title: Patient satisfaction after closed reduction of nasal fractures.
abstract: OBJECTIVE
  To evaluate the outcome of closed reduction from a patient's point of view, because there is increasing evidence that closed reduction of nasal fractures fails to address deformities of the cartilaginous nasal framework and the septum.
  
  
  METHODS
  We performed a retrospective study of 62 patients who underwent a closed reduction of nasal fracture between July 1, 2002, and June 30, 2005. All patients were interviewed regarding the esthetic and functional outcomes after closed reduction.
  
  
  RESULTS
  Eighteen patients (29%) expressed dissatisfaction with the esthetic outcome of the reduction, and 18 (29%) said they would consider further surgery to correct the residual nasal deformity.
  
  
  CONCLUSIONS
  A stringent preoperative assessment of the nasal fracture, other nasal deformities, and nasal function is essential before offering patients a simple closed reduction of their nasal fractures. A septorhinoplasty, as the definitive procedure, should be offered to patients when a closed reduction is deemed unable to address all deformities.
authors.affiliation: Department of Surgery, Division of Otolaryngology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China. terryhung@surgery.cuhk.edu.hk
authors.forename: Terry
authors.initials: T
authors.lastname: Hung
authors.forename: Waitsz
authors.initials: W
authors.lastname: Chang
authors.forename: Alexander C
authors.initials: AC
authors.lastname: Vlantis
authors.forename: Michael C F
authors.initials: MC
authors.lastname: Tong
authors.forename: Charles A
authors.initials: CA
authors.lastname: van Hasselt
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005592:Fracture Fixation / Q000379:methods*; D050723:Fractures, Bone / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009295:Nasal Bone / Q000293:injuries* / Q000601:surgery*; D017060:Patient Satisfaction; D012086:Reoperation; D012189:Retrospective Studies