Love Rachelle L
Wellington Regional Plastics, Maxillofacial and Burns Unit, Hutt Hospital, Wellington, New Zealand.
N Z Med J. 2010 Aug 27;123(1321):45-8.
Nasal fractures are commonly treated by primary closed reduction. However, studies suggest this produces unacceptable functional and aesthetic results. Many patients require revision surgery. We aimed to assess patient satisfaction following closed reduction of nasal fractures.
Retrospective chart review of patients with nasal fractures treated by closed reduction at the Wellington Regional Plastic, Maxillofacial and Burns Unit, New Zealand over a 2-year period was undertaken. Digital manipulation under general anaesthetic was performed. Patients were followed-up by telephone with a structured interview.
Of 116 consecutive patients, 74 (65%) were successfully contacted. 65 (88%) were satisfied with functional outcome, and 64 (86%) with aesthetic outcome. Of the 34 patients reporting incomplete correction, 12 (35%) would consider revision surgery.
Patients treated with closed reduction of nasal fracture performed under general anaesthetic with digital manipulation reported high levels of satisfaction with functional and aesthetic outcomes. Revision rate is low.
鼻骨骨折通常采用一期闭合复位治疗。然而，研究表明这种方法会产生难以接受的功能和美学效果。许多患者需要进行修复手术。我们旨在评估鼻骨骨折闭合复位后的患者满意度。
对新西兰惠灵顿地区整形、颌面与烧伤科在两年内接受闭合复位治疗的鼻骨骨折患者进行回顾性病历审查。在全身麻醉下进行数字手法复位。通过电话进行结构化访谈对患者进行随访。
在116例连续患者中，成功联系到74例（65%）。65例（88%）对功能结果满意，64例（86%）对美学结果满意。在报告矫正不完全的34例患者中，12例（35%）会考虑进行修复手术。
在全身麻醉下采用数字手法复位进行鼻骨骨折闭合复位治疗的患者对功能和美学结果的满意度较高。修复率较低。
