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:7/21/2017)... ... July 21, 2017 , ... “Kids aren't born knowing how ... their shoes,” says Suzanne Tucker, Founder of St. Louis-based positive education company Generation Mindful. ... on Kickstarter on Monday, July 21st. , The kit uses colorful, engaging and ...
(Date:7/21/2017)... ... ... West Dermatology is pleased to announce the newest addition to their Fresno, ... will join West Dermatology’s large network of medical and cosmetic dermatology practices, bringing with ... more. She graduated from the University of Florida College of Medicine Physician Assistant Program ...
(Date:7/21/2017)... ... July 21, 2017 , ... The ... offer patients improved quality of life five years after injury, according to research ... Meeting in Toronto, Ontario, Canada. The study followed patients for five years following ...
(Date:7/20/2017)... , ... July 20, 2017 , ... TransPixel Volume 2 ... two clips in the FCPX timeline. This effect isolates horizontal and vertical lines of ... package contains either a rotating or flipping animation and can be changed using a ...
(Date:7/20/2017)... ... 2017 , ... Acute myeloid leukemia (AML) is a rare ... treatment. Newly diagnosed patients face intense chemotherapy regimens and a stem cell transplant ... such a challenging diagnosis that requires immediate action, patients and caregivers need accessible ...
Breaking Medicine News(10 mins):
(Date:7/17/2017)... -- MedX Holdings, Inc., the manufacturer and global distributor of ... today announced the national roll out of its MedX ... standard for the treatment of low back injuries and ... How it works: MedX ... who prescribe the MedX Home Back Machine Program for ...
(Date:7/14/2017)... July 13, 2017 It should come as no ... is in the midst of a crippling opioid epidemic. ... 1999, the number of overdose deaths from opiate-based medications has ... half a million dead from 2001 to 2015". During this ... hydrocodone has similarly quadrupled, drawing a compelling link between prescription ...
(Date:7/13/2017)... Md. , July 13, 2017  New York City-based ... of pharmaceutical markets should be aware of.  From new products ... trends are detailed in a recently completed study, Potential ... 1.  Age-Driven Growth ... we have been aware of the impact the growing population ...
Breaking Medicine Technology: