 |
|
Open  Closed Reduction of the Fractured Nose
Jonathan A. M. Murray, MD, FRCS, FRACS;
Arnold G. D. Maran, MD, FRCS, FACS;
Ian J. Mackenzie, FRCS, FDS;
Gillian Raab, MSc
Arch Otolaryngol. 1984;110(12):797-802.
Abstract
• A stepwise study of nasal fractures includes an initial investigation that was carried out to discover why so many patients were awaiting rhinoplasty, which led us to find a 30% to 40% failure rate in nasal manipulation operations. We then studied the mechanics of nasal fracture by striking fresh cadaver noses. We found that if the nasal bones were deviated by more than half the bridge width, there was a concomitant C-shape fracture of the bony and cartilaginous septum. Two trials were performed, and patients with nasal deviation after trauma were allocated to either manipulation or manipulation plus excision of septal cartilage (closed or open reduction). Both trials were statistically significant, indicating that open reduction is the preferred treatment for patients with a deviation of more than half the bridge width of the nose.
(Arch Otolaryngol 1984;110:797-802)
Author Affiliations
From the Department of Otolaryngology, Royal Infirmary of Edinburgh (Drs Murray, Maran, and Mackenzie), and the Department of Statistics, University of Edinburgh (Mr Raab).
Footnotes
Accepted for publication June 13, 1984.
Reprint requests to Department of Otolaryngology, Royal Infirmary of Edinburgh, Edinburgh EH3 9EN, Scotland (Dr Murray).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Open vs Closed Approach to the Nasal Pyramid for Fracture Reduction
Reilly and Davison
Arch Facial Plast Surg 2007;9:82-86.
ABSTRACT
| FULL TEXT
Management of nasal injuries by UK accident and emergency consultants: a questionnaire survey.
Coulson and De
Emerg. Med. J. 2006;23:523-525.
ABSTRACT
| FULL TEXT
The Risk of Nasal Osteotomies After Ethmoid Sinus Surgery
Gliklich and Lauretano
Arch Otolaryngol Head Neck Surg 1995;121:1315-1318.
ABSTRACT
|
