Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, 531771Malatya Turgut Özal University, Malatya, Turkey.
Department of Otolaryngology Head and Neck Surgery, 506082Malatya Training and Research Hospital, Malatya, Turkey.
Ear Nose Throat J. 2022 May;101(4):239-244. doi: 10.1177/01455613211051309. Epub 2021 Nov 23.
Nasal bone fracture is a frequent entity consulted to the otolaryngologists, approximately accounting for 39% of all facial bone fractures. The most frequent mechanisms of injury consist of assault, sport-related injuries, falls, and motor vehicle accidents. In this study, we examined the effects of the COVID-19 pandemic on pediatric nasal fractures.
Children with nasal fracture who applied to Malatya Training and Research Hospital during the year before the first case and the following year were included in this study. Data of 172 patients for the pre-pandemic period and 79 patients for pandemic were available and included in the study. Demographic information, clinical features, nasal fracture etiology, nasal fracture type, type and time of intervention, and other accompanying pathologies were recorded.
While falls was the leading cause of fracture etiology before the pandemic (64 patients [37.21%]), assault seems to be the leading cause during the pandemic period (27 children [34.18%]). In the pre-pandemic period, the intervention for patients with nasal fractures was performed on an average of 5 days, while this period was calculated as an average of 6 days during the pandemic period. When the 2 groups are compared in terms of nasal fracture intervention time, it was seen that the intervention time was statistically significantly later in the pandemic period ( < .001). According to the results of the analysis, the most cases in the pandemic period were seen in the fourth month, which indicated a-month period between 11 June and 11 July.
In conclusion, our number of nasal fracture cases was decreased during the pandemic period compared to the 1-year period before the pandemic. We observed the most common type IIA nasal fracture. We gave outpatient treatment to most of the patients. Our most common cause of fracture was assault. We intervened in our cases in an average of 6 days and preferred closed reduction most frequently. We could not find any study on the same subject in the literature, and we aimed to contribute to the literature with this study.
鼻骨骨折是耳鼻喉科常接诊的一种疾病，约占所有面骨骨折的 39%。最常见的损伤机制包括殴打、与运动相关的损伤、跌倒和机动车事故。在本研究中，我们研究了 COVID-19 大流行对小儿鼻骨骨折的影响。
本研究纳入了在首例病例前一年和次年到马拉蒂亚培训和研究医院就诊的鼻骨骨折患儿。研究纳入了大流行前的 172 例患儿和大流行期间的 79 例患儿的数据。记录了患儿的人口统计学信息、临床特征、鼻骨骨折病因、鼻骨骨折类型、干预类型和时间以及其他伴随的病理情况。
在大流行前，跌倒仍是导致骨折的主要原因（64 例[37.21%]），而在大流行期间，殴打似乎是主要原因（27 例儿童[34.18%]）。在大流行前，鼻骨骨折患者的干预平均在 5 天进行，而在大流行期间，这一时期平均为 6 天。在鼻骨骨折干预时间方面，两组之间的差异具有统计学意义（<.001）。分析结果表明，大流行期间的大多数病例发生在第四个月，即 6 月 11 日至 7 月 11 日的一个月期间。
与大流行前的 1 年相比，我们在大流行期间的鼻骨骨折病例数有所减少。我们观察到最常见的 IIA 型鼻骨骨折。我们对大多数患者进行了门诊治疗。我们最常见的骨折原因是殴打。我们的干预平均时间为 6 天，最常采用闭合复位。我们在文献中没有找到关于同一主题的研究，我们希望通过本研究为文献做出贡献。
