Yu Sang Soo, Cho Pil Dong, Shin Hyun Woo, Rhee Seung Chul, Lee Soo Hyang
*Department of Plastic and Reconstructive Surgery, Ilsan Paik Hospital, Inje University †Department of Plastic and Reconstructive Surgery, Ilsan Hospital, Dongguk University College of Medicine, Goyang, South Korea.
J Craniofac Surg. 2015 Jul;26(5):1624-7. doi: 10.1097/SCS.0000000000001850.
The aim of this study was to compare the outcomes between Kirschner wire (K-wire) splinting and intranasal packing.
The authors performed a retrospective and comparative analysis of subjective patient discomfort and objective postoperative computed tomography (CT) imaging after closed reduction for treating type II and type III nasal bone fractures from April 2010 to April 2013 in 2 groups, 1 with K-wire splinting and 1 with intranasal packing.
Complaints of nasal obstruction, dry mouth, loss of appetite, and sleep disturbance were significantly less in K-wire group. Mean scores for concerns about aesthetics/postoperative asymmetry did not differ significantly between groups. There was no significant difference in accuracy of reduction and support provided to the reduced nasal bones between groups.
The K-wire fixation can be considered a reliable and useful immobilization method for treating type II and type III nasal bone fractures.
本研究的目的是比较克氏针固定与鼻腔填塞的治疗效果。
作者对2010年4月至2013年4月期间两组采用闭合复位治疗Ⅱ型和Ⅲ型鼻骨骨折的患者进行回顾性比较分析，一组采用克氏针固定，另一组采用鼻腔填塞。
克氏针组患者鼻塞、口干、食欲不振和睡眠障碍的主诉明显较少。两组在美学/术后不对称问题上的平均得分无显著差异。两组在鼻骨复位的准确性和对复位鼻骨的支撑方面无显著差异。
克氏针固定可被认为是治疗Ⅱ型和Ⅲ型鼻骨骨折的一种可靠且有用的固定方法。
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