Marcks R, Pirsig W
HNO. 1977 May;25(5):187-92.
In 100 adults the effect of treatment of nasal fractures was followed up after 14 to 65 months. In 30% of 53 patients with closed reduction of the nose long-term results as to shape and function of the nose were not satisfying. Nasal obstruction deformity slowly developed several months after treatment mainly because of untreated septal fractures and green-stick fractures of the nasal bones. After open reduction and septal reconstruction only 1 of 17 patients had a poor result. By roentgenographic examinations three types of fracturelines could be distinguished: osseous (40), fibrous (37), and mixed transformations (23). In all types there was found a solid nasal pyramid. The osseous transformation of the fracture-line was promoted by reduction of the fracture within the first posttraumatic days, by a small distance of the fractured ends and if the injury was not too violent.
对100名成年人鼻骨骨折的治疗效果进行了14至65个月的随访。在53例行闭合性鼻骨复位的患者中，30%的患者鼻子的外形和功能的长期效果不尽人意。鼻阻塞畸形在治疗数月后缓慢出现，主要原因是鼻中隔骨折和鼻骨青枝骨折未得到治疗。行开放性复位和鼻中隔重建后，17例患者中只有1例效果不佳。通过X线检查可区分三种骨折线类型：骨质型（40例）、纤维型（37例）和混合型（23例）。在所有类型中均发现有坚固的鼻锥体。骨折线的骨质转化在创伤后的头几天内通过骨折复位、骨折端距离小以及损伤不太严重而得到促进。
