Acute nasal fracture management: A prospective study and literature review
Objectives/Hypothesis Functional and cosmetic deformities are common after nasal injuries and at times necessitate advanced surgery to reverse the effects of trauma. This study was designed to study the factors related to nasal injury and patient parameters in influencing the acute management of nas...
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| Veröffentlicht in: | The Laryngoscope 2015-12, Vol.125 (12), p.2677-2684 |
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| creator | Basheeth, Naveed Donnelly, Martin David, Smyth Munish, Shandilya |
| description | Objectives/Hypothesis
Functional and cosmetic deformities are common after nasal injuries and at times necessitate advanced surgery to reverse the effects of trauma. This study was designed to study the factors related to nasal injury and patient parameters in influencing the acute management of nasal injuries and its outcome.
Study Design
Prospective study.
Methods
Nasal injuries from County Waterford in Southeast Ireland were referred to a new Cost‐Neutral Nasal Fracture Clinic. The first 400 patients from this prospective audit, referred to Waterford Regional Hospital from August 2009 through December 2010, were included in this study. Twenty‐one variables, including satisfaction scores using Visual Analog Scale (VAS), were studied. Data was obtained at each stage of management, from initial assessment in ears, nose, and throat (ENT) casualty to being seen and further reviewed in consultant‐based specialty clinic.
Results
Men outnumbered women 72: 28, and the mean age was 26.89 (0.4 years–87 years). Patients presenting time to the ENT casualty after the injury ranged between 1 and 90 days (mean 10.5 days). The interval between injury and intervention was on an average 6.1 days. Accident (41%) and soccer (46%), among the sports group, were predominantly related to nasal injury. The overall satisfaction rate was 77.5% for breathing and 85.6% for cosmesis. One hundred twenty‐seven (31.8%) patients were referred to and managed from the septorhinoplasty clinic. Overall, 11% required septorhinoplasty. Patient satisfaction was seen in manipulation performed up to 5 weeks postinjury.
Conclusion
Our databank is the largest prospectively studied series of nasal‐fracture management from Ireland. The incidence of nasal fracture in the southeast of Ireland is 0.37%. Age, gender, mode of injury, and type of sport influenced the satisfaction rates in this study. This type of service may not be practical in all ENT departments, but a regional center may be an idea worth considering.
Level of Evidence
2b. Laryngoscope, 125:2677–2684, 2015 |
| doi_str_mv | 10.1002/lary.25358 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1760927437</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3923561531</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4308-546f7bc65299d1791d4d6ffd04d2b5b319759c863b480745c3835704f9d2235e3</originalsourceid><addsrcrecordid>eNpd0M9P2zAUB3ALbaIdcNkfMEXahUvAv14c71ZVg1FVIKEiChfLiV-msCTt7KRd_3sMZRw4-Unv87WevoR8ZfSMUcrPG-t3ZxwE5AdkzECwVGoNn8g4LkWaA1-OyJcQnihlSgA9JCMOGjSl2ZjMJuXQY9LZYJuk8rbsB49Jazv7G1vs-h_JJFn7VVhj2dcbTEI_uF1iO5c0dY_evnKPmxq3x-RzZZuAJ2_vEbm7-LmY_krnN5dX08k8LaWgeQoyq1RRZsC1dkxp5qTLqspR6XgBhWBagS7zTBQyp0pCKXIBispKO84FoDgip_t_411_Bwy9aetQYtPYDldDMExlVHMlhYr0-wf6tBp8F6-LChSAzlke1bc3NRQtOrP2dRsrNf9bioDtwbZucPe-Z9S89G-aPY79m_nk9uF1ipl0n6lDj__eM9b_MZkSCsz99aWZLxbT5SPMzEw8A0Vohcw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1757559818</pqid></control><display><type>article</type><title>Acute nasal fracture management: A prospective study and literature review</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Basheeth, Naveed ; Donnelly, Martin ; David, Smyth ; Munish, Shandilya</creator><creatorcontrib>Basheeth, Naveed ; Donnelly, Martin ; David, Smyth ; Munish, Shandilya</creatorcontrib><description>Objectives/Hypothesis
Functional and cosmetic deformities are common after nasal injuries and at times necessitate advanced surgery to reverse the effects of trauma. This study was designed to study the factors related to nasal injury and patient parameters in influencing the acute management of nasal injuries and its outcome.
