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Open And Close Reduction In Treatment Of Fracture Nasal Bones. | ||
| Medical Journal of Tikrit | ||
| Article 1, Volume 2, Issue 112, 2016, Pages 58-62 | ||
| Author | ||
| Salem Hussian Ibraheem Al-Obiedi | ||
| Abstract | ||
| To evaluate the functional (respiration) and cosmetic out comes for surgical procedures close and open reduction in treatment of sever nasal bones fractures with nasal obstruction due to nasal septal deviation. This study on 144 patients with isolated fracture nasal bones attained to E.N.T department in Tikrit Teaching Hospital. Iraq. During the period from Jan. 1997 to Dec. 2002. Undisplaced fractures were 16 patients (11.1%) no need for interference, 24 patients (16.7%) were simple fractures underwent manipulation under local anesthesia. The 104 patients (72.2%) with obvious external nasal deformities and nasal obstruction were selected, 72 patients underwent close reduction, 28 patients underwent open reduction (septoplasty, only five patients needs open bony reduction.), and 4 patients, (one have septal haematoma and three with septal abscess.) drainage was done with reduction of the fracture. All the operations were done under general anesthesia, with follow up for at least nine months. Patients underwent close reduction found that (75%) with good respiration, (58.4%) good alignment of the fracture, and 18 patients (25%) needs revision surgery. (12 septoplasty and 6 septorhinoplasty). While patients underwent open reduction, (92.9%) with good respiration, (78.6%) good alignment of the fracture, and two patients (7.1%) needs revision surgery (one septoplasty & one rhinoplasty). Keywords: Fracture nose, Nasal trauma, close reduction, open reduction, septoplasty, septorhinoplasty, Rhinoplasty | ||
| Keywords | ||
| Open And Close Reduction In Treatment Of Fracture Nasal Bones | ||
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