title: An Asian perspective on improving outcomes for nasal bone fractures by establishing specific treatment options.
abstract: OBJECTIVE
  To report treatment outcomes of patients with different types of nasal bone fracture, following a tailored treatment protocol.
  
  
  METHODS
  The patterns and the severity of the fractures were determined by a preoperative facial photo and nasal bone computed tomography (CT) retrospectively.
  
  
  METHODS
  A tertiary referral centre.
  
  
  METHODS
  We evaluated 129 patients who underwent surgery between March 2002 and January 2014. Patients were subjected to five different treatment methods depending on the severity of injury.
  
  
  METHODS
  Medical records were reviewed to assess rates of complications and revision surgery. Cosmetic and functional (the degree of nasal obstruction) outcomes were measured using the Likert scale from 1 (very dissatisfied, severe obstruction) to 5 (very satisfied, no obstruction).
  
  
  RESULTS
  The mean elapsed time from injury to surgery was 14.9 days. The overall treatment failure rate, defined as a deformity that required revision, was 6.2%. The patient satisfaction scores for aesthetic and functional outcomes were 3.9 and 4.6 respectively.
  
  
  CONCLUSIONS
  The prudent selection of patients with indication for closed reduction, and further specification of variable treatment options for the various degrees of nasal bone fracture, may be helpful in achieving an improved treatment outcome.
  
  
  METHODS
  level IV.
authors.affiliation: Bundang CHA Medical Center, Department of Otolaryngology, CHA University, Bundang-gu, Seongnam-si, Gyeonggi-do, Korea.
authors.forename: J S
authors.initials: JS
authors.lastname: Yi
authors.affiliation: Asan Medical Center, Department of Otolaryngology, University of Ulsan College of Medicine, Songpa-gu, Seoul, Korea.
authors.forename: M J
authors.initials: MJ
authors.lastname: Kim
authors.affiliation: Asan Medical Center, Department of Otolaryngology, University of Ulsan College of Medicine, Songpa-gu, Seoul, Korea.
authors.forename: Y J
authors.initials: YJ
authors.lastname: Jang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D044466:Asian People; D002648:Child; D005260:Female; D005592:Fracture Fixation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009295:Nasal Bone / Q000293:injuries*; D017060:Patient Satisfaction; D012086:Reoperation; D056910:Republic of Korea; D012189:Retrospective Studies; D012225:Rhinoplasty; D012887:Skull Fractures / Q000208:ethnology* / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult