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Isolated Nasal Fractures: Analysis of Closed Reduction Outcomes in a Pediatric Cohort
Dustin C Derrick, MD; Heather M Sprouse, RN, CNP; Dylan R Childs, MD; Ananth S Murthy, MD
Akron Children's Hospital Craniofacial Center/Summa Health System
2017-02-16
Presenter: Dustin C Derrick, MD
Affidavit:
100% of the work done on this project is the work of the residents, and has not been previously published.
Director Name: Douglas S Wagner, MD, FACS
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: General Reconstruction
Background: Nasal bone fractures are the most common facial fractures, and can lead to patients needing corrective rhinoplasties if left untreated in the acute peri-injury period.
Methods: Retrospective chart review of closed nasal bone reductions 2010-2016 in pediatric cohort, correction techniques, and outcomes data. Primary outcomes were reoperation rate and complication rate. Other factors investigated were length of follow-up, timing to plastic surgery consult, timing of surgery from injury, and age at injury.
Results: Overall a male predominant (65%) cohort was observed with the most common mechanism of injury being sports related activities. Most closed reductions (82%) were performed within 2 weeks of injury date, and overall as a cohort the follow-up length was relatively short follow-up without the need for repeat clinic visits.
Conclusion: We provide our experience with closed reduction of nasal bone fractures at Akron Children's Hospital. Initially this was a quality improvement project that will now be transitioned into a continuing prospective study to elucidate the fracture types associated with higher revision rates, along with inclusion of the FACE-Q assessment tool to bring these patients back and get a better assessment of our closed reduction efficacy.
