•  
  •  
 

Article Type

Original Study

Subject Area

Maxillofacial, Nasal trauma

Abstract

Background: Closed reduction has been used to treat Naso-septal fractures. Due to the high rate of post-reduction abnormalities, surgeons have looked at other methods to achieve better results. Thus, we evaluate the improvement of breathing and postoperative residual septal deformity between septoplasty and simple closed reduction in recent naso-septal fractures.

Results: 30 patients with a recent naso-septal fractures were placed at random into two groups. For the first group (I), closed reduction was used to treat fractures; for the second group (II), septoplasty was used to treat fractures. Each patient performed a nasal endoscopy, CT scan, and a standardized quality of life measure for breathing (NOSE) prior to surgery and two weeks following it. Patients who had septoplasty showed a statistically significant improvement, with a mean improvement of the ordinal score, based on Mladina's classification, 62% ± SD 23% versus 35% ± SD 18% in the group undergoing closed reduction with p value 0.003. Furthermore, improvement in NOSE score was higher in the Septoplasty group with a mean improvement 45% ± SD 14% versus 20% ± SD 12% in the closed reduction group with p value 0.0001. The second group exhibited a substantial improvement in nasal breathing and fewer postoperative residual septal abnormalities when septoplasty was used compared to the first group.

Conclusion: Septoplasty can make a lot of difference when added to the conventional closed reduction when managing acute naso-septal fractures due to better outcomes of breathing via the nose and improvement in deformities of the septum post-reduction.

Keywords

Nasoseptal fracture, closed reduction, septoplasty, NOSE score, post-reduction residual deformities, Mladina classification

Download

Share

COinS