9. ASSESSMENT OF THE TREATMENT RESULTS OF NASAL BONE FRACTURES AT 103 MILITARY HOSPITAL
Nội dung chính của bài viết
Tóm tắt
Objectives: Assessment of the results of reduction for patients with nasal bone fractures.
Subjects and methods: A prospective and case-by-case descriptive study with clinical intervention was undertaken. The study includes 51 patients with nasal bone fractures undergoing surgery at 103 Military Hospital from March 2022 to September 2023.
Results: Male patients account for a higher proportion of 66.7% while female patients account for that of 33.3%, and most are at the age of 16–30 (at 54.9%). Traffic accidents are the major causes with 58.8%. Concerning clinical symptoms: 100% of patients with pain, bruising, and swelling in the nose area; 78.4% of patients with post-traumatic epistaxis; 88.2% of patients with nose deformity; 78.4% of patients with a sharp pain nose fracture score and signs of bone crunching in the nasal bone; 52.9% of patients with combined other injuries, in which type II nasal bone fractures accounting for the highest proportion at 54.9%. Results after treatment: the qualified proportion after 1 month is 88.2%, and after 3 months is 96.1%.
Conclusion: Research results show that nasal bone fractures are common in males, mainly caused by traffic accidents. Common clinical symptoms are pain, epistaxis, and nasal pyramid deformity. Reduction of nasal bone fractures is a treatment method that allows the restoration of both aesthetic and physiological functions of the nose.
Chi tiết bài viết
Từ khóa
Nasal bone fractures, nasal trauma, nasal surgery.
Tài liệu tham khảo
of nasal fractures, Oper Tech Otolayngol Head
Neck Surg; No 19, 2008, pp 263-6.
[2] Rohrich RJ, Adams WP, Nasal fracture
management: mini- mizing secondary nasal
deformities, Plast Reconstr Surg; No 106, 2000,
pp 266-73.
[3] Pham TT, Lester E, Grigorian A et al.,
National Analysis of Risk Factors for Nasal
Fractures and Associated Injuries in Trauma,
Craniomaxillofacial Trauma & Reconstruction;
No 12(3), 2019, pp 221-227.
[4] Kim JH, Lee JW, Park CH, Cosmetic
rhinoseptoplasty in acute nasal bone fracture,
Otolaryngol Head Neck Surg; No 149, 2013, pp
212-8.
[5] Ta Phuong Thuy, Clinical and paraclincal
characteristics of major nasal fractures of
patients at the Department of Otolaryngology,
Thai Nguyen General Hospital; Vietnam Journal
of Otorhinolaryngology; No 1, 2023, pp 59-67.
[6] Huynh Kim Khang, Assessment the treatment
results of the nasal fractures in Saigon General
Hospital, Vietnam Journal of Medicine, No 1,
2022, pp 24-27.
[7] Tran Thi Phuong, Research on the clinical
characteristics and computed tomography of
nasal pyramid injuries; Master of medical thesis,
Hanoi Medical University, 2009.
[8] Li L, Zang H, Han D et al., Nasal Bone Fractures:
Analysis of 1193 Cases with an Emphasis on
Coincident Adjacent Fractures, Facial plastic
surgery & aesthetic medicine; No 22(4), 2020,
pp 249-254.
[9] Hwang K, You SH, Kim SG et al., Analysis of
nasal bone fractures; a six-year study of 503
patients”; J Craniofac Surg; No 17, 2006, pp
261-4.
[10] Kim KS, Lee HJ, Shin JH et al., Trend analysis
of nasal bone fracture, Archives of Craniofacial
Surgery; No 19(04), 2018, pp 270-274.
[11] Yilmaz MS, Guven M, Varli AS et al., Nasal
fractures: is closed reduction satisfying?, J
Craniofac Surg; No 24(1), 2013, pp: e36-8.