비강 충전 없는 비골골절의 치료

Treatment of Nasal Bone Fracture without Nasal Packing

  • 이동찬 (서울대학교 의과대학 성형외과학교실) ;
  • 은석찬 (서울대학교 의과대학 성형외과학교실) ;
  • 허찬영 (서울대학교 의과대학 성형외과학교실) ;
  • 백롱민 (서울대학교 의과대학 성형외과학교실) ;
  • 민경원 (서울대학교 의과대학 성형외과학교실)
  • Lee, Dong Chan (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Eun, Seok Chan (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Heo, Chan Yeong (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Baek, Rong Min (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Minn, Kyung Won (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine)
  • 발행 : 2008.04.09

초록

Purpose: The majority of nasal bone fractures have been managed by routine procedure of closed reduction, intranasal packing or intranasal Kirschner wire (K-wire) splinting. But it leaves rooms for many complaints from patients such as pain, rhinorrhea and nasal obstructioon. Another option is, of course, no packing at all. The study was initiated to assess the necessity to pack or splint the nasal bone after routine closed reduction. Methods: We analysed the medical records of 35 patients with nasal bone fracture who were operated by closed reduction in the last 2 years. We evaluated the postoperative CT scan scores and external deviation criterias 1 month after the operation. Results: The postoperative deviation criteria and postoperative CT scan score were favorable and there were no serious complications using this technique. Conclusion: The present study demonstrates that the use of packing or splinting need not be routine in the majority of cases. The risks and discomforts associated with these procedures can often be avoided.

키워드

과제정보

연구 과제 주관 기관 : 한국과학재단