Crowther J A, O'Donoghue G M
Department of Otolaryngology, Radcliffe Infirmary, Oxford.
Ann R Coll Surg Engl. 1987 Nov;69(6):259-60.
A questionnaire method was used to assess the ability of early primary reduction to treat the fractured nose. Questionnaires were sent to one hundred and twenty eight such patients of whom eighty five (66%) replied. Seventy two (85%) of the patients expressed satisfaction with their nasal appearance with only thirteen (15%) requesting corrective surgery. Thirty one patients (36%) experienced nasal obstruction following reduction and of those, eighteen (21%) wished to undergo further surgery. In a separate study the cause of nasal deformity in fifty five patients undergoing septorhinoplasty was ascertained. In thirty six of these patients (65.5%) the deformity resulted from a neglected nasal injury. The value and limitations of early primary reduction of nasal fractures is discussed.
采用问卷调查法评估早期一期复位治疗鼻骨骨折的能力。向128例此类患者发放问卷,其中85例(66%)回复。72例(85%)患者对鼻部外观表示满意,只有13例(15%)要求进行矫正手术。31例(36%)患者复位后出现鼻塞,其中18例(21%)希望接受进一步手术。在另一项研究中,确定了55例行鼻中隔鼻成形术患者鼻畸形的原因。在这些患者中,36例(65.5%)畸形是由被忽视的鼻部损伤引起的。本文讨论了鼻骨骨折早期一期复位的价值和局限性。