Use of alternative device for maintenance of nasal permeability in previous nasal packing: case report
DOI:
https://doi.org/10.33448/rsd-v10i13.21627Keywords:
Nasal bone; Bones fractures; Treatment; Closed fracture reduction.Abstract
The treatment of nasal fractures involves bone repositioning and its stabilization, performed through nasal packing. However, this can be extremely uncomfortable as it obliterates the nostrils and reduces or impedes nasal breathing. Devices that ensure the maintenance of airway permeability bring greater comfort to the patient in the postoperative period. Therefore, the objective of this study is to describe the use of an alternative device to preserve nasal ventilation in patients with nasal fractures, as well as to demonstrate a clinical case. The methodology used in this work was carried out in a qualitative and descriptive way, through direct collection of patient data. A 62-year-old male patient, victim of a fall from standing height, was diagnosed with a fracture of the proper bones of the nose associated with a deviated septum. He was submitted to general anesthesia, closed bone reduction and stabilization with anterior nasal packing by placing a nasogastric tube in the nostrils directed to the oropharynx region and sterile gauze directed to the nasal bones. The patient evolved well, with improved aesthetic and functional complaints. It can be concluded that the alternative device used in this clinical case promoted greater patient comfort, guaranteed the maintenance of nasal patency, in addition to its low cost and easy availability.
References
Agarwal, B., Pandey, S., Bhutia, O., & Roychoudhury, A. (2016). Use of thermoplasticised nasal splint in naso-orbitoethmoid fractures: a technical note. British Journal of Oral and Maxillofacial Surgery, 54(1), e3-e4.
Awan, M. S., & Iqbal, M. (2008). Nasal packing after septoplasty: a randomized comparison of packing versus no packing in 88 patients. Ear Nose Throat J. 87(11):624-7.
Banglawala, S. M., Gill, M., Sommer, D. D., Psaltis, A., Schlosser, R., & Gupta, M. Is nasal packing necessary after septoplasty? A meta-analysis. Int Forum Allergy Rhinol. 2013;3(5):418-24.
Bernardo, M. T., Alves, S., Lima, N. B., Diamantino, H., & Condé, A. (2013). Septoplastia com ou sem tamponamento pós-operatório? Estudo prospectivo. Braz J Otorhinolaryngol, (79), 471-474.
Borghese, B., Calderoni, D. R., & Passeri, L. A. (2011). Estudo retrospectivo da abordagem das fraturas nasais no Hospital de Clínicas da Unicamp. Rev Bras Cir Plást. (26), 608-612.
Dubin M, R., & Pletcher, S. D. (2009) Postoperative packing after septoplasty: is it necessary? Otolaryngol Clin North Am, 42(2):279-85.
Fattahi, T., & Salman, S. (2019). Management of nasal fractures. Atlas Oral Maxillofac Surg Clin N Am.; (27), 93-98.
Freitas, R. (2006). Tratado de cirurgia bucomaxilofacial. Santos.
Hwang, K., Ki, S.J., & Ko, S.H. (2017). Etiology of nasal bone fractures. J Craniofac Surg, (28), 785-788.
Hwang, K., Yeom, S. H., & Hwang, S. H. (2017). Complications of nasal bone fractures. J Craniofac Surg; (28), 803-805.
Ivanov, A. L., & Khonsari, R. H. (2011). Nasal Splint Designed Using 3-Dimensional Planning. Journal of Oral and Maxillofacial Surgery, 69(5), 1266–1267.
James, J. G., Izam, A. S., Nabil, S., Rahman, N. A., & Ramli, R. (2020). Closed and open reduction of nasal fractures. J Craniofac Surg. (31), 22-26.
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. Maxillofac Plast Reconstr Surg, (53).
Karatas, A., Pehlivanoglu, F., Salviz, M., Kuvat, N., Cebi, I. T., Dikmen, B., et al. (2016). Efeitos do tempo de permanência de splints intranasais sobre a colonização bacteriana, complicações no pós-operatório e desconforto do paciente após septoplastia. Braz J Otorhinolaryngol, (82), 654-661.
Meirelles, R. C., Campos, R., Sá, L. C. B., & Almeida, G. (2012). Abordagem atual das hemorragias nasais. Rev Hosp Univ Pedro Ernest. (11), 48-55.
Monazzi, M. S., Oliveira, H. C., Passeri, L. A., & Gabrielli, M. F. R. (2010). Manejo das fraturas nasais com manutenção das vias aéreas superiores. Rev Cir Traumatol Buco-maxilo-fac, (10), 55-60.
Park, S. P., Kim, S. S., & Yang, W. S. (2017). The algorithm-oriented management of nasal bone fracture according to Stranc's classification system. Arch Craniofac Surg, (104), 18:97.
Pereira, A. S. et al. (2018). Metodologia da Pesquisa Científica. UFSM. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf.
Silva, R. B. P., Santos, G. M., Colombo, L. T., Polo, T. O. B., Faverani, L. P., & Garcia Júnior, I. R. (2017). Tratamento da fratura nasal por redução fechada: relato de caso. Arch Health Invest, (6), 464-467.
Ziccardi, V. B., & Braidy, H. Management of nasal fractures (2009). Oral Maxillofac Surg Clin North Am.21(2):203-8.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Victor Hugo Nogueira Moura; Tácyla Alves do Nascimento; Caroline Vieira de Lucena; Bruna Leal de Castro; Emerson Filipe de Carvalho Nogueira
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
