Treatment of isolated nasal fractures in adults closed reduction: an integrative review




Nasal obstruction; Closed reduction; Nasal bone.


The present study aims to present current and relevant information about the closed treatment of isolated nasal fractures in adults, concerning the area of ​​surgery and oral-maxillofacial traumatology. To this end, a bibliographic survey of complete works published in English, Spanish or Portuguese, from January 2015 to September 2020, was carried out in the MEDLINE, LILACS, and BBO databases. After conducting the search and applying the inclusion and exclusion criteria, a sample of 12 articles was obtained, whose information was discussed in 3 different categories, according to their respective subjects. Given this study, it was observed that several studies have been carried out, to facilitate the management and improve the results in closed reductions of isolated nasal fractures in adults. Thus, it is up to the oral and maxillofacial surgeon to make use of current information present in the literature, aiming to abandon obsolete practices and provide a more satisfactory experience to patients.


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Chukwulebe, S., & Hogrefe, C. (2019). The Diagnosis and Management of Facial Bone Fractures. Emergency Medicine Clinics of North America, 37(1), 137–151.

Davis, R. E., & Chu, E. (2015). Complex Nasal Fractures in the Adult-A Changing Management Philosophy. Facial Plastic Surgery, 31(3), 201–215.

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Kim, J. H., Yang, H., Oh, S. H., Song, S. H., & Kyung, H. (2019). The Efficacy of Hyaluronidase in Early Surgery of Nasal Bone Fracture. The Journal of Craniofacial Surgery, 30(7), 617–619.

Kim, K. S., Yu, S. C., Han, J. W., Shim, S. M., Kwak, S., Kim, Y. M., & Kim, S. S. (2019). Effect of fentanyl nasal packing treatment on patients with acute postoperative pain after closed reduction of nasal bone fracture: a randomized double-blind controlled trial. Journal of Plastic Surgery and Hand Surgery, 53(3), 167–172.

Kim, S. T., Jung, J. H., & Kang, I. G. (2017). Is surgical navigation useful during closed reduction of nasal bone fractures? Journal of Craniofacial Surgery, 28(3), 208–210.

Kim, Y. H., Kim, Y. H., Yoo, G., Cho, J. H., Byeon, J. H., & Rha, E. Y. (2015). Identifying preoperative factors associated with the postoperative nasal synechia in patients undergoing closed reduction of the nasal bone fracture. The Journal of Craniofacial Surgery, 26(3), 849–852.

Lu, G. N., Humphrey, C. D., & Kriet, J. D. (2017). Correction of Nasal Fractures. Facial Plastic Surgery Clinics of North America, 25(4), 537–546.

María Dalbosco, H., Beider, B., Pérez Alisedo, F., & Henao, F. (2017). Reducción de fracturas nasales con anestesia local. Nuestra experiencia. REVISTA FASO, 24(2), 48–51.

Nishioka, H., Kondoh, S., & Yuzuriha, S. (2018). Convex bone deformity after closed reduction of nasal bone fracture. Journal of Plastic, Reconstructive and Aesthetic Surgery, 71(1), 85–89.

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How to Cite

OLIVEIRA, A. C. J. .; LINN, G. L. .; CONCI, R. A. .; ÉRNICA, N. M. .; GARBIN JUNIOR, E. Álvaro .; JANDREY, V. J. .; PAVELSKI, M. D.; GRIZA, G. L. Treatment of isolated nasal fractures in adults closed reduction: an integrative review. Research, Society and Development, [S. l.], v. 10, n. 1, p. e12010111502, 2021. DOI: 10.33448/rsd-v10i1.11502. Disponível em: Acesso em: 6 may. 2021.



Health Sciences