Treatment of fracture of the nose bonés proper by closed reduction: Case report
DOI:
https://doi.org/10.33448/rsd-v13i7.46170Keywords:
Bone fracture; Fracture reduction; Facial injuries.Abstract
The nasal bones are the most commonly fractured bones in the face due to their anatomical location and thin thickness, even with low-intensity traumas. Because of their high incidence, clinical and imaging diagnosis is important for proper case management, considering their complexity. Given their frequency, clinical criteria are established and must be carefully evaluated, along with different treatment approaches based on the complexity of each case. The article in question reports on closed reduction of a nasal fracture under general anesthesia. The patient, a victim of physical assault, presented with clinical signs including epistaxis, crepitus, nasal obstruction, and rhinoescoliosis. This article aims to describe the clinical case of nasal fracture from diagnosis to clinical management, comparing observed and performed actions with current literature. It was concluded that closed reduction technique for nasal fractures proves to be an effective and safe approach, with benefits including not only restoration of nasal aesthetic and functional aspects but also minimization of postoperative complications. The patient is currently under follow-up with the team, showing no signs of aesthetic or functional compromise.
References
Andrade, G, M., Leite, F, D, L., Quintas, H, P., Barreto, S, L., Aguiar, F, J., & Leite, A, E.(2019). Tratamento cirúrgico de fratura nasal: Relato de caso. Brazilian Journal of Oral and Maxillofacial Surgery, 19(1), 37-40.
Araújo-Júnior, J. L. de, Melo-Silva, E. M. V. de, Souza-Santos, A. M. de, Lima-Neto, T. J. de, Santos, M. Q. dos, & Dias-Ribeiro, E. (2019). Tratamento de fratura nasal pediátrica: relato de caso clínico. Archives of Health Investigation, 7(12). 10.21270/archi.v7i12.3056.
Arnold, J., Desbarats, C., Jolly, L. M., Trost, O.(2019). Fratura nasomaxilar - Nasomaxillary fracture: Retrospective review of 11 consecutive patients and literature review. Elsevier Masson SAS. J Stomatol Oral Maxillofac Surg 120 534–539.
Blanco, A. E. N, Pacheco, S. T. (2022). Caracterización de las fracturas nasales atendidas en el servicio de urgencias de cirugía maxilofacial de Bayamo. Multimed, 26(4).
Borghese, B., Calderoni, D, R., Passeri, L, A. (2011). Estudo retrospectivo da abordagem das fraturas nasais no Hospital de Clínicas da Unicamp. Revista Brasileira de Cirurgia Plástica, 26(4), 608-12.
Chukwulebe, S., & Hogrefe, C. (2019). The Diagnosis and Management of Facial Bone Fractures. Emergency medicine clinics of North America, 37(1), 137–151. https://doi.org/10.1016/j.emc.2018.09.012
Cunha, J. A., Costa, C. L. A., Cabral, G. A. C., Maia, R. P. R da, Nascimento, R. S., Leite, , E. A. (2022). Tratamento Conservador De Fratura Nasal Com Fórceps De Asch - Relato De Caso. Brazilian Journal of Health Review, 5(5), 21048-21058.
Fátima Firek, P., Zander, L. R. M., Alves, F. B. T., Poterala, Y. V., & Gross, D. J. (2022). Redução aberta de fratura nasal: Relato de caso. Revista de Cirurgia e Traumatologia Buco-Maxilo-Facial, 22(3), 27-31.
Fattahi, T., & Salman, S. (2019). Management of nasal fractures. Atlas of the oral and maxillofacial surgery clinics of North America, 27(2), 93-98.
Han, P., Kim, Y., Herford, A., & Inman, J. (2019). Complications and Treatment of Delayed or Inadequately Treated Nasoorbitoethmoid Fractures. Seminars in Plastic Surgery, 33(02), 138–142.
Kang, B. H., Kang, H. S., Han, J. J., Jung, S., Park, H. J., Oh, H. K., & Kook, M. S. (2019). A retrospective clinical investigation for the effectiveness of closed reduction on nasal bone fracture. Maxillofacial plastic and reconstructive surgery, 41(1), 53. https://doi.org/10.1186/s40902-019-0236-y
Kao, K., & Ho, T. (2023). The Management of Posttraumatic Nasal Deformities. Facial Plastic Surgery, 39(06), 630–637
Manninen, I., Klockars, T., Mäkinen, L. K., & Blomgren, K. (2022). Epidemiology and aetiology of sport‐related nasal fractures: Analysis of 599 Finnish patients. Clinical Otolaryngology, 48(1), 70–74.
Oliveira, A. C. J., Linn, G. L., Conci, R. A., Érnica, N. M., Júnior, E. A. G., Jandrey, V. J., Pavelsk, M. D., Griza, G. L. (2020). Tratamento incruento de fraturas nasais isoladas em adultos: uma revisão integrativa. Research, Society and Development, 10(1).
Pereira, V. B. S., da Silva, M. M. F., Rocha, N. S., da Silva Barbirato, D., Branco, B. D. L. C., & do Egito Vasconcelos, B. C. (2020). Reconstrução nasal após trauma facial: relato de caso. Brazilian Journal of Development, 6(7), 47012-47019.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica.
Psillas, G., Dimas, G. G., Papaioannou, D., Savopoulos, C., & Constantinidis, J. (2022). Epistaxis in dental and maxillofacial practice: a comprehensive review. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 48(1), 13–20.
Rocha, J. L. S., et al. (2020) Tratamiento de La Fractura Naso-Orbito-Etmoidal Tipo III En Adolescentes: Relato de Un Caso. International Journal of Odontostomatology, 14(2,1) 167–171.
Savas, S. A., & Aydin I. E. (2023) The effect of a new topographic classification on determining the prognosis of nasal fracture and treatment modality. Ulus Travma Acil Cerrahi Derg. 29(2), 212-217.
Zenatti, R., Santos, O, F, J., Silva, P, M., Vidor, D, N., Garbin, A, E., Érnica, M, N., Griza, L, G., & Conci, A, R.(2022). Tratamento de fratura dos ossos próprios do nariz sob anestesia local com a técnica da redução fechada: relato de caso. Brazilian Journal of Health Review, 5(1), 3215-3224.
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Copyright (c) 2024 Gustavo Paiva Custódio; Gabriel Silva Rezende Freitas; Sarah Germano Bouzada Barros ; Kamila Ferreira Cavalcante; Emanuele dos Santos Moreira; Ana Julia Garcia Brod Lino; Andrei Santos Reginaldo; Gabriel Lucas Vaz Santos Oliveira ; Guilherme Oliveira Lima
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