비골 골절의 임상적 고찰 = A CLINICAL STUDY OF THE NASAL BONE FRACTURES

다국어 초록 (Multilingual Abstract)

Because of the prominence of the nose and its central location, it is the most frequently encountered fractures in the face. Yet reports about the nasal bone fractures are virtually rare in the oral and maxillofacial surgical literatures.
This sis a retrospective study on 19 nasal bone fractures treated in Chosun university hospital Department of Oral & Maxillofacial Surgery from Jan. 1991 to Sep. 1993, under admission to our Dept. and the obtained results were as follows.
1. Of the 240 patients with facial bone fractures, 28 patients suffered nasal
fractures(12%) and male to female ratio was 5.3:1.
2. The most frequent cause was traffic accidents(39%)m, the next fall down(36%), first blow(4%).
3. The age frequency was the highest in the fifth decade (32%).
4. Clinical classification of nasal fractures was simple fractures(74%), comminuted fractures(26%), and single fractures(37%), combined fractures(63%).
5. The most frequently combined site was msxilla(50%).
6. Treatments of nasal fractures were closed reduction(63%), open reduction(5%), and secondary rhinoplasty(32%).
7. The initial treatment time from accident was 1.7 days in single fractures, and 3.5 days in combined fractures, and the period of splint retained was about 8.2 days in single fracture, about 8.7 in combined fracture.
8. It was necessary to treat secondarily in delayed treatment, and all treatment methods showed relatively good prognosis.
9. Closed reduction was treated under local anesthesia, but open reduction & secondary rhinoplasty was treated under general anesthesia except 1 case.
10. The complications were disturbance of swellings 5 cases, eithetic problem 5 cases, epiphora 3 cases, abnormal sensation 6 cases in relation with other fractures.