I broken my nose a long time ago and the doctor wrote down he used manual digital pressure to fix the splayed left nasal bones and a bose elevator to reduce the depressed right nasal bones, I am guessing since he wrote "left nasal bones" instead of singular nasal bone and "right nasal bone(s)" instead of nasal bone, that I had a comminuted fracture judging by his word usage? and if it was broken into say 4 pieces maybe 2 for each nasal bone, would open reduction have been a better choice?
Answer: Nasal fracture repair with closed reduction I think you may be reading a little too much into your doctors operative note. There are 2 nasal bones, one on the left and one on the right. They are attached to each other and the septum is in the middle. Superiorly and laterally they are attached to other bones of the face. These bones are very thin (about the thickness of a credit card), and can be easily broken or shattered (think like cracking an egg). Nasal fractures are the most common fracture in facial trauma. And it is not uncommon to have a comminuted nasal fracture. In the immediate period after an injury (the first 10 days) the most appropriate management is a closed reduction just as your doctor described. This takes the fragments of bone and sets them back to the appropriate position they started in. If after this the nose heals and is still crooked, a rhinoplasty (either open or closed) with osteotomies may be done (no sooner than 6 weeks later) to re-break the bones and set them in the correct position. The nose is not like larger bones in your body in your arms, legs or even jaw, where a fracture can be repaired with open reduction and internal fixation with plates and screws. These are almost never used in nasal surgery.
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CONTACT NOW Answer: Nasal fracture repair with closed reduction I think you may be reading a little too much into your doctors operative note. There are 2 nasal bones, one on the left and one on the right. They are attached to each other and the septum is in the middle. Superiorly and laterally they are attached to other bones of the face. These bones are very thin (about the thickness of a credit card), and can be easily broken or shattered (think like cracking an egg). Nasal fractures are the most common fracture in facial trauma. And it is not uncommon to have a comminuted nasal fracture. In the immediate period after an injury (the first 10 days) the most appropriate management is a closed reduction just as your doctor described. This takes the fragments of bone and sets them back to the appropriate position they started in. If after this the nose heals and is still crooked, a rhinoplasty (either open or closed) with osteotomies may be done (no sooner than 6 weeks later) to re-break the bones and set them in the correct position. The nose is not like larger bones in your body in your arms, legs or even jaw, where a fracture can be repaired with open reduction and internal fixation with plates and screws. These are almost never used in nasal surgery.
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Answer: Repair of a nasal fracture In our practice, we rarely ever perform a closed reduction of the nasal fracture. A closed reduction must be performed within the first week after the injury. Most patients undergo osteotomies of the nasal bones to straighten them, which is also considered open reduction of a nasal fracture. The open reduction of the nasal fracture can be performed with a closed rhinoplasty approach. In addition, a cartilaginous spreader graft is sometimes required to be placed underneath the concave upper lateral cartilage in the midportion of the nose to help straighten it. For many examples and more information, please see the link and the video below
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CONTACT NOW April 4, 2016
Answer: Repair of a nasal fracture In our practice, we rarely ever perform a closed reduction of the nasal fracture. A closed reduction must be performed within the first week after the injury. Most patients undergo osteotomies of the nasal bones to straighten them, which is also considered open reduction of a nasal fracture. The open reduction of the nasal fracture can be performed with a closed rhinoplasty approach. In addition, a cartilaginous spreader graft is sometimes required to be placed underneath the concave upper lateral cartilage in the midportion of the nose to help straighten it. For many examples and more information, please see the link and the video below
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April 4, 2016
Answer: Nasal fracture closed reduction Closed reduction is the most appropriate and most commonly used method for treating a typical nasal fracture in the early stage after an injury.I prefer to attempt closed reduction within the first 7-10 days after the injury. In younger patients such as adolescents and teenagers I have found that they begin to heal and re-fuse the broken bone segments faster than most adults, so I try to treat their fractures within 1 week at most.Waiting a few days after the injury is helpful to allow some of the initial swelling to improve if the fracture repair cannot be performed within the first few hours after injury.I think you are reading too much into the semantics of an old operative report. Even if the left nasal bone had some comminution, a closed reduction as you described still seems like the most appropriate first step assuming it was a typical nasal fracture.
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Answer: Nasal fracture closed reduction Closed reduction is the most appropriate and most commonly used method for treating a typical nasal fracture in the early stage after an injury.I prefer to attempt closed reduction within the first 7-10 days after the injury. In younger patients such as adolescents and teenagers I have found that they begin to heal and re-fuse the broken bone segments faster than most adults, so I try to treat their fractures within 1 week at most.Waiting a few days after the injury is helpful to allow some of the initial swelling to improve if the fracture repair cannot be performed within the first few hours after injury.I think you are reading too much into the semantics of an old operative report. Even if the left nasal bone had some comminution, a closed reduction as you described still seems like the most appropriate first step assuming it was a typical nasal fracture.
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April 3, 2016
Answer: Nasal fracture Closed reduction of nasal fracture is pretty standard in the first few weeks after rhinoplasty. Unfortunately, even when properly done, it is not uncommon to require a formal rhinoplasty later on. Open rhinoplasty is not usually done in the first days or weeks after nasal fracture unless it is extremely complicated.
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Answer: Nasal fracture Closed reduction of nasal fracture is pretty standard in the first few weeks after rhinoplasty. Unfortunately, even when properly done, it is not uncommon to require a formal rhinoplasty later on. Open rhinoplasty is not usually done in the first days or weeks after nasal fracture unless it is extremely complicated.
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August 24, 2020
Answer: Closed reduction was the right choice It sounds as if the bones were still quite mobile and could be easily manipulated either via manual pressure or a via a simple blunt elevator. Even if the bones are in many little pieces this is still generally the best option in the first 3 weeks following injury. An open reduction probably would not have offered any additional benefit.
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Answer: Closed reduction was the right choice It sounds as if the bones were still quite mobile and could be easily manipulated either via manual pressure or a via a simple blunt elevator. Even if the bones are in many little pieces this is still generally the best option in the first 3 weeks following injury. An open reduction probably would not have offered any additional benefit.
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