Nasal bone clip: a novel approach to nasal bone fixation.
BACKGROUND
Nasal bone fracture is a common injury, but its repair can be unexpectedly difficult. To date, intranasal gauze packing has been used to support the nasal bone in position and to maintain contact between the mucosa of the septum and the cartilage. This gauze packing, however, has a tendency to shift, resulting in an inflammatory response characterized by a foul odor until removal, which detracts from the comfort of the patient. We developed a novel device, the nasal bone clip (NBC), which provides a satisfactory nasal airway and improved comfort.


METHODS
A 1.2-mm Kirschner wire and a small piece of hydrocolloid wound dressing are used. The single wire is bent into a double-curved shape, after which each of the 2 tips is curled with pliers. The end of the wire in the nasal passage is covered with a piece of wound dressing to protect the mucosa. After reduction, the external portion of the wire is inserted on the surface of the splint.


RESULTS
The NBC was applied in 14 cases: 12 instances of fresh fractures and 2 of old fractures; there were 8 men and 6 women; their mean age was 19.9 years. Complications were not observed; moreover, no patients exhibited problems during the treatment.


CONCLUSIONS
The advantages of the NBC are that all materials are available in the operating room or outpatient department, it is low cost, it is readily installable and detachable, it affords superior support for gauze packing, it provides effective external splinting with intranasal support, it never disturbs the nasal airway, and it offers comfort.
Kosaka
Masaaki
M
Department of Plastic Surgery, Fukuoka Sanno Hospital, Fukuoka University, Fukuoka, Japan. kosaka@kouhoukai.or.jp
Sai
Kenshin
K
Shiratake
Yasuhisa
Y
Ohjimi
Hiroyuki
H
D047070:Bandages, Hydrocolloid; D001864:Bone Wires; D002648:Child; D004867:Equipment Design; D005260:Female; D005538:Football / Q000293:injuries; D005592:Fracture Fixation / Q000295:instrumentation*; D006801:Humans; D008297:Male; D009295:Nasal Bone / Q000293:injuries*; D012887:Skull Fractures / Q000628:therapy*; D013165:Splints; D055815:Young Adult