Primary Septoplasty In The Treatment of Nasal Bone Fractures

비골 골절 치료시 일차적 비중격 성형술

  • Yoo, Yeon Sik (Department of Plastic Surgery Korea University College of Medicine) ;
  • Yoon, Eul Sik (Department of Plastic Surgery Korea University College of Medicine) ;
  • Lee, Byung Il (Department of Plastic Surgery Korea University College of Medicine) ;
  • Dhong, Eun Sang (Department of Plastic Surgery Korea University College of Medicine)
  • 유연식 (고려대학교 의과대학 성형외과학교실) ;
  • 윤을식 (고려대학교 의과대학 성형외과학교실) ;
  • 이병일 (고려대학교 의과대학 성형외과학교실) ;
  • 동은상 (고려대학교 의과대학 성형외과학교실)
  • Published : 2009.01.15

Abstract

Purpose: Most nasal bone fractures involve the septum; either or both of the ethmoidal perpendicular plate(EPP) and quadrangular cartilage(QC). Unlocked tension from the underlying quadrangular cartilage and poorly reducted bony septum are obstacles to the successful reduction of nasal bone. So we compared the preliminary outcome of septoplasty as a primary treatment with the untreated septum in nasal bone fractures. Methods: We performed a retrospective study of 215 patients underwent reduction of nasal fracture between January 2002 and February 2008. We graded patients into four groups according to the amount of deviation and direction of force by CT. Our indication for septoplasty and combined procedures was the deviation of EPP or QC over 50% from the midline. We interviewed part of the patients by telephone regarding the subjective esthetic and functional outcomes. Results: Forty five of 215 patients (21 percent) underwent septoplasty and combined procedures (cartilage graft, etc) after the informed consent. Patients who underwent septoplasty significantly satisfied with the outcome of esthetic appearance and nasal patency compared with patients who underwent simple closed reduction despite of having septal deviation over 50 percent from the midline. (p < 0.05) Conclusion: Septal surgery and esthetic consideration shoud be made even in simple nasal reductions. And if CT scans reveal severe deviation of septum, septoplasty should be considered as a primary treatment.

Keywords

References

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