Three-dimensional K-wire Support of a Nasal Bone Fracture Using a Fluoro scope

Original Article

Journal of the Korean Society of Traumatology 2003;16(2):79-84.

Eung Sam Kim, M.D., Beyoung Yun Park, M.D.*

Belle Ligne Aesthetic Plastic Surgery Clinic, Institute of Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine*

Fluoroscope시야에서 K-강선을 이용한
비골골절의 3차원적 지지법

김응삼·박병윤*

벨린느 성형외과, 인체조직복원구소, 연세대학교 의과대학 성형외과학교실*

Abstract

Background: Fracture of the nasal bone is the most common fracture of a facial bone because, among the other structures, A nose is prone to be traumatized. The nasal bone fracture is simply reduced by using the conventional closed reduction method. Though several temporary expedients have been introduced to stabilite the reduced bony segments, long-term follow-up study shows grave results. Materials and Methods: From May 1999 to Mar 2001, 34 patients with nasal bone fractures were treated. Before the reduction, the type of fracture was precisely evaluated and reduced using a fluoroscope. After the anatomical reduction of the nasal bone, including the nasal septum, had been made, two K-wires were introduced through the triangular space between the nasal bone and the bony nasal septum. The direction of the K-wire was decided based on the type of fractures. The inserted K-wires were removed 14 days after the operation. Results: In all 34 cases, good cosmetic and functional results were observed without complications, and during a short-term follow-up period, no recurrences were found. Conclusion: This method may be helpful for reductions and fixations of fractured segments, but above all, it is a much more comfortable method for the patients during their daily lives.

Key Words: Nasal bone fracture; Closed reduction; Fluoroscope (C-Arm); K-wire