title: A new approach to nasoseptal fractures: Submucosal endoscopically assisted septoplasty and closed nasal reduction.
abstract: BACKGROUND
  Nasal bone fracture is the most common among facial bone fractures. The prevalence of concomitant septal and nasal bone fractures fluctuates between 34% and 96.2%. An adequate management of such fractures is essential to prevent complications such as post-traumatic nasal obstruction and nasoseptal deformities. The purpose of the present study is to introduce the submucosal endoscopically assisted septoplasty (SEAS) as an alternative approach for acute septal lesions and to report our experience and outcomes.
  
  
  METHODS
  Retrospective review including patients with nasal fracture in association with septal fracture (nasoseptal fractures) who underwent to submucosal endoscopically assisted septoplasty and closed nasal reduction. The surgical technique is described and a video is presented.
  
  
  RESULTS
  Ninety patients were included; 23% were female and 77% were male, with a mean age of 40 years. All the cases were workplace accidents or commuting accidents. The mean time elapsed between the accident and surgery was 15 days. There were no technique-related intraoperative complications. Three (3.3%) patients suffered a subsequent nasal obstruction and/or deviation of the nasal axis, requiring subsequent secondary open rhinoseptoplasty.
  
  
  CONCLUSIONS
  Submucosal endoscopically assisted septoplasty and closed nasal reduction for the treatment of nasoseptal fractures is a novel approach that reduces the rate of secondary rhinoseptoplasty as compared to other authors' reports. The technique described is reproducible, cost-effective and has very encouraging outcomes.
  
  
  METHODS
  IV Therapeutic.
authors.affiliation: Maxillofacial Surgery Division, Hospital del Trabajador de Santiago, Chile; Plastic Surgery Division, Department of Surgery, Hospital Clínico Universidad de Chile, Santiago, Chile. Electronic address: pandrades@uchile.cl.
authors.forename: Patricio
authors.initials: P
authors.lastname: Andrades
authors.affiliation: Plastic Surgery and Burns Department, Hospital del Trabajador de Santiago, Chile; Plastic Surgery Department, Clínica Las Condes, Santiago, Chile.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Pereira
authors.affiliation: Maxillofacial Surgery Division, Hospital del Trabajador de Santiago, Chile.
authors.forename: Claudio
authors.initials: C
authors.lastname: Borel
authors.affiliation: Maxillofacial Surgery Division, Hospital del Trabajador de Santiago, Chile.
authors.forename: Luis
authors.initials: L
authors.lastname: Rocha
authors.affiliation: Maxillofacial Surgery Division, Hospital del Trabajador de Santiago, Chile.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Hernández
authors.affiliation: Maxillofacial Surgery Division, Hospital del Trabajador de Santiago, Chile.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Villalobos
mesh_terms: D000328:Adult; D000070628:Closed Fracture Reduction / Q000379:methods*; D004724:Endoscopy / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D009295:Nasal Bone / Q000293:injuries* / Q000601:surgery; D009300:Nasal Septum / Q000293:injuries / Q000601:surgery*; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*
keywords: Acute septal fractures; Nasal bone fractures; Nasoseptal fractures; Secondary rhinoseptoplasty; Submucosal endoscopically assisted septoplasty