Nasal trauma approach at a reference center in the Colombian Caribbean: Retrospective analysis and management perspectives
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Abstract
Background: Nasal trauma is a common pathology in the practice of otolaryngologists, requiring comprehensive evaluation and treatment. This study aimed to analyze the demographic characteristics, etiology, and therapeutic approach to nasal trauma in a high-complexity hospital in the Colombian Caribbean. Methods: A retrospective analysis of 157 patients who were treated between January 2021 and January 2024 was conducted. Demographic data and information about the mechanism of trauma, diagnostic procedures, and treatment were collected and analyzed. Results: Most patients were young males. The primary cause of closed nasal fracture was interpersonal violence, while soft tissue trauma was predominantly caused by sharp and penetrating object injuries. Management strategies ranged from conservative measures to surgical intervention, depending on the severity of the injury. Conclusion: Nasal trauma presents with variable manifestations. A comprehensive understanding of trauma mechanisms and lesion characteristics is crucial for effective management strategies. This study provides insights into the epidemiology and management of nasal trauma in our region, aiding in the development of treatment approaches and personalized therapeutic measures.
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Este artículo es publicado por la Revista Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello.
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eISSN: 2539-0856
ISSN: 0120-8411
References
Nathan JM, Ettinger KS. Management of Nasal Trauma. Oral Maxillofac Surg Clin N Am. 2021;33(3):329-341. doi:10.1016/j.coms.2021.04.002
Li L, Zang H, Han D, Yang B, Desai SC, London NR. Nasal Bone Fractures: Analysis of 1193 Cases with an Emphasis on Coincident Adjacent Fractures. Facial Plast Surg Aesthetic Med. 2020;22(4):249-254. doi:10.1089/fpsam.2020.0026
Perkins SW, Dayan SH. Management of Nasal Trauma. Aesthetic Plast Surg. 2002;26(0):S3-S3. doi:10.1007/s00266- 002-4307-5
Estadísticas Vitales - EEVV | Datos Abiertos Colombia. Accessed April 17, 2024. https://www.datos.gov.co/widgets/ kk5w-ugzm
Information Systems for Health (IS4H). Accessed April 17, 2024. https://www.paho.org/ish/
Hwang K, Ki SJ, Ko SH. Etiology of Nasal Bone Fractures: J Craniofac Surg. 2017;28(3):785-788. doi:10.1097/ SCS.0000000000003477
Levine E, Degutis L, Pruzinsky T, Shin J, Persing JA. Quality of Life and Facial Trauma: Psychological and Body Image Effects. Ann Plast Surg. 2005;54(5):502-510. doi:10.1097/01. sap.0000155282.48465.94
Hwang K, Yeom SH, Hwang SH. Complications of Nasal Bone Fractures: J Craniofac Surg. 2017;28(3):803-805. doi:10.1097/ SCS.0000000000003482
Choudhury-Peters D, Dain V. Developing psychological services following facial trauma. BMJ Qual Improv Rep. 2016;5(1):u210402.w4210. doi:10.1136/bmjquality.u210402. w4210
Cuschieri S. The STROBE guidelines. Saudi J Anaesth. 2019;13(5):31. doi:10.4103/sja.SJA543_18
Reilly MJ, Davison SP. Open vs Closed Approach to the Nasal Pyramid for Fracture Reduction. Arch Facial Plast Surg. 2007;9(2):82-86. doi:10.1001/archfaci.9.2.82
Andrades P, Pereira N, Borel C, Rocha L, Hernández R, Villalobos R. A new approach to nasoseptal fractures: Submucosal endoscopically assisted septoplasty and closed nasal reduction. J Craniomaxillofac Surg. 2016;44(10):1635- 1640. doi:10.1016/j.jcms.2016.07.004
Marston AP, O’Brien EK, Hamilton GS. Nasal Injuries in Sports. Clin Sports Med. 2017;36(2):337-353. doi:10.1016/j. csm.2016.11.004
Basheeth N, Donnelly M, David S, Munish S. Acute nasal fracture management: A prospective study and literature review: Acute Nasal Fracture Management. The Laryngoscope. 2015;125(12):2677-2684. doi:10.1002/lary.25358
Logan M, O’Driscoll K, Masterson J. The utility of nasal bone radiographs in nasal trauma. Clin Radiol. 1994;49(3):192-194. doi:10.1016/S0009-9260(05)81775-1
Diago GM, Llanos JAI, Olivares CDG, Peña AEC. INSTITUTO NACIONAL DE MEDICINA LEGAL Y CIENCIAS FORENSES.
