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Management of Fractured Nose | ||
| Medical Journal of Tikrit | ||
| Article 1, Volume 1, Issue 171, 2012, Pages 119-126 | ||
| Authors | ||
| Hussam Haider S. AL-Robaee; Raid M.S. AL-Ani | ||
| Abstract | ||
| The nose is the most prominent feature of the face and as such is the most likely to be traumatized. Fractured nose is a common condition with awareness and interest of it dates back to time of ancient Egypt (3000 BC). Although these injuries often do not seem to be severe, undertreatment of nasal trauma could lead to significant functional and esthetic problems.The aim of this study is to describe the demographic characteristics of the fractured nose in Basrah governorate and to improve our experience in the management of fractured nose. Materials and methods: A prospectively collected data of individuals attending AL- Basrah General Hospital in AL- Basrah city/Iraq during the period from the 1st of July 1997 to the 30th of June 1998. Data matching the diagnosis fractured nose were analyzed.Results: The highest incidence was personal accidents 85 (51.2%) as a cause of nasal trauma in our patients. And frontal direction found in more than half of the cases (n= 85). 61.45%(n =102) of patients was class 1 fractured nose. 92.07% of X-rayed patients showed positive correlation with the clinical diagnosis of nasal bone fracture. Out of 166 patients, 52 (31.3%) patients, closed reduction was done for them, three quarter of cases with class 1 showed good result, while 7 (87.5%) patients with class 2 showed poor results after closed reduction (P value= 0.000) . The percentage of good results decrease from 100% if the reduction within 6 hours to 43% if the reduction was done after 14 days from the time of the injury (P value< 0.001). 80% of patients who did for them reduction under LA showed good results, while 61.7% showed good results when the reduction was done under GAConclusions: although fractured nose is a common problem, the overall result of its closed reduction remain unsatisfactory. However, the study showed a statistically significant in the results of closed reduction regarding the time and the class of fractured nose. | ||
| Keywords | ||
| Management of Fractured Nose | ||
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