비골 골절의 일차 치료로서 개방적 비성형술의 임상적 유용성 = The Clinical Effectiveness of Open Septorhinoplasty for Primary Treatment of Nasal bone Fracture

다국어 초록 (Multilingual Abstract)

Background and Objectives：Closed reduction has been a primary treatment procedure for nasal bone fracture, but the
post-operative results have not always been satisfactory. We compared the satisfaction rate of closed reduction with that of open
septorhinoplasty for the treatment of nasal bone fracture and evaluated the effectiveness of open septorhinoplasty for the primary
treatment of nasal bone fracture. Materials and Method：We performed a retrospective review of patients who underwent a
closed reduction treatment for nasal bone fracture from March 2004 to February 2006 and conducted telephone surveys to monitor
their post-operative cosmetic and functional problems. We estimated the factors that were involved in the low satisfaction
rate and determined the indications of open septorhinoplasty. Prospectively, the patients who underwent open septorhinoplasty
from September 2006 to August 2007 were interviewed for their cosmetic and functional satisfaction rate. Results：Forty
percent of the patients who underwent closed reduction had cosmetic concerns and twenty percent had functional concerns. The
factors involved in the low satisfaction rate were septal fracture, associated fractures, and multiple fragmentation. Eight percent
of the patients who underwent open septorhinoplasty had cosmetic concerns and other eight percent had functional concerns.
Conclusion：A careful pre-operative evaluation of the type of fracture is important for the treatment of nasal bone fracture. Also,
when nasal bone fracture is combined with septal fracture, associated fracture or unilateral fragmentation, open septorhinoplasty
has to be considered to reduce secondary deformities and to improve the satisfaction rate of the patients.

다국어 초록 (Multilingual Abstract)

Background and Objectives：Closed reduction has been a primary treatment procedure for nasal bone fracture, but the
post-operative results have not always been satisfactory. We compared the satisfaction rate of closed reduction with that of open
septorhinoplasty for the treatment of nasal bone fracture and evaluated the effectiveness of open septorhinoplasty for the primary
treatment of nasal bone fracture. Materials and Method：We performed a retrospective review of patients who underwent a
closed reduction treatment for nasal bone fracture from March 2004 to February 2006 and conducted telephone surveys to monitor
their post-operative cosmetic and functional problems. We estimated the factors that were involved in the low satisfaction
rate and determined the indications of open septorhinoplasty. Prospectively, the patients who underwent open septorhinoplasty
from September 2006 to August 2007 were interviewed for their cosmetic and functional satisfaction rate. Results：Forty
percent of the patients who underwent closed reduction had cosmetic concerns and twenty percent had functional concerns. The
factors involved in the low satisfaction rate were septal fracture, associated fractures, and multiple fragmentation. Eight percent
of the patients who underwent open septorhinoplasty had cosmetic concerns and other eight percent had functional concerns.
Conclusion：A careful pre-operative evaluation of the type of fracture is important for the treatment of nasal bone fracture. Also,
when nasal bone fracture is combined with septal fracture, associated fracture or unilateral fragmentation, open septorhinoplasty
has to be considered to reduce secondary deformities and to improve the satisfaction rate of the patients.

참고문헌 (Reference)

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