[Long-term results of fractured nasal bones in adults. Clinical and roentgenographic examinations (author's transl)].
In 100 adults the effect of treatment of nasal fractures was followed up after 14 to 65 months. In 30% of 53 patients with closed reduction of the nose long-term results as to shape and function of the nose were not satisfying. Nasal obstruction deformity slowly developed several months after treatment mainly because of untreated septal fractures and green-stick fractures of the nasal bones. After open reduction and septal reconstruction only 1 of 17 patients had a poor result. By roentgenographic examinations three types of fracturelines could be distinguished: osseous (40), fibrous (37), and mixed transformations (23). In all types there was found a solid nasal pyramid. The osseous transformation of the fracture-line was promoted by reduction of the fracture within the first posttraumatic days, by a small distance of the fractured ends and if the injury was not too violent.
D000293:Adolescent; D000328:Adult; D000368:Aged; D005151:Facial Injuries / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D050724:Fractures, Cartilage; D006801:Humans; D008297:Male; D008875:Middle Aged; D009295:Nasal Bone / Q000293:injuries*; D009300:Nasal Septum / Q000293:injuries; D009666:Nose / Q000293:injuries*; D009667:Nose Deformities, Acquired / Q000209:etiology; D011859:Radiography; D012120:Respiration Disorders / Q000209:etiology
Spätergebnisse der Nasenbeinfrakturen bei Erwachsenen. Eine klinische und röntgenologische Studie.