Analysis of simple nasal bone fracture and interpreting results of closed reduction under local anesthesia

Abstract

Objective: To analyze the age, gender and the most frequent causes of nasal fractures evaluated in the otorhinolaryngology service of a tertiary hospital and interpreting the result of closed reduction of nasal bone fracture under local anesthesia and need for revision surgery. Study design: Prospective case study. Materials and methods: The prospective analysis of 60 patients diagnosed as simple nasal bone fracture over a period of 6 months (between Jan 1st 2011 and July 1st 2011) who presented in department of ENT and HNS at Government Medical College, srinagar. All the patient underwent closed fracture reduction under local anesthesia after proper assessment and documentation. The patients were analyzed in groups and followed up to period of 6 months. Results: Total of 60 patients (group A) with nasal bones fracture were included in the study, including 48 men and 12 women. The most common age was between 25 and 65 years. Violence was the most frequent cause seen (48%), followed by traffic accidents (35%), 12% of cases were due to sports injury other causes about 5% (fall from their own height and work related injury). After performing closed reduction under local anesthesia, the immediate results were analyzed using linear analog scale. The follow-up period ranged from 1 week to 6 months. The functional and esthetic outcome of procedure were seen in follow-up period. Patients in group A1 (80%) were pleased with their results and did not require a secondary surgery 20%. Patients developed a post-traumatic nasal deformity requiring a post-traumatic septorhinoplasty (group A2).