The Retrospective Study of Closed Reduction of Nasal Bone Fracture.
The Retrospective Study of Closed Reduction of Nasal Bone Fracture.
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DOI：
10.14402/jkamprs.2014.36.6.266
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发表时间：
2014-11
影响因子：
2.3
通讯作者：
Shin SH
中科院分区：
文献类型：
--
作者：
Park HK;Lee JY;Song JM;Kim TS;Shin SH
本研究的目的是根据鼻骨骨折患者的分类，探讨闭合复位的治疗效果。回顾性研究186例患者，平均年龄38岁（范围7 - 80岁）。所有患者均通过临床和放射学检查进行诊断，然后通过计算机断层扫描根据Hwang的分类进行分类。根据患者的年龄、性别、骨折原因、骨折后手术时机、并发面骨骨折及并发症进行分类。所有患者均接受相同的复位和治疗方案，然后定期随访至少三个月。骨折的原因是滑倒，20多岁的患病率最高。骨折后平均手术时间为4.1天（范围：1 ~ 14天），中隔骨缺损或骨折较严重时手术时间有延长的趋势。同时发生的面骨骨折以眼眶爆裂性骨折最为常见，颧颌复合体和上颌骨折发生率较高。III级和iib患者并发症发生率最高，主要并发症为术后疼痛。186例患者行鼻骨闭式复位术，术后未发生严重并发症。闭合复位通常是治疗鼻骨骨折的有效方法。然而，如果并发严重的中隔骨折或粉碎性骨折伴凹陷，则应考虑切开复位。需要更多患者的进一步研究和进一步分类。
This study was conducted in order to investigate the therapeutic effect of closed reduction according to a classification in patients with nasal bone fracture. The study was conducted retrospectively on 186 patients with a mean age of 38 years (range: 7 to 80 years). All patients were diagnosed by clinical and radiologic examination, and then classified according to Hwang’s classification by computed tomography. The patients were further classified by their age, gender, causes of fracture, operation timing after fracture, concurrent facial bone fracture, and complications. All patients underwent the same reduction and treatment protocol and were then followed up regularly for at least three months. The cause of the fracture was slip down, and the highest prevalence was shown in the 20s. The mean operation timing after fracture was 4.1 days (range: 1 to 14 days), and it tended to be longer in the case of defected septal bone or more severe fracture. The most common concurrent facial bone fracture was orbital blow-out fracture, and zygomaticomaxillary complex and maxillary fracture occured frequently. The largest number of complications occurred in class III and IIBs patients, and the main complication was postoperative pain. Results of nasal bone closed reduction on the 186 patients showed that serious complications rarely occurred. Closed reduction is generally an effective treatment for nasal bone fracture. However, in the case of severe concurrent septal bone fracture or comminuted fracture with depression, open reduction should be considered. Further study with a larger number of patients and further classification is required.