Kim Jisung, Jung Hahn Jin, Shim Woo Sub
Department of Otorhinolaryngology-Head and Neck Surgery, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea.
Clin Exp Otorhinolaryngol. 2018 Mar;11(1):46-51. doi: 10.21053/ceo.2017.00346. Epub 2017 Jun 13.
Closed reduction is generally recommended for acute nasal bone fractures, and rhinoplasty is considered in cases with an unsatisfactory outcome. However, concomitant rhinoplasty with fracture reduction might achieve better surgical outcomes. This study investigated the surgical techniques and outcomes in patients who underwent rhinoplasty and fracture reduction concomitantly, during the acute stage of nasal bone fracture.
Forty-five patients who underwent concomitant rhinoplasty and fracture reduction were enrolled. Nasal bone fractures were classified into three major types (type I, simple fracture; type II, fracture line that mimics nasal osteotomy; and type III, comminuted fracture) based on computed tomography images and preoperative facial images. Two independent otolaryngology-head and neck surgeons evaluated the surgical outcomes and telephone based survey were made to evaluate patients satisfaction.
Among 45 patients, there were 39 males and 6 females. Type I was the commonest type of fracture with 18 patients (40%), while the most frequently used surgical technique for corrective surgery was dorsal augmentation with 44 patients (97.8%). The mean visual analogue scale satisfaction score of the surgeons and patients were 7.62 and 8, respectively, with no significant differences between fracture types.
Concomitant rhinoplasty with fracture reduction can be performed for acute nasal bone fracture patients, and it might lead to better aesthetic outcomes.
急性鼻骨骨折一般建议行闭合复位，若结果不满意则考虑行鼻整形术。然而，骨折复位同时行鼻整形术可能会取得更好的手术效果。本研究调查了在鼻骨骨折急性期同时接受鼻整形术和骨折复位患者的手术技术及效果。
纳入45例同时接受鼻整形术和骨折复位的患者。根据计算机断层扫描图像和术前面部图像，将鼻骨骨折分为三种主要类型（I型，单纯骨折；II型，类似鼻骨截骨术的骨折线；III型，粉碎性骨折）。两名独立的耳鼻咽喉头颈外科医生评估手术效果，并通过电话调查评估患者满意度。
45例患者中，男性39例，女性6例。I型骨折最为常见，共18例（40%），而矫正手术最常用的手术技术是鼻背增高术，共44例（97.8%）。外科医生和患者的视觉模拟量表满意度平均得分分别为7.62和8，不同骨折类型之间无显著差异。
急性鼻骨骨折患者可同时进行鼻整形术和骨折复位，这可能会带来更好的美学效果。
