Refinement treatment of nasal bone fracture: A 6-year study of 329 patients
| Autor: | Yi-Chia Wu, Su-Shin Lee, Chao-Wen Chen, Chieh Chou, Ko-Kang Chen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Visual analogue scale Radiography lcsh:Surgery Dentistry Nasal congestion tube technique Young Adult Patient satisfaction Swallowing medicine otorhinolaryngologic diseases Humans Nasal Bone conductor-assisted nasal sonography Child Nose Aged Retrospective Studies Ultrasonography Aged 80 and over Skull Fractures nasal bone fracture business.industry Retrospective cohort study lcsh:RD1-811 Middle Aged Nasal bone Surgery Closed Fracture Reduction medicine.anatomical_structure Treatment Outcome Patient Satisfaction Female medicine.symptom business Tomography X-Ray Computed |
| Zdroj: | Asian Journal of Surgery, Vol 38, Iss 4, Pp 191-198 (2015) Scipedia Open Access Scipedia SL |
| Popis: | Summary Background The reliability of X-ray radiography for diagnosing nasal bone fractures (NBFs) remains controversial. Recent studies show that, for determining the orientation and location of the displaced/depressed fracture, nasal sonography is as accurate as facial computed tomography. This retrospective study compared conductor-assisted nasal sonography (CANS) to conventional diagnostic tools and reported subjective patient satisfaction and discomfort after closed reduction combined with tube technique. Methods This retrospective study reports the results of 329 refinement treatments for nasal bone fracture (including 199 men and 130 women) performed from 2005 to 2011. All patients were assessed with CANS and completed a survey immediately prior to removing the packing. Questionnaires were adapted from the nasal obstruction symptom evaluation (NOSE) scale. Results The study found that CANS has a 97.2% rate of accuracy in diagnosing NBF. The visual analog scale scores of nasal obstruction, nasal congestion, sleep disturbance, trouble breathing, and inability to move air through the nose were analyzed. The experimental group scores were significantly different from the control group for all scores (p Conclusion Compared to conventional methods, CANS is more accurate for detecting NBF. We recommend its use as an alternative tool for diagnosing a nasal fracture. Because the tube technique balances pressure between the nasopharynx and middle ear during swallowing, patient comfort is enhanced. Application of these modifications can improve accuracy in diagnosing NBF and can improve the quality of NBF treatment. |
| Databáze: | OpenAIRE |
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