Document Detail

Open vs closed approach to the nasal pyramid for fracture reduction.
MedLine Citation:
PMID:  17372060     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare an open vs a closed approach to the nasal pyramid for the initial repair of nasal fractures.
METHODS: Retrospective medical record review of 49 patients with acute nasal fractures treated by a single surgeon during a 5-year period. Patients underwent a closed approach to the nasal pyramid (Boise elevator only) or an open approach using rhinoplasty techniques, including rasping, osteotomies, and cartilaginous resection or augmentation. Patients were further categorized based on whether septoplasty was performed. The primary outcome measure was the revision rate (RR).
RESULTS: All 49 patients with acquired nasal deformities underwent repair within 3 weeks of the date of injury. The cohort was filtered into the following 5 groups: group 1 (closed approach to the nasal pyramid; RR, 1/15 [6.7%]), group 2 (closed approach to the nasal pyramid with septoplasty; RR, 3/4 [75.0%]), group 3 (open approach to the nasal pyramid; RR, 0/10 [0.0%]), group 4 (open approach to the nasal pyramid with septoplasty; RR, 1/15 [6.7%]), and group 5 (prior cosmetic septorhinoplasty; RR, 5/5 [100.0%]).
CONCLUSION: In patients with nasal fractures and associated septal deviation requiring septoplasty, RRs may be notably reduced by using an open approach to the nasal pyramid at the time of the initial repair.
Michael J Reilly; Steven P Davison
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of facial plastic surgery     Volume:  9     ISSN:  1521-2491     ISO Abbreviation:  Arch Facial Plast Surg     Publication Date:    2007 Mar-Apr
Date Detail:
Created Date:  2007-03-20     Completed Date:  2007-05-08     Revised Date:  2012-09-24    
Medline Journal Info:
Nlm Unique ID:  100883500     Medline TA:  Arch Facial Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  82-6     Citation Subset:  IM    
Department of Otolaryngology--Head and Neck Surgery, Georgetown University Hospital, Washington, DC 20007, USA.
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MeSH Terms
Fractures, Bone / surgery*
Nasal Septum / injuries*,  surgery*
Retrospective Studies
Rhinoplasty / methods*

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