Authors: Rieka Taghizadeh Christopher John Lewis Susan Stevenson Anna Barnard Matt Erdmann
Publish Date: 2015/08/19
Volume: 39, Issue: 1, Pages: 7-10
Abstract
Early manipulation of nasal fractures can negate the need for formal rhinoplasty However residual nasal deformity is reported in up to 50 of cases The aim of this study was to evaluate the outcome following manipulation of nasal fractures in a regional plastic surgery department and quantify the subsequent rhinoplasty conversion rateThree hundred fiftythree MUA procedures were performed the majority of which were in young males 76 Common causes included assault 54 sporting injuries 24 and falls 12 MUA was performed for nasal bone fracture 69 or bony and septal fracture 31 Only 37 130 patients attended outpatient followup Functional problems were identified in 17 22 patients whilst 24 31 patients noted residual deformity Of these 10 patients 3 accepted and underwent formal rhinoplasty surgery This accounted for 17 of all rhinoplasties carried out within the time periodIn our department the outcome following manipulation of these injuries compares favourably with the literature with the majority of patients having no major longterm sequelae Our data suggest that many patients are happy to accept a degree of residual deformity and decline further surgery
Keywords: