비중격 골절을 동반한 단순 비골 골절의 치료에 있어 비중격 교정술의 중요성: 비강 통기도 검사를 이용한 평가 (The Importance of Septoplasty in The Treatment of Nasal Bone and Grade I Septal Fracture: Estimation with Acoustic Rhinometry)

서지정보

· 발행기관 : 대한성형외과학회
· 수록지 정보 : Archives of Plastic Surgery / 37권 / 5호 / 626 ~ 632페이지
· 저자명 : 김준형, 신동우, 최태현, 손대구, 한기환

초록

Purpose: Nasal bone fracture are often discussed as minor injury. However, the incidence of posttraumatic nasal deformity remains alarmingly high. It is because of unnoticed septal fracture. This study was conducted to determine the necessity of septoplasty for patients with nasal bone fracture accompanying grade Ⅰ septal fractures.
Methods: Of a total 105 patients with nasal bone fractures, 52 who had grade Ⅰ septal fracture diagnosed based on physical examination and computed tomography. Patients' age ranged from 14 to 65 years (mean 29.25 years), and there were 35 males and 17 females. Patients were divided into 2 groups according to surgical treatment methods: patients who underwent closed reduction only (group 1, n = 28) and those who underwent simultaneous closed reduction and septoplasty (group 2, n = 24). The treatment outcomes were evaluated by comparing changes in nasal airway volume measured by acoustic rhinometry before surgery, 3 months and 6 months after surgery according to the timing of surgical repair and surgical treatment methods.
Results: Nasal airway volume increased after surgery by 17.8% at 3 months after surgery, 25.2% at 6 months in group 1 and by 22.7% at 3 months, 35.8% at 6 months in group 2.
The increase of airway volume after surgery by 26.3% at 3 months after surgery, 34.2% at 6 months after surgery in operation within 1 week after trauma and by 12.1% at 3 months, 22.2% after 6 months in operation later 1 week after trauma. The difference was statistically significant. Three of group 1 patients complained of intermittent nasal obstruction, two of whom showed a decrease in nasal airway volume by acoustic rhinometry.
Conclusion: Most patients with nasal bone fractures accompanying grade Ⅰ septal fractures have been treated with closed reduction in clinical settings. However, the results of this study suggest that septoplasty should be performed after a correct diagnosis of septal fracture is made through comprehensive physical examination and computed tomography. Septoplasty is important to obtain more favorable outcomes and reduce complication.

영어초록

Purpose: Nasal bone fracture are often discussed as minor injury. However, the incidence of posttraumatic nasal deformity remains alarmingly high. It is because of unnoticed septal fracture. This study was conducted to determine the necessity of septoplasty for patients with nasal bone fracture accompanying grade Ⅰ septal fractures.
Methods: Of a total 105 patients with nasal bone fractures, 52 who had grade Ⅰ septal fracture diagnosed based on physical examination and computed tomography. Patients' age ranged from 14 to 65 years (mean 29.25 years), and there were 35 males and 17 females. Patients were divided into 2 groups according to surgical treatment methods: patients who underwent closed reduction only (group 1, n = 28) and those who underwent simultaneous closed reduction and septoplasty (group 2, n = 24). The treatment outcomes were evaluated by comparing changes in nasal airway volume measured by acoustic rhinometry before surgery, 3 months and 6 months after surgery according to the timing of surgical repair and surgical treatment methods.
Results: Nasal airway volume increased after surgery by 17.8% at 3 months after surgery, 25.2% at 6 months in group 1 and by 22.7% at 3 months, 35.8% at 6 months in group 2.
The increase of airway volume after surgery by 26.3% at 3 months after surgery, 34.2% at 6 months after surgery in operation within 1 week after trauma and by 12.1% at 3 months, 22.2% after 6 months in operation later 1 week after trauma. The difference was statistically significant. Three of group 1 patients complained of intermittent nasal obstruction, two of whom showed a decrease in nasal airway volume by acoustic rhinometry.
Conclusion: Most patients with nasal bone fractures accompanying grade Ⅰ septal fractures have been treated with closed reduction in clinical settings. However, the results of this study suggest that septoplasty should be performed after a correct diagnosis of septal fracture is made through comprehensive physical examination and computed tomography. Septoplasty is important to obtain more favorable outcomes and reduce complication.

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