Open reduction nasal fracture
Woo Sub Shim, Department of Otorhinolaryngology-Head and Neck Surgery, Chungbuk National University Hospital, Chungbuk National University College of Medicine, 776 1sunhwan-ro, Soewon-gu, Cheongju 28644, Korea Tel: +82-43-269-6157, Fax: +82-43-265-6157, email: [email protected]
This is an open-access article licensed under the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which allows free non-commercial usage, dissemination, and replication in any medium as long as the original work is properly cited.
For acute nasal bone fractures, closed reduction is usually advised, and rhinoplasty is considered if the result is unsatisfactory. Concomitant rhinoplasty with fracture reduction, on the other hand, can result in better surgical outcomes. The surgical procedures and outcomes in patients who underwent rhinoplasty and fracture reduction at the same time during the acute stage of a nasal bone fracture were examined in this study.
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The aim of this study was to look at the various types of surgical interventions used to treat nasal bone fractures, as well as the outcomes and complications associated with each one.
From January 1, 1997, to September 9, 2017, a search was performed using the PubMed and Cochrane Database of Systematic Reviews databases. With keywords related to nasal fracture and care, the search strategy was built using the Population Intervention Comparison Outcome method. The thesis was carried out by two groups of independent researchers. The Methodological Index for Non-Randomized Studies and the National Institute for Clinical Excellence methodology for randomized controlled trial checklists were used for qualitative research.
The 4276 titles were gathered solely from the PubMed database. The title, abstract, and full-text analysis were used to rule out candidates. In the end, 23 articles were considered and evaluated. Thirteen (56.5%) of the 23 articles were retrospective record reviews, two (8.7%) were randomized clinical trials or studies, and eight were case series (34.8 percent ). Closed reduction was discussed in 16 (69.6%) studies, open reduction in 3 (13%) studies, and both open and closed reduction in 4 (17.4%) studies. The precision of the anatomical reduction of the nasal bones was the key subject of all studies’ outcomes. Three studies (13.0%) recorded restoration of function, such as breathing comfort or relief from respiratory obstruction, while three others (13.0%) looked at both cosmetic and breathing outcomes. In the tests, residual deformity was the most commonly reported complication (30.4 percent ). The majority of the studies were low-quality since they omitted certain primary elements from the Methodological Index for Non-Randomized Studies checklist.
Open reduction nasal fracture – dr. tanveer
Reduction is a surgical technique that restores the proper alignment of a fractured or dislocated joint. This sense of “reduction” does not mean elimination or quantitative decrease, but rather a restoration: re (“back [to initial position]”) + ducere (“lead”/”bring”), i.e. “getting back to usual.” As a bone breaks, the pieces lose their alignment, resulting in displacement or angulation. The bony fragments must be re-aligned to their usual anatomical location for the broken bone to heal without deformity. By reducing the displacement, orthopedic surgery helps to restore the natural anatomy of the broken bone.
Since the process of reduction can be very painful for a brief period of time, it is typically performed under the control of a local anesthetic, sedative, or nerve block. After the fragments have been reduced, the reduction is preserved by the use of casts, traction, or plates, screws, or other implants, which may be external or internal. Clinical tests and X-rays are essential for confirming the accuracy of reduction, particularly in the case of joint dislocations.
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Seok Joo Kang, Inje University Busan Paik Hospital, Inje University School of Medicine, 75 Bokji-ro, Busanjin-gu, Busan 47392, Korea E-mail: [email protected]
This is an Open Access article licensed under the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which allows for free non-commercial usage, dissemination, and replication in any medium as long as the original work is properly cited.
In cases of midface blunt trauma, nasal fracture and orbital blowout fracture often occur at the same time. The most common procedure for multiple fractures is surgery, and the nasal bone and orbit are usually operated on separately. However, in patients with a concomitant nasal bone fracture and orbital blowout fracture, a transconjunctival approach has proven to be successful.
In this study, 33 patients who visited the Plastic Surgery outpatient department between March 2014 and March 2017 and had surgery for a nasal fracture and orbital blowout fracture were included. The satisfaction of patients and doctors with surgical results following indirect open reduction via a transconjunctival approach for the treatment of nasal bone fractures with associated orbital blowout fractures was evaluated.