Yabe Tetsuji, Tsuda Tomoyuki, Hirose Shunsuke, Ozawa Toshiyuki
Department of Plastic and Reconstructive Surgery, Ishikiri-Seiki Hospital, Higashi-Osaka City, Osaka, Japan.
J Craniofac Surg. 2012 Sep;23(5):1364-6. doi: 10.1097/SCS.0b013e31824dfb7b.
Nasal fractures are the most common facial fracture in children and adults. Generally, it is believed that reduction of pediatric nasal fracture is more difficult and should be performed earlier compared with that of adult nasal fracture. However, there has been no article to prove this theory. We investigated 423 patients with acute nasal fractures requiring surgery and divided them into the following 2 groups: patients 12 years and younger (pediatric group) and patients 13 years and older (adult group). We then compared these patients in various aspects. There were no significant differences in the cause of fracture or postoperative conditions. Only the type of fracture and the anesthesia were different between these 2 groups. In the pediatric group, the interval between injury and surgery was arbitrarily divided into 2 groups, but there was no significant difference between these groups in the postoperative conditions. Some reports recommended that pediatric nasal fractures should be reduced within 3 to 5 days, but it cannot be proven. In conclusion, it is not necessary to distinguish treatment of pediatric nasal fracture from that of adult nasal fracture.
鼻骨骨折是儿童和成人中最常见的面部骨折。一般认为，与成人鼻骨骨折相比，小儿鼻骨骨折的复位更困难，且应更早进行。然而，尚无文章能证明这一理论。我们对423例需要手术治疗的急性鼻骨骨折患者进行了调查，并将他们分为以下两组：12岁及以下的患者（小儿组）和13岁及以上的患者（成人组）。然后我们在各个方面对这些患者进行了比较。骨折原因或术后情况没有显著差异。只有这两组之间的骨折类型和麻醉方式不同。在小儿组中，受伤至手术的间隔被任意分为两组，但这两组在术后情况方面没有显著差异。一些报告建议小儿鼻骨骨折应在3至5天内复位，但这无法得到证实。总之，没有必要区分小儿鼻骨骨折和成人鼻骨骨折的治疗方法。
