Choi Matthew Seung Suk, Kim Woonhoe, Youn Seungki, Lee Jang Hyun
Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Gyeonggi-do, Korea.
J Craniofac Surg. 2012 Jan;23(1):e25-7. doi: 10.1097/SCS.0b013e31824209ba.
Nasal bone fracture is the most common of the fractures of the facial skeleton. For centuries, these injuries have been managed with closed reduction, but because of low surgeon satisfaction rates and high revision rates, open reduction is advocated in cases involving severe deviation of the nasal dorsum associated with septal fractures. There are many surgical approaches that can be used to expose the nasal bones, but we present a case where the subciliary incision was used to reduce and fixate the fracture in a patient with combined zygomatic fractures. Owing to the abundance of other concomitant facial fractures with nasal bone fractures, this approach can be used in patients with combined injuries to the facial skeleton, in whom an open reduction of the nasal bones is also required.
鼻骨骨折是面颅骨骨折中最常见的。几个世纪以来，这些损伤一直通过闭合复位进行处理，但由于外科医生满意度低和翻修率高，对于伴有鼻中隔骨折且鼻背严重偏斜的病例，主张采用切开复位。有许多手术方法可用于暴露鼻骨，但我们介绍了一例使用睫毛下切口对合并颧骨骨折的患者进行鼻骨骨折复位和固定的病例。由于鼻骨骨折常伴有大量其他面部骨折，这种方法可用于面部骨骼合并损伤且也需要对鼻骨进行切开复位的患者。
