Usefulness of indirect open reduction via a transconjunctival approach for the treatment of nasal bone fracture associated with orbital blowout fracture
Archives of Craniofacial Surgery
; : 102-107, 2018.
Article
in En
| WPRIM
| ID: wpr-715263
Responsible library:
WPRO
ABSTRACT
BACKGROUND: Nasal fracture and orbital blowout fracture often occur concurrently in cases of midface blunt trauma. Generally, these multiple fractures treatment is surgery, and typically, the nasal bone and orbit are operated on separately. However, we have found that utilizing a transconjunctival approach in patients with concurrent nasal bone fracture and orbital blowout fracture is a useful method. METHODS: The participants in the present study included 33 patients who visited the Plastic Surgery outpatient department between March 2014 and March 2017 and underwent surgery for nasal fracture and orbital blowout fracture. We assessed patients’ and doctors’ satisfaction with surgical outcomes after indirect open reduction via a transconjunctival approach for the treatment of nasal bone fracture with associated orbital blowout fracture. RESULTS: According to the satisfaction scores, both patients and doctors were satisfied with transconjunctival approach. CONCLUSION: We presented here that our method enables simultaneous operation of nasal fracture accompanied by orbital blowout fracture, rather than treating the two fractures separately, and it allows precise reduction of the nasal fracture by direct visualization of the fracture site without any additional incisions or difficult surgical techniques. Also, by preventing the use of excessive force during reduction, this method can minimize damage to the nasal mucosa, thereby reducing the incidence of nasal bleeding.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Orbit
/
Orbital Fractures
/
Outpatients
/
Surgery, Plastic
/
Epistaxis
/
Incidence
/
Facial Bones
/
Fractures, Multiple
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Methods
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Nasal Bone
Type of study:
Incidence_studies
/
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
Archives of Craniofacial Surgery
Year:
2018
Document type:
Article