptable practice? Surgeon. 2003;1(1):45-7.

Khwaja S, Pahade AV, Luff D, Green MW, Green KM. Nasal fracture reduction: local versus general anaesthesia. Rhinology. 2007;45(1):83-8.

Cook JA, Rae RD, Irving RM, Dowie LN. A randomized comparison of manipulation of the fractured nose under local and general anaesthesia. Clin Otolaryngol Allied Sci. 1990;15(4):343-6.