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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 32(5); 1989 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1989;32(5): 848-54.
A Clinical Study of the Nasal Bone Fractures
Jin Yong Kim, MD, Byung Hun So, MD, Hee Jung Kim, MD, Byoung Ho Yoo, MD, Hong Joon Park, MD, and Dong Soo Park, MD
Department of Otolaryngology, Capital Armed Forces General Hospital, Korea
비골골절에 대한 임상적 고찰
김진용 · 소병헌 · 김희중 · 유병호 · 박홍준 · 박동수
국군수도병원 이비인후과
ABSTRACT

Fourty two cases of the nasal bone fractures who had visited within 10 days after nasal injuries and had followed up for 3 months during a period of one year from January, 1988 to December, 1988 were analysed. The results were as follows ; 1) The causes were sports(52.4%), assault(21.4%), fall(11.9%), instrument(9.5%), autoaccident(4.8%) in order of frequency. 2) The symptoms and signs were tenderness of nasal dorsum(95.2%), nasal deformity(92.9%), epistaxis(88.1%), swelling of nasal dorsum(83.3%), nasal obstruction(78.6%), X-ray evidence of fracture(69.0%), ecchymosis(40.5%), crepitus of nasal bone(11.9%) in order of frequency. 3) The most common direction of forces was lateral direction and the types of nasal bone fractures were as follows ; (1) Lateral displaced fracture, 28 cases(66.8%), (2) Frontal depressed fracture, 7 cases(16.7%), (3) Linear fracture, 3 cases(7.1%), (4) Lateral displaced & frontal depressed fracture, 2 cases(4.8%), (5) Simple depressed fracture, 1 case(2.4%), (6) Upward displaced fracture, 1 case(2.4%). 4) The injuries of the nasal septum were observed in 32 cases(76.2%) and septal hematoma, septal abscess in 3 cases(7.1%). 5) In terms of treatment, 30 cases(71.4%) were treated with closed bony reduction and closed septal reduction, 7 cases(16.7%) were treated with only closed bony reduction, 2 cases(5.8%) were treated with closed bony reduction and septoplasty, 3 cases(7.1%) were treated conservatively. 6) After 3 months, 6 cases(16.2%) due to nasal deformity and 7 cases(18.9%) due to nasal obstruction of 37 cases who had treated with closed reduction consider further surgery. 

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