Park Jinwoo, Yun In Sik, Roh Tai Suk, Kim Young Seok
Department of Plastic and Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Arch Plast Surg. 2023 Aug 2;50(4):389-392. doi: 10.1055/a-2107-2071. eCollection 2023 Jul.
A 14-year-old girl had a midfacial trauma event caused by hitting against an opening door and experienced discomfort and swelling of the columella and upper lip. Physical examination revealed mild tenderness on light palpation without any discomfort with upper lip movement. A computed tomography scan of the maxillofacial bones with three-dimensional reconstruction showed a fracture of the anterior nasal spine with obvious leftward displacement, mild-deviation of the caudal aspect of the nasal septum, and no sign of nasal bone fracture. Open reduction and internal fixation was performed with regard to aesthetic and functional concerns, including nasal septum deviation. The postoperative course was uneventful, and healing proceeded normally without complications. Herein, we emphasize the importance of differential diagnosis of isolated anterior nasal spine fractures in patients with midfacial trauma and clinicians' strategic decision-making in treatment modalities.
一名14岁女孩因撞到打开的门而发生面部中部创伤事件，出现了鼻中隔和上唇不适及肿胀。体格检查发现轻触时有轻度压痛，上唇活动时无任何不适。上颌面部骨骼的计算机断层扫描三维重建显示前鼻棘骨折并明显向左移位，鼻中隔尾端轻度偏曲，无鼻骨骨折迹象。出于美学和功能方面的考虑，包括鼻中隔偏曲，进行了切开复位内固定术。术后过程顺利，愈合正常，无并发症。在此，我们强调了对面中部创伤患者孤立性前鼻棘骨折进行鉴别诊断的重要性以及临床医生在治疗方式上的战略决策。