Study Design
Prospective study.
Methods
Nasal injuries from County Waterford in Southeast Ireland were referred to a new Cost‐Neutral Nasal Fracture Clinic. The first 400 patients from this prospective audit, referred to Waterford Regional Hospital from August 2009 through December 2010, were included in this study. Twenty‐one variables, including satisfaction scores using Visual Analog Scale (VAS), were studied. Data was obtained at each stage of management, from initial assessment in ears, nose, and throat (ENT) casualty to being seen and further reviewed in consultant‐based specialty clinic.
Results
Men outnumbered women 72: 28, and the mean age was 26.89 (0.4 years–87 years). Patients presenting time to the ENT casualty after the injury ranged between 1 and 90 days (mean 10.5 days). The interval between injury and intervention was on an average 6.1 days. Accident (41%) and soccer (46%), among the sports group, were predominantly related to nasal injury. The overall satisfaction rate was 77.5% for breathing and 85.6% for cosmesis. One hundred twenty‐seven (31.8%) patients were referred to and managed from the septorhinoplasty clinic. Overall, 11% required septorhinoplasty. Patient satisfaction was seen in manipulation performed up to 5 weeks postinjury.
Conclusion
Our databank is the largest prospectively studied series of nasal‐fracture management from Ireland. The incidence of nasal fracture in the southeast of Ireland is 0.37%. Age, gender, mode of injury, and type of sport influenced the satisfaction rates in this study. This type of service may not be practical in all ENT departments, but a regional center may be an idea worth considering.
Level of Evidence
2b. Laryngoscope, 125:2677–2684, 2015</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.25358</identifier><identifier>PMID: 25959006</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Athletic Injuries - psychology ; Athletic Injuries - surgery ; Child ; Child, Preschool ; deformity ; Female ; Humans ; Incidence ; Infant ; Injuries ; Ireland - epidemiology ; Male ; Middle Aged ; Nasal Bone - injuries ; Nasal fracture ; nasal manipulation ; Nose Deformities, Acquired - epidemiology ; Nose Deformities, Acquired - psychology ; Nose Deformities, Acquired - surgery ; Patient satisfaction ; Patient Satisfaction - statistics & numerical data ; Patients ; Prospective Studies ; Rhinoplasty - methods ; Rhinoplasty - psychology ; Skull Fractures - epidemiology ; Skull Fractures - psychology ; Skull Fractures - surgery ; Time-to-Treatment - statistics & numerical data ; VAS ; Visual Analog Scale ; Young Adult</subject><ispartof>The Laryngoscope, 2015-12, Vol.125 (12), p.2677-2684</ispartof><rights>2015 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4308-546f7bc65299d1791d4d6ffd04d2b5b319759c863b480745c3835704f9d2235e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.25358$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.25358$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25959006$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Basheeth, Naveed</creatorcontrib><creatorcontrib>Donnelly, Martin</creatorcontrib><creatorcontrib>David, Smyth</creatorcontrib><creatorcontrib>Munish, Shandilya</creatorcontrib><title>Acute nasal fracture management: A prospective study and literature review</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>Objectives/Hypothesis
Functional and cosmetic deformities are common after nasal injuries and at times necessitate advanced surgery to reverse the effects of trauma. This study was designed to study the factors related to nasal injury and patient parameters in influencing the acute management of nasal injuries and its outcome.
Study Design
Prospective study.
Methods
Nasal injuries from County Waterford in Southeast Ireland were referred to a new Cost‐Neutral Nasal Fracture Clinic. The first 400 patients from this prospective audit, referred to Waterford Regional Hospital from August 2009 through December 2010, were included in this study. Twenty‐one variables, including satisfaction scores using Visual Analog Scale (VAS), were studied. Data was obtained at each stage of management, from initial assessment in ears, nose, and throat (ENT) casualty to being seen and further reviewed in consultant‐based specialty clinic.
