Simultaneous Augmentation Rhinoplasty with Bony Reduction in Nasal Bone Fracture

비골골절 시 골절정복과 동시에 시행된 융비술

  • Lim, Kwang-Ryeol (Department of Plastic and Reconstructive Surgery, Good Moonhwa Hospital) ;
  • Kim Song, Jennifer (Department of Plastic and Reconstructive Surgery, Good Moonhwa Hospital) ;
  • Kim, Hyung-Do (Department of Plastic and Reconstructive Surgery, Good Moonhwa Hospital) ;
  • Hwang, So-Min (Department of Plastic and Reconstructive Surgery, Good Moonhwa Hospital) ;
  • Jung, Yong-Hui (Department of Plastic and Reconstructive Surgery, Good Moonhwa Hospital) ;
  • Ahn, Sung-Min (Department of Plastic and Reconstructive Surgery, Good Moonhwa Hospital)
  • 임광열 (좋은문화병원 미용성형재건센터 성형외과) ;
  • 송제니퍼 (좋은문화병원 미용성형재건센터 성형외과) ;
  • 김형도 (좋은문화병원 미용성형재건센터 성형외과) ;
  • 황소민 (좋은문화병원 미용성형재건센터 성형외과) ;
  • 정용휘 (좋은문화병원 미용성형재건센터 성형외과) ;
  • 안성민 (좋은문화병원 미용성형재건센터 성형외과)
  • Received : 2010.08.02
  • Accepted : 2010.09.20
  • Published : 2010.11.10

Abstract

Purpose: The nasal bones are the most common fracture sites of the facial bones, and a careful reduction may still result in secondary deformities, such as saddle nose, deviated nose, hump nose etc, requiring secondary cosmetic rhinoplasty. Therefore, this study examined the clinical characteristics of nasal bone fractures to propose guidelines for patient selection and surgical procedures to achieve more satisfactory results and to prevent secondary deformities with simultaneous augmentation rhinoplasty and bony reduction. Methods: The study was based on 26 out of 149 nasal bone fracture patients who underwent simultaneous augmentation rhinoplasty with bony reduction between May 2008 and April 2009. Retrospective analysis was performed according to the clinical data, surgical techniques and postoperative results. Results: Of the 26 patients, there were 15 males and 11 females. The incidence according to the Stranc's classification revealed that 62% of patients were injured by a frontal impact and 38% by a lateral impact. Frontal impact plane I (50%) was the most frequent type. At the follow up, 18 (81.2%) out of 22 patients were satisfied with their postoperative outcome, and the remaining 4 patients were fair. No one was dissatisfied. However, 5 cases in 3 patients (23%) had some complications; minimal implant deviation in 2 cases, minor irregularity on the nasal dorsum in 2 cases and palpable implant movement under palpation in 1 case. None of these cases required surgical correction. Conclusion: With the proper guidance, simultaneous augmentation rhinoplasty with bony reduction can prevent secondary deformities and satisfy the cosmetic outcomes.

Keywords

References

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