Efficacy of closed reduction surgery on treatment of nasal bone fracture in admitted patients to Shahid Bahonar Hospital, Kerman, Iran

Authors

  • Ahmad Enhesari Assistant Professor, Department of Radiology, Shahid Bahonar Hospital, Kerman, Iran
  • Javad Faryabi Associate Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry AND Oral and Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran
  • Pouyan Sigari Assistant Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Ardabil University of Medical Sciences, Ardabil, Iran
  • Shiva Pouradeli Epidemiologist, Oral and Dental Disease Research Center AND Kerman Social Determinants on Oral Health Research Center, Kerman University of Medical Sciences, Kerman, Iran
Abstract:

BACKGROUND AND AIM: Nasal fracture is one of the most common facial fractures and the main goal of this study was evaluation of closed reduction surgery of nasal bone fractures.METHODS: Thirty six patients including 24 male and 12 female patients suffered from nasal bone fractures were treated by closed reduction method. Preoperative and postoperative computed tomographic scans were analyzed by an expert panel. Statistical methods including chi-square, Fisher's exact test and regression were used to evaluate the relationship between age, sex and type of trauma and to evaluate the efficacy of closed reduction technique.RESULTS: Type of trauma, age and sex had not any effect on closed reduction efficacy. We had 36.1% complete success rate (nearly complete anatomic reduction), 36.1% favorable success rate (acceptable non-anatomic reduction) and 27.8% absolute failure (no acceptable reduction) after treatment of nasal bone fractures by closed reduction method.CONCLUSION: Closed nasal reduction is the most commonly used technique for a fractured nose, but it has high degree of failure of treatment, so when choosing the closed reduction method for treatment of nasal bone fractures, appropriate radiography must be taken for meticulous evaluation to reducing the complications.

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Journal title

volume 5  issue 3

pages  148- 153

publication date 2016-08-30

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