Murray J A, Maran A G, Mackenzie I J, Raab G
Arch Otolaryngol. 1984 Dec;110(12):797-802. doi: 10.1001/archotol.1984.00800380027008.
A stepwise study of nasal fractures includes an initial investigation that was carried out to discover why so many patients were awaiting rhinoplasty, which led us to find a 30% to 40% failure rate in nasal manipulation operations. We then studied the mechanics of nasal fracture by striking fresh cadaver noses. We found that if the nasal bones were deviated by more than half the bridge width, there was a concomitant C-shape fracture of the bony and cartilaginous septum. Two trials were performed, and patients with nasal deviation after trauma were allocated to either manipulation or manipulation plus excision of septal cartilage (closed or open reduction). Both trials were statistically significant, indicating that open reduction is the preferred treatment for patients with a deviation of more than half the bridge width of the nose.
对鼻骨骨折的逐步研究包括一项初步调查，该调查旨在发现为何有如此多患者在等待鼻整形手术，这使我们发现在鼻整形手术中存在30%至40%的失败率。然后，我们通过击打新鲜尸体的鼻子来研究鼻骨骨折的力学原理。我们发现，如果鼻骨偏离超过鼻梁宽度的一半，则会伴有鼻骨和鼻中隔软骨的C形骨折。进行了两项试验，将外伤后出现鼻偏斜的患者分为单纯手法复位组或手法复位加鼻中隔软骨切除术组（闭合或开放复位）。两项试验均具有统计学意义，表明对于鼻偏斜超过鼻梁宽度一半的患者，开放复位是首选治疗方法。
