Baliga Shridhar D, Urolagin Sarvesh B
Department of Oral and Maxillofacial Surgery, KLE VK Institute of Dental Sciences, Nehru Nagar, Belgaum, Karnataka 590010 India.
J Maxillofac Oral Surg. 2012 Mar;11(1):34-7. doi: 10.1007/s12663-011-0305-y. Epub 2011 Oct 18.
Nasal fractures may occur in association with other facial injuries like Le-forte II and III and also severe comminuted midface fractures or by themselves. Bony fractures of the nose may involve one or both nasal bones, the frontal process of the maxilla, the bony septum, and in severe trauma the nasal-orbital-ethmoid complex. Treatment of these fractures range from closed reduction and support to open reduction and miniplate osteosynthesis. Purpose of this article is to describe a technique of managing nasal bone fractures associated with midface fractures.
Four consecutive patients who sustained nasal bone fracture associated with multiple midfacial fractures were included in the study.
Postoperatively, results showed symmetry in the intercanthal to lateral canthal width. Nasofronal angle and nasal prominence was established to the expected position in most of the cases.
This technique can be used for Le forte II and III cases where nasal bones to be addressed. This method has shown predictive results with minimal intervention.
鼻骨骨折可能与其他面部损伤如勒福Ⅱ型和Ⅲ型骨折同时发生，也可能与严重的粉碎性面中部骨折同时出现，或者单独发生。鼻骨骨折可能累及一块或两块鼻骨、上颌骨额突、骨性鼻中隔，在严重创伤时还可能累及鼻眶筛复合体。这些骨折的治疗方法从闭合复位和支撑到开放复位及微型钢板内固定不等。本文的目的是描述一种处理与面中部骨折相关的鼻骨骨折的技术。
本研究纳入了4例连续发生鼻骨骨折并伴有多处面中部骨折的患者。
术后，结果显示内眦至外眦宽度对称。在大多数病例中，鼻额角和鼻突出度恢复到预期位置。
该技术可用于需要处理鼻骨的勒福Ⅱ型和Ⅲ型病例。该方法以最小的干预显示出可预测的结果。
