Adra Bassel, Al Sheibani Salma
Otolaryngology Head and Neck Surgery, Aintree University Hospital, Liverpool, GBR.
Ear, Nose and Throat (ENT) Head and Neck Surgery, Al Nahdha Hospital, Muscat, OMN.
Cureus. 2024 Nov 15;16(11):e73725. doi: 10.7759/cureus.73725. eCollection 2024 Nov.
Purpose To investigate the epidemiology, etiology, treatment outcomes, and sequelae of nasal bone fractures (NBFs) in the Omani population, which may contribute to developing better treatment approaches and preventive strategies. Materials and methods A retrospective chart review was conducted at Al Nahdha Hospital from January 2012 to January 2017. Data on demographics, injury mechanisms, treatment modalities, and outcomes were collected for 453 patients with NBFs. All patients with fresh NBFs, children, or adults of both genders, were included. Of these, 171 patients underwent nasal bone reduction under general anesthesia (GA). The collected data included the patients' age, gender, cause of injury, treatment, and surgical outcome. SPSS was used for data collection and analysis. Results Sports-related injuries, particularly football, were the most common cause (35.97%), followed by accidental falls (32.92%), road traffic accidents (17.68%), and assaults (12.82%). Most cases (98.8%) were managed with closed reduction, with a satisfactory outcome in 85.81%. However, 14.18% experienced residual deformities requiring further surgery. The highest frequency of displaced NBF was in the 21-30 age group, with males being the predominant patients. Conclusion NBFs are particularly common among young males (21-30 years). Sports injuries, falls, and road traffic accidents are the primary causes. Timely and appropriate management is crucial to minimize long-term complications. Hence, an emphasis on health education and preventive measures for sport injuries among the young population is required.
目的 调查阿曼人群鼻骨骨折（NBF）的流行病学、病因、治疗结果及后遗症，这可能有助于制定更好的治疗方法和预防策略。材料与方法 于2012年1月至2017年1月在纳赫达医院进行了一项回顾性病历审查。收集了453例鼻骨骨折患者的人口统计学、损伤机制、治疗方式及结果等数据。纳入所有新鲜鼻骨骨折患者，包括儿童及成人，男女不限。其中，171例患者在全身麻醉（GA）下进行了鼻骨复位。收集的数据包括患者的年龄、性别、受伤原因、治疗及手术结果。使用SPSS进行数据收集和分析。结果 与运动相关的损伤，尤其是足球运动，是最常见的原因（35.97%），其次是意外跌倒（32.92%）、道路交通事故（17.68%）和袭击（12.82%）。大多数病例（98.8%）采用闭合复位治疗，85.81%的患者结果满意。然而，14.18%的患者出现残留畸形，需要进一步手术。移位鼻骨骨折发生率最高的是21 - 30岁年龄组，男性患者居多。结论 鼻骨骨折在年轻男性（21 - 30岁）中尤为常见。运动损伤、跌倒和道路交通事故是主要原因。及时、恰当的处理对于减少长期并发症至关重要。因此，需要重视对年轻人群进行运动损伤的健康教育和预防措施。
