The Usefulness of a Bronchodilator after the Closed Reduction of Nasal Bone Fracture.
- Author:
Jin Yong KIM
1
;
Young Hwan KIM
Author Information
1. Department of Plastic and Reconstructive Surgery, Busan Baik Hospital, Inje University, Busan, Korea. hwanps77@hanmail.net
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Nasal packing;
Nasal bone fracture;
Bronchodilator
- MeSH:
Anoxia;
Hand;
Headache;
Hemorrhage;
Humans;
Incidence;
Nasal Bone;
Nasal Obstruction;
Nose;
Oxygen;
Postoperative Complications;
Prospective Studies;
Respiration;
Sleep Initiation and Maintenance Disorders;
Thorax
- From:Journal of the Korean Cleft Palate-Craniofacial Association
2011;12(1):22-27
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Packing the nose is a common procedure after the closed reduction of a nasal bone fracture to prevent postoperative complications, such as bleeding and adhesion formation as well as to stabilize the framework of the nasal bone. On the other hand, it is difficult for a patient to endure nasal packing because of breathing difficulties, headaches, chest discomfort, insomnia, general weakness and hypoxia. This study examined the availability of a bronchodilator to improve the decreased oxygen saturation and postoperative symptoms on nasal packing. METHODS: From February, 2010 to July, 2010, a prospective randomized comparison of the incidence of a range of postoperative signs and symptoms was conducted on 60 patients, who did (n=30) and did not (n=30) undergo bronchodilator infusion (aminophylline 250 mg/10 mL + normal saline 100 mL IV qd) following nasal packing. The postoperative symptoms and oxygen saturation in the two groups were compared. RESULTS: Patients who had infused the bronchodilator showed improved oxygen saturation. Nevertheless, there were no significant differences in the postoperative uncomfortable symptoms (dyspnea, headache, chest discomfort, insomnia, general weakness) between the two groups. CONCLUSION: A bronchodilator after nasal packing improves oxygen saturation by dilating the airway tract but it cannot reduce the uncomfortable symptoms caused by nasal obstruction. Overall, the bronchodilator is a useful medication for improving the level of oxygen saturation.
