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Closed Reduction of Nasal Fracture

  • Daniel A. HatefEmail author
  • Jesse D. Meaike
  • Larry H. Hollier
Chapter

Abstract

The nasal bone is the most commonly fractured bone in facial trauma and the third most commonly fractured bone overall (The Journal of Craniofacial Surgery 23:1848–1850, 2012; American Journal of Otolaryngology 26:181–185, 2005). Nasal bone fractures can produce significant aesthetic deformity and compromise the patency of the upper airway. Consequently, intervention is indicated to minimize deformity and functional impairment. Simple, noncommunited nasal bone fractures are managed with a closed approach (Seminars in Plastic Surgery 24:339–347, 2010). An instrument is inserted into the nasal cavity, and external digital pressure is applied over the fracture location. The nasal bone is then manipulated between the digit and elevator until properly positioned. The septum, if displaced, is realigned using an Asch’s forceps. Internal and external splints are placed to stabilize and protect the nasal bones. Complications include obstructed breathing and need for a definitive rhinoplasty.

Keywords

Nasal fracture Septal fracture Nasal trauma Closed reduction Closed rhinoplasty Septal hematoma Septoplasty 

References

  1. 1.
    Moon SH, Baek SO, Jung SN, et al. Efficacy of biodegradable synthetic polyurethane foam for packing nasal bone fractures. J Craniofac Surg. 2012;23: 1848–50.CrossRefPubMedGoogle Scholar
  2. 2.
    Mondin V, Rinaldo A, Ferlito A. Management of nasal bone fractures. Am J Otolaryngol. 2005;26: 181–5.CrossRefPubMedGoogle Scholar
  3. 3.
    Kelley BP, Downey CR, Stal S, Hollier L. Evaluation and reduction of nasal trauma. Semin Plast Surg. 2010;24(4):339–47.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Malik NA. Principles of treatment of midfacial fractures. In: Malik NA, editor. Textbook of oral and maxillofacial surgery. London: JP Medical Ltd; 2013. p. 422–4.Google Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Daniel A. Hatef
    • 1
    Email author
  • Jesse D. Meaike
    • 2
  • Larry H. Hollier
    • 2
  1. 1.Plastic SurgeryBaylor College of MedicineHoustonUSA
  2. 2.Michael E. Debakey Department of SurgeryDivision of Plastic and Reconstructive Surgery, Baylor College of MedicineHoustonUSA

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