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Closed reduction of nasoseptal fractures: key concepts for predictable results.

Publication ,  Journal Article
Hollins, A; Pyfer, B; Breeze, J; Zhang, G; Lohmeier, SJ; Powers, DB
Published in: Br J Oral Maxillofac Surg
June 2023

Nasal complex injuries are the most common facial fracture encountered in the trauma population. Multiple surgical techniques for treatment of these fractures have been described with varying results. The goal of this study was to review the efficacy of closed reduction of nasal and septal fractures using a technique based upon several key concepts. We reviewed the records of patients who had undergone isolated nasal and/or septal fractures with closed reduction at our institution between January 2013 and November 2021. Inclusion criteria consisted of preoperative CT imaging, surgical treatment within fourteen days of initial injury, and follow up of at least one year. All patients were treated under general or deep sedation. The same surgical technique was applied with closed reduction of the septum and nasal bones with internal and external postoperative splints. Of the 232 records initially reviewed, 103 met inclusion criteria. Four patients had undergone revision septorhinoplasty (3.9%). Mean (range) follow up was 2.7 (1-8.2) years. Three patients had undergone revision nasal repair due to persistent airflow obstruction with complete resolution of symptoms after revision. The other patient received multiple revisions at another institution as a result of their dissatisfaction with cosmesis without improvement. Closed reduction of nasal and septal fractures can be a highly successful procedure and yield predictable results, limiting the need for post-traumatic open septorhinoplastic surgery. Five critical concepts of nasal fracture repair can help surgeons achieve predictable functional and cosmetic results: selection, timing, anaesthesia, reduction, and support.

Duke Scholars

Published In

Br J Oral Maxillofac Surg

DOI

EISSN

1532-1940

Publication Date

June 2023

Volume

61

Issue

5

Start / End Page

344 / 350

Location

Scotland

Related Subject Headings

  • Treatment Outcome
  • Skull Fractures
  • Rhinoplasty
  • Retrospective Studies
  • Nose Diseases
  • Nasal Septum
  • Nasal Bone
  • Humans
  • Dentistry
  • 3203 Dentistry
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hollins, A., Pyfer, B., Breeze, J., Zhang, G., Lohmeier, S. J., & Powers, D. B. (2023). Closed reduction of nasoseptal fractures: key concepts for predictable results. Br J Oral Maxillofac Surg, 61(5), 344–350. https://doi.org/10.1016/j.bjoms.2023.03.014
Hollins, Andrew, Bryan Pyfer, John Breeze, Gloria Zhang, Steven J. Lohmeier, and David B. Powers. “Closed reduction of nasoseptal fractures: key concepts for predictable results.Br J Oral Maxillofac Surg 61, no. 5 (June 2023): 344–50. https://doi.org/10.1016/j.bjoms.2023.03.014.
Hollins A, Pyfer B, Breeze J, Zhang G, Lohmeier SJ, Powers DB. Closed reduction of nasoseptal fractures: key concepts for predictable results. Br J Oral Maxillofac Surg. 2023 Jun;61(5):344–50.
Hollins, Andrew, et al. “Closed reduction of nasoseptal fractures: key concepts for predictable results.Br J Oral Maxillofac Surg, vol. 61, no. 5, June 2023, pp. 344–50. Pubmed, doi:10.1016/j.bjoms.2023.03.014.
Hollins A, Pyfer B, Breeze J, Zhang G, Lohmeier SJ, Powers DB. Closed reduction of nasoseptal fractures: key concepts for predictable results. Br J Oral Maxillofac Surg. 2023 Jun;61(5):344–350.
Journal cover image

Published In

Br J Oral Maxillofac Surg

DOI

EISSN

1532-1940

Publication Date

June 2023

Volume

61

Issue

5

Start / End Page

344 / 350

Location

Scotland

Related Subject Headings

  • Treatment Outcome
  • Skull Fractures
  • Rhinoplasty
  • Retrospective Studies
  • Nose Diseases
  • Nasal Septum
  • Nasal Bone
  • Humans
  • Dentistry
  • 3203 Dentistry