Epidemiology and aesthetic and functional outcome in nasal bone fracture reduction

Abstract

Introduction: Nasal fractures are the most common facial injuries because of the prominence of the nose. There is some consensus that the sooner you try their reduction more likely is a successful outcome. Aim: Epidemiologically describe and evaluate functional and aesthetic results of nasal fractures. Material and method: We reviewed the medical records of patients to describe the epidemiological data, perform the SNOT-22 survey to evaluate the functional results and a qualitative survey for aesthetic perception of the reductions. Results: Of a total of 42 patients, males predominated 6:1, average age was 34.4 years. 83.3% of the reductions took place in clinic with local anesthesia and the procedure was performed on average 8.6 days post-fracture. With regard to functional outcome highlights only nasal obstruction after reduction of 43.6% with a SNOT-22 scoring average of 46.9 points and 47.62% of patients considered a worse cosmetic outcome. Discussion: We believe that the functional and aesthetic result is not satisfactory, so we would recommend a septorhinoplasty immediate or deferred for better results.