Hoffmann J. An Algorithm for the Initial Management of Nasal Trauma. Facial Plast Surg. 2015;31(03):183-193. doi:10.1055/s-0035-1555618
Hwang K, Jung JS, Kim H. Diagnostic Performance of Plain Film, Ultrasonography, and Computed Tomography in Nasal Bone Fractures: A Systematic Review. Plast Surg. 2018;26(4):286-292. doi:10.1177/2292550317749535
Javadrashid R, Khatoonabad M, Shams N, Esmaeili F, Jabbari Khamnei H. Comparison of ultrasonography with computed tomography in the diagnosis of nasal bone fractures. Dentomaxillofacial Radiol. 2011;40(8):486-491. doi:10.1259/ dmfr/64452475
Astaraki P, Baghchi B, Ahadi M. Diagnosis of acute nasal fractures using ultrasound and CT scan. Ann Med Surg. 2022;78. doi:10.1016/j.amsu.2022.103860
Kim DH, Kim KS. Usefulness of Ultrasonography-Assisted Closed Reduction for Nasal Fracture under Local Anesthesia. Arch Craniofacial Surg. 2015;16(3):151. doi:10.7181/ acfs.2015.16.3.151
Gokcen E, Savrun A, KusdoGan M, et al. Ability of Bedside Ultrasonography to Detect Pediatric Nasal Bone Fractures. The Laryngoscope. 2021;131(6):1398-1403. doi:10.1002/ lary.29168
Chou C, Chen CW, Wu YC, Chen KK, Lee SS. Refinement treatment of nasal bone fracture: A 6-year study of 329 156 Henao-Rincón MA, Borbón-Vélez MC, Salazar-Agudelo MC, Morales-Valdés LJ. atients. Asian J Surg. 2015;38(4):191-198. doi:10.1016/j. asjsur.2014.09.002
Mondin V, Rinaldo A, Ferlito A. Management of nasal bone fractures. Am J Otolaryngol. 2005;26(3):181-185. doi:10.1016/j.amjoto.2004.11.006
Rohrich RJ, Adams WP. Nasal Fracture Management: Minimizing Secondary Nasal Deformities: Plast Reconstr Surg. 2000;106(2):266-273. doi:10.1097/00006534-200008000- 00003
Stranc MF, Robertson GA. A classification of injuries of the nasal skeleton. Ann Plast Surg. 1979;2(6):468-474. doi:10.1097/00000637-197906000-00004
Murray JAM, Maran AGD, Busuttil A, Vaughan G. A pathological classification of nasal fractures. Injury. 1986;17(5):338-344. doi:10.1016/0020-1383(86)90159-2
Lu GN, Humphrey CD, Kriet JD. Correction of Nasal Fractures. Facial Plast Surg Clin N Am. 2017;25(4):537-546. doi:10.1016/j.fsc.2017.06.005
Wang W, Lee T, Kohlert S, Kadakia S, Ducic Y. Nasal Fractures: The Role of Primary Reduction and Secondary Revision. Facial Plast Surg. 2019;35(06):590- 601. doi:10.1055/s-0039-1700801
Hope N, Young K, Mclaughlin K, Smyth C. Nasal Trauma: Who Nose what happens to the non-manipulated? Ulster Med J. 2021 Jan;90(1):10-12.
Kelley B, Downey C, Stal S. Evaluation and Reduction of Nasal Trauma. Semin Plast Surg. 2010;24(04):339-347. doi:10.1055/s-0030-1269763
Vilela F, Granjeiro R, Maurício C, Andrade P. Applicability and Effectiveness of Closed Reduction of Nasal Fractures under Local Anesthesia. Int Arch Otorhinolaryngol. 2014;18(03):266- 271. doi:10.1055/s-0034-1368138
Kyung H, Choi JI, Song SH, Oh SH, Kang N. Comparison of Postoperative Outcomes Between Monitored Anesthesia Care and General Anesthesia in Closed Reduction of Nasal Fracture. J Craniofac Surg. 2018;29(2):286-288. doi:10.1097/ SCS.0000000000004084
Jeon M, Kim Y, Choi Y. Correlation Between Soft Tissue Injury and the Type of Nasal Fracture Based on Stranc–Robertson Classification. J Craniofac Surg. 2019;30(3):e251-e254. doi:10.1097/SCS.0000000000005240
Stevenson TR, Thacker JG, Rodeheaver GT, Bacchetta C, Edgerton MT, Edlich RF. Cleansing the traumatic wound by high pressure syringe irrigation. JACEP. 1976 Jan;5(1):17-21. doi: 10.1016/s0361-1124(76)80160-8.
Stefanopoulos PK, Tarantzopoulou AD. Facial bite wounds: management update. Int J Oral Maxillofac Surg. 2005;34(5):464-472. doi:10.1016/j.ijom.2005.04.001
Wilkins RG, Unverdorben M. Wound cleaning and wound healing: a concise review. Adv Skin Wound Care. 2013 Apr;26(4):160-3. doi: 10.1097/01.ASW.0000428861.26671.41.
Cummings P, Del Beccaro MA. Antibiotics to prevent infection of simple wounds: A meta-analysis of randomized studies. Am J Emerg Med. 1995;13(4):396-400. doi:10.1016/0735- 6757(95)90122-1
Abubaker AO. Use of Prophylactic Antibiotics in Preventing Infection of Traumatic Injuries. Oral Maxillofac Surg Clin N Am. 2009;21(2):259-264, vii. doi:10.1016/j.coms.2008.12.001
Medeiros IM, Saconato H. Antibiotic prophylaxis for mammalian bites. Cochrane Database Syst Rev. 2001;(2):CD001738. doi: 10.1002/14651858.CD001738
Finch DR, Dibbell DG. Immediate reconstruction of gunshot injuries to the face. J Trauma. 1979 Dec;19(12):965-8. doi: 10.1097/00005373-197912000-00006
Gruss JS, Antonyshyn O, Phillips JH. Early definitive bone and soft-tissue reconstruction of major gunshot wounds of the face. Plast Reconstr Surg. 1991 Mar;87(3):436-50. doi: 10.1097/00006534-199103000-00008.
Hochberg J, Ardenghy M, Toledo S, Ardenghy ME, Miura Y, Schiebel F. Soft Tissue Injuries to Face and Neck: Early Assessment and Repair. World J Surg. 2001;25(8):1023-1027. doi: 10.1007/s00268-001-0054-z