Navigation Links
Patients Dissatisfied Following Closed Reduction Of Nasal Fractures

A report in the January/February issue of Archives of Facial Plastic Surgery, one of the JAMA/Archives journals, finds that nearly one-third of the patients who underwent closed reduction of nasal fractures //reported dissatisfaction with the outcome and said they would consider further surgery to correct their nasal deformities.

Closed reduction, the standard procedure to repair a broken nose, involves repositioning nasal bones without an open surgical incision. It is typically performed within seven days of nasal fracture for children and within 10 days for adults.

'This method, although simple, fails to address deformities of the cartilaginous framework and the nasal septum caused by the injury,' the authors write. 'Increasing evidence shows that patients have persistent aesthetic concerns about the outcome and obstructive symptoms after closed reductions.'

Terry Hung, M.B.Chir, F.R.C.S., and colleagues at The Chinese University of Hong Kong, Prince of Wales Hospital, interviewed 62 patients who underwent a closed reduction between July 1, 2002, and June 30, 2005. The interviews assessed patients' satisfaction and the severity of their deformity aesthetically and functionally both before and after the procedure. Satisfaction and severity were assessed on a scale from one to five, with one being very satisfied or least severe and five being very dissatisfied and most severe.

Fifty patients (81 percent) were male and 12 (19 percent) were female, and they had an average age of 27.7 years. Forty-five percent of nasal fractures were caused by sports injuries, 23 percent by physical altercations or assaults and 10 percent by motor vehicle crashes. The average score for nasal deformity was 3.08 before surgery and 1.62 after surgery, the average score for aesthetic concern was 2.97 before surgery and 1.54 following, and the average score for nasal obstruction was 2.03 before surgery and 1.36 after surgery. Following the cl osed reduction, eight patients (13 percent) reported dissatisfaction with their nasal deformity, seven (11 percent) were dissatisfied with the aesthetic appearance as a result of nasal deformities and 13 (21 percent) were dissatisfied because of nasal obstruction.

'Eighteen patients (29 percent) indicated that they would like revision surgery to correct an aesthetic and/or nasal airway problem,' the authors write. 'Of those who requested revision surgery, four (24 percent) wanted surgery for both cosmetic and functional reasons, six (35 percent) wanted surgery for nasal obstruction alone and eight (47 percent) wanted surgery for aesthetic reasons alone.'

Although many of the patients reported improvements in nasal structure and function following surgery, the large number of dissatisfied patients suggests that alternative procedures might work better for some, the authors continue. 'A stringent preoperative assessment is paramount, before patients are advised to undergo a closed reduction of a nasal fracture,' they conclude. 'A septorhinoplasty may be offered as a definitive and/or elective procedure when the post-injury assessment suggests that a closed reduction of the nasal fracture may be inadequate to address all the deformities.'



Source-Eurekalert
SRI
'"/>




Related medicine news :

1. One in Three Heart Attack Patients Have No Chest Pains
2. Amphetamines Help Recovery of Stroke Patients
3. Painkillers Do Not Shorten Dying Patients Lives
4. Patients With Filariasis More Prone To HIV Infection
5. Glivec - New Hope For CMC Patients
6. Patients often assume wrongly that they are allergic to penicillin
7. New FDA Approved Drug NATRECOR For Heart Failure Patients
8. Hemochromatosis Patients Blood is Safe
9. Patients Pressure Would Result In Overprescription
10. Risk Of Decongestants In Hypertensive Patients
11. Interference helps Heart Patients
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:5/25/2016)... ... 25, 2016 , ... “We are very pleased to welcome ... “Brad brings significant experience advising healthcare provider clients throughout the country. As the ... of MACRA, we believe that continuing to add professionals with deep experience from ...
(Date:5/25/2016)... ... 2016 , ... Serenity Recovery, a holistic treatment center for ... the many supplemental program options offered at their rehabilitation facility, this time focusing ... Belt in the Shorin-ryu style of Karate that originated in Okinawa, Japan, and ...
(Date:5/25/2016)... Angeles, CA (PRWEB) , ... May 25, 2016 , ... ... fans and potential patients, according to an article published May 13th on ... patients are comfortable with having snippets of their procedures broadcast to more than 800,000 ...
(Date:5/25/2016)... Indianapolis, Indiana (PRWEB) , ... May 25, 2016 ... ... statewide Network Service Provider, announces that Lake City Bank has selected IFN as ... help manage carrier access, resulting in increased efficiencies and reduced costs. ...
(Date:5/25/2016)... ... May 25, 2016 , ... CloudLIMS, joins an elite number of companies ... Solution Providers list of 2016 by CIOReview. , In a deliberate session with the ... Solution Providers 2016 has been concluded with. The positioning is based on evaluation of ...
Breaking Medicine News(10 mins):
(Date:5/24/2016)... May 24, 2016 Niederländische ... gebracht, die es Ärzten erlaubt, ihre Expertise weltweit ... MDLinking kombiniert Live Streaming mit einer Instant-Messaging-Funktion und ... kommunizieren. Mediziner in Europa, Afrika, Asien und den ... für die Plattform registriert. Information und ...
(Date:5/24/2016)... May 24, 2016  Diana Russell suffers from a ... from the inside out.  This disease has put her ... her children and grandchildren to leave her home.  Because ... family cannot haul the wheelchair.  So if there is ... and Diana is left to wait for the bus. ...
(Date:5/24/2016)...  Joe Marziani has joined VMS BioMarketing as senior vice president of sales, announced ... new role, Marziani will lead the company,s business development and sales team, exploring new ... Photo - http://photos.prnewswire.com/prnh/20160523/371089 ... ... ...
Breaking Medicine Technology: