대한두개안면성형외과학회지 (Archives of Craniofacial Surgery)

  • 제19권4호
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  • Pages.270-274
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  • 2018
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  • 2287-1152(pISSN)
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  • 2287-5603(eISSN)
대한두개안면성형외과학회 (Korean Cleft Palate-Craniofacial Association)
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Trend analysis of nasal bone fracture

  • Kim, Kwang Seog (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) ;
  • Lee, Han Gyeol (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) ;
  • Shin, Jun Ho (Department of Preventive Medicine, Chonnam National University Medical School) ;
  • Hwang, Jae Ha (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) ;
  • Lee, Sam Yong (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School)
  • 투고 : 2018.10.16
  • 심사 : 2018.10.24
  • 발행 : 2018.12.20
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초록

Background: Nasal bone fractures occur frequently because the nasal bone is located at the forefront of the face. The goal of this study was to examine the cause, change in severity, change in incidence, and demographics of nasal bone fracture according to today's lifestyle. Methods: A total of 2,092 patients diagnosed as having nasal bone fractures at our department between 2002 and 2017 were included in this study. We retrospectively examined patients' medical records to extract information regarding age, sex, cause of injury, combined facial bone fractures, and related injuries such as skull base fracture, spinal cord injury, brain hemorrhage, and other bone fractures. Fracture severity was classified by nasal bone fracture type. Results: No statistically significant difference was found in annual number of patients treated for nasal bone fracture. The proportion of patients who underwent closed reduction was significantly decreased over time for those with nasal bone fractures caused by traffic accidents. However, it was not significantly changed for those with nasal bone fractures due to other causes. The number of patients with combined facial bone fractures increased over time. Incidences of severe nasal bone fracture also increased over time. Conclusion: The study suggested that there is a decrease in the frequency and increase in the severity of nasal bone fracture due to traffic accident. Many protective devices prevent nasal bone fractures caused by a small amount of external force; however, these devices are not effective against higher amounts of external force. This study highlights the importance of preoperative thorough evaluation to manage patients with nasal bone fractures due to traffic accident.

키워드

참고문헌

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피인용 문헌

  1. Big Data Statistical Analysis of Facial Fractures in Korea vol.35, pp.7, 2018, https://doi.org/10.3346/jkms.2020.35.e57
  2. Quality of life of patients with nasal bone fracture after closed reduction vol.21, pp.5, 2018, https://doi.org/10.7181/acfs.2020.00507
  3. Etiology, pattern, and treatment of nose fractures: A 10-year cross-sectional cohort retrospective study vol.24, pp.11, 2021, https://doi.org/10.4103/njcp.njcp_52_21