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Optimizing treatment of nasal fractures.

机译:优化鼻骨折的治疗。

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OBJECTIVES/HYPOTHESIS A graduated protocol involving closed reduction, septoplasty, osteotomies, upper lateral cartilage release, anterior perpendicular plate fracture, and camouflaging cartilage grafts yields a higher percentage of straight noses in cases of acute fracture than treatment with closed reduction alone.STUDY DESIGN Retrospective chart and literature review followed by a prospective, non-randomized sequential trial.METHODS Closed reduction was performed on 26 cases of acute nasal fracture and the results were compared with a subsequent series of 79 cases treated using a more complete protocol.RESULTS The cases treated with the more complete protocol yielded straighter noses. The difference was statistically significant using Wilcoxon rank sum analysis at the =.028 level.CONCLUSIONS Treatment of the acutely fractured nose involving an individually tailored protocol of closed reduction, septoplasty, osteotomies, release of the upper lateral cartilages, fracture of the anterior extension of the perpendicular plate of the ethmoid, and camouflaging cartilage grafts yields straighter noses than treatment by closed reduction alone.
机译:目的/假说在急性骨折的情况下,与单纯闭合复位治疗相比,闭合闭合复位,隔膜成形术,截骨术,上侧软骨释放,前垂直板骨折和伪装软骨移植的渐进方案可产生更高的直鼻百分比。图表和文献复习,然后进行一项前瞻性,非随机顺序试验。方法对26例急性鼻骨折患者进行了闭合复位,并将结果与​​随后使用更完整方案治疗的79例患者进行了比较。与更完整的协议产生了笔直的鼻子。使用Wilcoxon秩和分析在= .028的水平上,差异具有统计学意义。结论结论急性骨折鼻的治疗涉及个体化的闭合复位,隔骨成形术,截骨术,上侧软骨释放,前路前伸骨折的治疗方案。筛骨的垂直板和伪装的软骨移植物比单独进行闭合复位治疗的鼻子更直。

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