비골골절 정복술 후 복합 환기실리콘부목과 바세린 거즈를 이용한 비강충전 = Nasal Packing with Airway Silicone Splint and Vaseline Gauze After Closed Reduction of Nasal Bone Fracture

다국어 초록 (Multilingual Abstract)

Background: The majority of nasal bone fractures have been managed by closed reduction and intranasal packing. Various packing methods have been used for maintaining stability of nasal bone and reducing patient's discomfort. In this study we compare previous procedure with only vaseline gauze and nasal packing with airway silicone splint and vaseline gauze after closed reduction of nasal bone fracture.
Methods: We performed a prospective study with 60 patient treated nasal bone fracture from Dec. 2009 to Oct. 2010. Sixty patients were divided into vaseline gauze packing group and airway silicone splint and vaseline gauze packing group. Airway silicone splint (Doley Combo Splint®) consists of silicone sheet, hemicircular airway tube and Rhinocell®. We evaluated the patients' discomfort such as nasal obstruction through questioning survey and recorded packing periods and accidental packing material removal.
Results: Nasal obstruction, dry mouth, swallowing difficulty and headache associated with intranasal packing were significantly improved among the patients who underwent packing with airway silicone splint and vaseline gauze. And packing period of airway silicone splint packing group was longer than other group
Conclusion: Intranasal packing with airway silicone splint and vaseline gauze can be a useful method for reducing patients' discomfort associated with nasal obstruction. And this method can be used in the others surgery such as septoplasty and corrective rhinoplasty

목차 (Table of Contents)

• 서론
• 재료 및 방법
• 가. 대상
• 나. 방법
• 결과
• 고찰
• 결론
• 참고문헌

참고문헌 (Reference)

1 민병억, "비골 골절 환자에서 K 강선 지지와 비강 충전을 시행한 환자간의 임상적 비교" 대한이비인후과학회 45 (45): 1073-1076, 2002

2 최환준, "반전된 U자형 실리콘 시트를 이용한 코뼈골절의 치료" 대한성형외과학회 36 (36): 242-246, 2009

3 Huizing EH, "Unanimity and diversity nasal surgery" 9 : 15-23, 1989

4 Ogretmenoglu O, "The effect on arterial blood gases and heart rate of bilateral nasal packing" 259 : 63-66, 2002

5 Schultz LW, "Nasal splints. Advantages, disadvantages and author's modifications" 94 : 897-899, 1957

6 Fairbanks DN, "Complications of nasal packing" 94 : 412-415, 1986