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J Cosmet Med 2023; 7(2): 84-87

Published online December 31, 2023

https://doi.org/10.25056/JCM.2023.7.2.84

A case of nasal bone fracture with septal fracture reduction via closed reduction of nasal bone fracture and endoscopic septoplasty

Geun Woo Park, MD1 , Che Hyun Park, MD1 , Jae Hwan Kwon, MD2 , Tai Jung Park, MD1

1Department of Otorhinolaryngology Head and Neck Surgery, Maryknoll Hospital, Busan, Rep. of Korea
2Department of Otorhinolaryngology Head and Neck Surgery, Kosin University College of Medicine, Busan, Rep. of Korea

Correspondence to :
Tai Jung Park
E-mail: p791216@naver.com

Received: October 31, 2023; Revised: November 15, 2023; Accepted: November 23, 2023

© Korean Society of Korean Cosmetic Surgery & Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

The nasal bone is the most common site of facial fractures. Concomitant septal fracture is present in 42.0%–96.2% of cases. The correction of nasal bone and septal fracture is important cosmetically as well as functionally. The closed reduction of nasal bone and septal fractures is generally recommended for fractures that cause septal deviation or airway obstruction. If adequate closed reduction of the nasal septum cannot be achieved, open septoplasty can be used. However, this approach has its limitations, including a long learning curve, long operative time, and high risk of postoperative scarring. In selected cases, considering the mechanism of fracture, endoscopic septoplasty can overcome the limitations of open septoplasty with favorable surgical outcomes. Here we suggest that closed nasal bone reduction and endoscopic septoplasty could be performed with less effort and achieve satisfactory outcomes in selected cases.

Keywords: endoscopic septoplasty, nasal bone fracture, septal fracture

Fig. 1.Extraphoto. Both (A) frontal view and (B) lateral view taken before operation, multiple abrasions on face, but there was no significant nasal dorsum depression. Both (C) frontal view and (D) lateral view taken 14 weeks after operation, there was no significant difference from before surgery, but the profile of nose looked firmer and clearer.
  1. Rhee SC, Kim YK, Cha JH, Kang SR, Park HS. Septal fracture in simple nasal bone fracture. Plast Reconstr Surg 2004;113:45-52.
    Pubmed CrossRef
  2. Arnold MA, Yanik SC, Suryadevara AC. Septal fractures predict poor outcomes after closed nasal reduction: retrospective review and survey. Laryngoscope 2019;129:1784-90.
    Pubmed CrossRef
  3. Shumrick KA, Chadwell JB. Fractures of the nasal skeleton. In: Ehrenfeld M, Manson PN, Prein J, editors. Principles of internal fixation of the craniomaxillofacial skeleton: trauma and orthognathic surgery. Stuttgart: Thieme; 2012. p. 247-54.
  4. Mondin V, Rinaldo A, Ferlito A. Management of nasal bone fractures. Am J Otolaryngol 2005;26:181-5.
    Pubmed CrossRef
  5. Rohrich RJ, Adams WP Jr. Nasal fracture management: minimizing secondary nasal deformities. Plast Reconstr Surg 2000;106:266-73.
    Pubmed CrossRef
  6. Murray JA, Maran AG, Mackenzie IJ, Raab G. Open v closed reduction of the fractured nose. Arch Otolaryngol 1984;110:797-802.
    Pubmed CrossRef
  7. Andrades P, Pereira N, Borel C, Rocha L, Hernández R, Villalobos R. A new approach to nasoseptal fractures: Submucosal endoscopically assisted septoplasty and closed nasal reduction. J Craniomaxillofac Surg 2016;44:1635-40.
    Pubmed CrossRef

Article

Case Report

J Cosmet Med 2023; 7(2): 84-87

Published online December 31, 2023 https://doi.org/10.25056/JCM.2023.7.2.84

Copyright © Korean Society of Korean Cosmetic Surgery & Medicine.

A case of nasal bone fracture with septal fracture reduction via closed reduction of nasal bone fracture and endoscopic septoplasty

Geun Woo Park, MD1 , Che Hyun Park, MD1 , Jae Hwan Kwon, MD2 , Tai Jung Park, MD1

1Department of Otorhinolaryngology Head and Neck Surgery, Maryknoll Hospital, Busan, Rep. of Korea
2Department of Otorhinolaryngology Head and Neck Surgery, Kosin University College of Medicine, Busan, Rep. of Korea

Correspondence to:Tai Jung Park
E-mail: p791216@naver.com

Received: October 31, 2023; Revised: November 15, 2023; Accepted: November 23, 2023

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The nasal bone is the most common site of facial fractures. Concomitant septal fracture is present in 42.0%–96.2% of cases. The correction of nasal bone and septal fracture is important cosmetically as well as functionally. The closed reduction of nasal bone and septal fractures is generally recommended for fractures that cause septal deviation or airway obstruction. If adequate closed reduction of the nasal septum cannot be achieved, open septoplasty can be used. However, this approach has its limitations, including a long learning curve, long operative time, and high risk of postoperative scarring. In selected cases, considering the mechanism of fracture, endoscopic septoplasty can overcome the limitations of open septoplasty with favorable surgical outcomes. Here we suggest that closed nasal bone reduction and endoscopic septoplasty could be performed with less effort and achieve satisfactory outcomes in selected cases.

Keywords: endoscopic septoplasty, nasal bone fracture, septal fracture

Fig 1.

Figure 1.Extraphoto. Both (A) frontal view and (B) lateral view taken before operation, multiple abrasions on face, but there was no significant nasal dorsum depression. Both (C) frontal view and (D) lateral view taken 14 weeks after operation, there was no significant difference from before surgery, but the profile of nose looked firmer and clearer.
Journal of Cosmetic Medicine 2023; 7: 84-87https://doi.org/10.25056/JCM.2023.7.2.84

References

  1. Rhee SC, Kim YK, Cha JH, Kang SR, Park HS. Septal fracture in simple nasal bone fracture. Plast Reconstr Surg 2004;113:45-52.
    Pubmed CrossRef
  2. Arnold MA, Yanik SC, Suryadevara AC. Septal fractures predict poor outcomes after closed nasal reduction: retrospective review and survey. Laryngoscope 2019;129:1784-90.
    Pubmed CrossRef
  3. Shumrick KA, Chadwell JB. Fractures of the nasal skeleton. In: Ehrenfeld M, Manson PN, Prein J, editors. Principles of internal fixation of the craniomaxillofacial skeleton: trauma and orthognathic surgery. Stuttgart: Thieme; 2012. p. 247-54.
  4. Mondin V, Rinaldo A, Ferlito A. Management of nasal bone fractures. Am J Otolaryngol 2005;26:181-5.
    Pubmed CrossRef
  5. Rohrich RJ, Adams WP Jr. Nasal fracture management: minimizing secondary nasal deformities. Plast Reconstr Surg 2000;106:266-73.
    Pubmed CrossRef
  6. Murray JA, Maran AG, Mackenzie IJ, Raab G. Open v closed reduction of the fractured nose. Arch Otolaryngol 1984;110:797-802.
    Pubmed CrossRef
  7. Andrades P, Pereira N, Borel C, Rocha L, Hernández R, Villalobos R. A new approach to nasoseptal fractures: Submucosal endoscopically assisted septoplasty and closed nasal reduction. J Craniomaxillofac Surg 2016;44:1635-40.
    Pubmed CrossRef

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Journal of Cosmetic Medicine

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