OUTCOME OF CLOSED REDUCTION IN NASAL BONE FRACTURE
Keywords:
Nasal trauma, nasal bone fracture, close reduction, cosmetic outcomeAbstract
Objective: To analyse nasal bone fractures with regards to its clinical features, diagnosis, treatment, classification
and post reduction outcome.
Material and Methods: This descriptive study on 102 patients was conducted at the Departments of Ear, Nose,
Throat, Lady Reading Hospital and Khyber Teaching Hospital, Peshawar from June 2010 to June 2011. All patients
underwent a detailed history, physical examination, photographic and radiographic evaluation. Adult patients with a
displaced fracture of nasal bone and septum underwent closed reduction under local anaesthesia, while in children
general anaesthesia was used. Follow up was done for one year.
Results: Out of 102 patients, 85 (83.34%) of patients were males and 17 (16.66%) of patients were females, with a
male to female ratio of 5:1. The age of the patients ranged from 08-60 years with mean age of 30.55 + S.D 19.88
years. The common age group was 11-30 years (67.64%). Violence was the most common cause (41.18%).
Displacement was the common type of nasal bone fracture (72.55%). The mean time-to-reduction after injury was
2.30 hours. Most of the patients were satisfied with the results of closed reduction.
Conclusion: closed reduction of nasal bone fracture soon after trauma provides good cosmetic results.
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