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KMID : 0903220100110020077
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Journal of the Korean Cleft Palate-Craniofacial Association
2010 Volume.11 No. 2 p.77 ~ p.84
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Simultaneous Augmentation Rhinoplasty with Bony Reduction in Nasal Bone Fracture
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Lim Kwang-Ryeol
Song Jennifer Kim
Kim Hyung-Do
Hwang So-Min
Jung Yong-Hui
Ahn Sung-Min
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Abstract
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Purpose:The nasal bones are the most common fracture sites of the facial bones, and a careful reduction may still result in secondary deformities, such as saddle nose, deviated nose, hump nose etc, requiring secondary cosmetic rhinoplasty. Therefore, this study examined the clinical characteristics of nasal bone fractures to propose guidelines for patient selection and surgical procedures to achieve more satisfactory results and to prevent secondary deformities with simultaneous augmentation rhinoplasty and bony reduction.
Methods:The study was based on 26 out of 149 nasal bone fracture patients who underwent simultaneous augmentation rhinoplasty with bony reduction between May 2008 and April 2009. Retrospective analysis was performed according to the clinical data, surgical techniques and postoperative results.
Results:Of the 26 patients, there were 15 males and 11 females. The incidence according to the Stranc’s classification revealed that 62% of patients were injured by a frontal impact and 38% by a lateral impact. Frontal impact plane I (50%) was the most frequent type. At the follow up, 18 (81.2%) out of 22 patients were satisfied with their postoperative outcome, and the remaining 4 patients were fair. No one was dissatisfied. However, 5 cases in 3 patients (23%) had some complications; minimal implant deviation in 2 cases, minor irregularity on the nasal dorsum in 2 cases and palpable implant movement under palpation in 1 case. None of these cases required surgical correction.
Conclusion:With the proper guidance, simultaneous augmentation rhinoplasty with bony reduction can
prevent secondary deformities and satisfy the cosmetic outcomes.
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KEYWORD
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Nasal bone fracture, Augmentation rhinoplasty
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