Closed reduction in nasal fractures
DOI:
https://doi.org/10.59334/ROV.v2i43.640Palabras clave:
Reducción cerrada de fractura, Hueso nasal, Trauma nasal, Fracturas óseasResumen
Introduction: Nasal bone fractures represent one of the most prevalent facial injuries in adults, largely attributable to the nose’s prominent and exposed anatomical position. These fractures constitute approximately 40% of all facial fractures and are frequently result of high-impact events, such as motor vehicle collisions, sports-related trauma, and interpersonal violence. Given the nose’s integral role in both facial aesthetics and respiratory function, the management of nasal fractures is fundamental to ensure optimal outcomes in both cosmetic appearance and functional restoration.Objective: The aim of this paper is to present a step-by-step guide for perform a closed nasal reduction, using the clinical case of a patient with a nasal fracture as an example, along with a brief literature review on efficacy, aesthetic and functional considerations, and appropriate timing for intervention. Case presentation: A 47-year-old male patient presented to the emergency department with a nasal bone fracture sustained during an assault. Upon evaluation, the fracture was deemed suitable for management through closed reduction. A detailed step-by-step description of the closed reduction technique for nasal fractures, performed on the patient as an example, is provided. Post-procedure care included the use of internal and external splints, as well as a regimen of antibiotics and anti-inflammatory medications. Conclusion: Closed nasal reduction remains a widely used and effective procedure in the treatment of nasal bone fractures, particularly when performed early after injury. The procedure is minimally invasive and can yield satisfactory aesthetic and functional outcomes. However, its success depends on factors such as the timing of the intervention and the surgeon’s experience. While closed reduction is effective for most simple fractures, more complex cases may require additional surgical interventions, such as nasal osteotomy, particularly if bone fusion has already occurred. The management of nasal fractures is an elementary skill that maxillofacial surgeons must have, given the prevalence of these injuries in emergency settings.
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Derechos de autor 2024 Sofía Catalina Escobar Riquelme, Nicolás Ibáñez Ballesteros, Roberto Macchiavello Macho, José Patricio Hernández Flores, Gustavo Gazitúa Larraín
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