Results
Men outnumbered women 72: 28, and the mean age was 26.89 (0.4 years–87 years). Patients presenting time to the ENT casualty after the injury ranged between 1 and 90 days (mean 10.5 days). The interval between injury and intervention was on an average 6.1 days. Accident (41%) and soccer (46%), among the sports group, were predominantly related to nasal injury. The overall satisfaction rate was 77.5% for breathing and 85.6% for cosmesis. One hundred twenty‐seven (31.8%) patients were referred to and managed from the septorhinoplasty clinic. Overall, 11% required septorhinoplasty. Patient satisfaction was seen in manipulation performed up to 5 weeks postinjury.
Conclusion
Our databank is the largest prospectively studied series of nasal‐fracture management from Ireland. The incidence of nasal fracture in the southeast of Ireland is 0.37%. Age, gender, mode of injury, and type of sport influenced the satisfaction rates in this study. This type of service may not be practical in all ENT departments, but a regional center may be an idea worth considering.
Level of Evidence
2b. Laryngoscope, 125:2677–2684, 2015</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Athletic Injuries - psychology</subject><subject>Athletic Injuries - surgery</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>deformity</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Injuries</subject><subject>Ireland - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nasal Bone - injuries</subject><subject>Nasal fracture</subject><subject>nasal manipulation</subject><subject>Nose Deformities, Acquired - epidemiology</subject><subject>Nose Deformities, Acquired - psychology</subject><subject>Nose Deformities, Acquired - surgery</subject><subject>Patient satisfaction</subject><subject>Patient Satisfaction - statistics & numerical data</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Rhinoplasty - methods</subject><subject>Rhinoplasty - psychology</subject><subject>Skull Fractures - epidemiology</subject><subject>Skull Fractures - psychology</subject><subject>Skull Fractures - surgery</subject><subject>Time-to-Treatment - statistics & numerical data</subject><subject>VAS</subject><subject>Visual Analog Scale</subject><subject>Young Adult</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0M9P2zAUB3ALbaIdcNkfMEXahUvAv14c71ZVg1FVIKEiChfLiV-msCTt7KRd_3sMZRw4-Unv87WevoR8ZfSMUcrPG-t3ZxwE5AdkzECwVGoNn8g4LkWaA1-OyJcQnihlSgA9JCMOGjSl2ZjMJuXQY9LZYJuk8rbsB49Jazv7G1vs-h_JJFn7VVhj2dcbTEI_uF1iO5c0dY_evnKPmxq3x-RzZZuAJ2_vEbm7-LmY_krnN5dX08k8LaWgeQoyq1RRZsC1dkxp5qTLqspR6XgBhWBagS7zTBQyp0pCKXIBispKO84FoDgip_t_411_Bwy9aetQYtPYDldDMExlVHMlhYr0-wf6tBp8F6-LChSAzlke1bc3NRQtOrP2dRsrNf9bioDtwbZucPe-Z9S89G-aPY79m_nk9uF1ipl0n6lDj__eM9b_MZkSCsz99aWZLxbT5SPMzEw8A0Vohcw</recordid><startdate>201512</startdate><enddate>201512</enddate><creator>Basheeth, Naveed</creator><creator>Donnelly, Martin</creator><creator>David, Smyth</creator><creator>Munish, Shandilya</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201512</creationdate><title>Acute nasal fracture management: A prospective study and literature review</title><author>Basheeth, Naveed ; Donnelly, Martin ; David, Smyth ; Munish, Shandilya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4308-546f7bc65299d1791d4d6ffd04d2b5b319759c863b480745c3835704f9d2235e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Athletic Injuries - psychology</topic><topic>Athletic Injuries - surgery</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>deformity</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Injuries</topic><topic>Ireland - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nasal Bone - injuries</topic><topic>Nasal fracture</topic><topic>nasal manipulation</topic><topic>Nose Deformities, Acquired - epidemiology</topic><topic>Nose Deformities, Acquired - psychology</topic><topic>Nose Deformities, Acquired - surgery</topic><topic>Patient satisfaction</topic><topic>Patient Satisfaction - statistics & numerical data</topic><topic>Patients</topic><topic>Prospective Studies</topic><topic>Rhinoplasty - methods</topic><topic>Rhinoplasty - psychology</topic><topic>Skull Fractures - epidemiology</topic><topic>Skull Fractures - psychology</topic><topic>Skull Fractures - surgery</topic><topic>Time-to-Treatment - statistics & numerical data</topic><topic>VAS</topic><topic>Visual Analog Scale</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Basheeth, Naveed</creatorcontrib><creatorcontrib>Donnelly, Martin</creatorcontrib><creatorcontrib>David, Smyth</creatorcontrib><creatorcontrib>Munish, Shandilya</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Basheeth, Naveed</au><au>Donnelly, Martin</au><au>David, Smyth</au><au>Munish, Shandilya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute nasal fracture management: A prospective study and literature review</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>2015-12</date><risdate>2015</risdate><volume>125</volume><issue>12</issue><spage>2677</spage><epage>2684</epage><pages>2677-2684</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objectives/Hypothesis
Functional and cosmetic deformities are common after nasal injuries and at times necessitate advanced surgery to reverse the effects of trauma. This study was designed to study the factors related to nasal injury and patient parameters in influencing the acute management of nasal injuries and its outcome.
Study Design
Prospective study.
Methods
Nasal injuries from County Waterford in Southeast Ireland were referred to a new Cost‐Neutral Nasal Fracture Clinic. The first 400 patients from this prospective audit, referred to Waterford Regional Hospital from August 2009 through December 2010, were included in this study. Twenty‐one variables, including satisfaction scores using Visual Analog Scale (VAS), were studied. Data was obtained at each stage of management, from initial assessment in ears, nose, and throat (ENT) casualty to being seen and further reviewed in consultant‐based specialty clinic.
Results
Men outnumbered women 72: 28, and the mean age was 26.89 (0.4 years–87 years). Patients presenting time to the ENT casualty after the injury ranged between 1 and 90 days (mean 10.5 days). The interval between injury and intervention was on an average 6.1 days. Accident (41%) and soccer (46%), among the sports group, were predominantly related to nasal injury. The overall satisfaction rate was 77.5% for breathing and 85.6% for cosmesis. One hundred twenty‐seven (31.8%) patients were referred to and managed from the septorhinoplasty clinic. Overall, 11% required septorhinoplasty. Patient satisfaction was seen in manipulation performed up to 5 weeks postinjury.
Conclusion
Our databank is the largest prospectively studied series of nasal‐fracture management from Ireland. The incidence of nasal fracture in the southeast of Ireland is 0.37%. Age, gender, mode of injury, and type of sport influenced the satisfaction rates in this study. This type of service may not be practical in all ENT departments, but a regional center may be an idea worth considering.
Level of Evidence
2b. Laryngoscope, 125:2677–2684, 2015</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>25959006</pmid><doi>10.1002/lary.25358</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Adult Aged Aged, 80 and over Athletic Injuries - psychology Athletic Injuries - surgery Child Child, Preschool deformity Female Humans Incidence Infant Injuries Ireland - epidemiology Male Middle Aged Nasal Bone - injuries Nasal fracture nasal manipulation Nose Deformities, Acquired - epidemiology Nose Deformities, Acquired - psychology Nose Deformities, Acquired - surgery Patient satisfaction Patient Satisfaction - statistics & numerical data Patients Prospective Studies Rhinoplasty - methods Rhinoplasty - psychology Skull Fractures - epidemiology Skull Fractures - psychology Skull Fractures - surgery Time-to-Treatment - statistics & numerical data VAS Visual Analog Scale Young Adult |
| title | Acute nasal fracture management: A prospective study and literature review |
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