Efficacy of closed reduction surgery on treatment of nasal bone fracture in admitted patients to Shahid Bahonar Hospital, Kerman, Iran

Abstract

BACKGROUND AND AIM: Nasal fracture is one of the most common facial fractures and the main goal of this study was evaluation of closed reduction surgery of nasal bone fractures.METHODS: Thirty six patients including 24 male and 12 female patients suffered from nasal bone fractures were treated by closed reduction method. Preoperative and postoperative computed tomographic scans were analyzed by an expert panel. Statistical methods including chi-square, Fisher's exact test and regression were used to evaluate the relationship between age, sex and type of trauma and to evaluate the efficacy of closed reduction technique.RESULTS: Type of trauma, age and sex had not any effect on closed reduction efficacy. We had 36.1% complete success rate (nearly complete anatomic reduction), 36.1% favorable success rate (acceptable non-anatomic reduction) and 27.8% absolute failure (no acceptable reduction) after treatment of nasal bone fractures by closed reduction method.CONCLUSION: Closed nasal reduction is the most commonly used technique for a fractured nose, but it has high degree of failure of treatment, so when choosing the closed reduction method for treatment of nasal bone fractures, appropriate radiography must be taken for meticulous evaluation to reducing the complications.