Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
권호 표지

The Usefulness of a Bronchodilator after the Closed Reduction of Nasal Bone Fracture

비골 골절 정복술 후 기관지 확장제 투여의 유용성

  • Kim, Jin Yong (Department of Plastic and Reconstructive Surgery, Busan Baik Hospital, Inje University) ;
  • Kim, Young Hwan (Department of Plastic and Reconstructive Surgery, Busan Baik Hospital, Inje University)
  • 김진용 (인제대학교 의과대학 부산백병원 성형외과학교실) ;
  • 김영환 (인제대학교 의과대학 부산백병원 성형외과학교실)
  • Received : 2010.12.18
  • Accepted : 2011.01.25
  • Published : 2011.04.10
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Abstract

Purpose: Packing the nose is a common procedure after the closed reduction of a nasal bone fracture to prevent postoperative complications, such as bleeding and adhesion formation as well as to stabilize the framework of the nasal bone. On the other hand, it is difficult for a patient to endure nasal packing because of breathing difficulties, headaches, chest discomfort, insomnia, general weakness and hypoxia. This study examined the availability of a bronchodilator to improve the decreased oxygen saturation and postoperative symptoms on nasal packing. Methods: From February, 2010 to July, 2010, a prospective randomized comparison of the incidence of a range of postoperative signs and symptoms was conducted on 60 patients, who did (n=30) and did not (n=30) undergo bronchodilator infusion (aminophylline 250 mg/10 mL + normal saline 100 mL IV qd) following nasal packing. The postoperative symptoms and oxygen saturation in the two groups were compared. Results: Patients who had infused the bronchodilator showed improved oxygen saturation. Nevertheless, there were no significant differences in the postoperative uncomfortable symptoms (dyspnea, headache, chest discomfort, insomnia, general weakness) between the two groups. Conclusion: A bronchodilator after nasal packing improves oxygen saturation by dilating the airway tract but it cannot reduce the uncomfortable symptoms caused by nasal obstruction. Overall, the bronchodilator is a useful medication for improving the level of oxygen saturation.

Keywords

Acknowledgement

Supported by : 인제대학교

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