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.

• Keywords: Nasal bone fracture, Closed reduction, Fluoroscope (C-Arm), K-wire