Comparison of the efficacy of simultaneous and staged surgical procedures for traumatic nasal bone fractures with septal fractures.
10.13201/j.issn.2096-7993.2025.04.009
- Author:
Yi DONG
1
;
Shengsheng LI
2
;
Suibin MA
2
;
Huijun HAN
3
Author Information
1. Department of Otolaryngology Head and Neck Surgery，Beijing Tongren Hospital，Capital Medical University，Key Laboratory of Otolaryngology Head and Neck Surgery，Ministry of Education，Beijing，100730，China.
2. Department of Otolaryngology，People's Hospital of Hotan District.
3. Department of Epidemiology and Biostatistics，Institute of Basic Medical Sciences，Chinese Academy of Medical Sciences & School of Basic Medicine，Peking Union Medical College.
- Publication Type:English Abstract
- Keywords:
nasal bone fracture;
nasal trauma;
septal fracture;
surgical treatment
- MeSH:
Humans;
Nasal Bone/surgery*;
Nasal Septum/injuries*;
Treatment Outcome;
Rhinoplasty/methods*;
Male;
Female;
Adult;
Skull Fractures/surgery*;
Fractures, Bone/surgery*;
Middle Aged;
Adolescent
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2025;39(4):338-343
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the outcomes of simultaneous versus staged nasal bone reduction and septoplasty in the treatment of traumatic nasal bone fractures with associated septal fractures. Methods:Patients with traumatic nasal bone fractures, with or without septal fractures, were recruited from two hospitals and divided into three groups. Group A underwent simultaneous nasal bone reduction and septoplasty, Group B underwent staged nasal bone reduction and septoplasty, and Group C underwent nasal bone reduction only. Nasal appearance scores and nasal congestion Visual Analogue Scale （VAS） scores were measured preoperatively, at 2 weeks postoperatively, and at 3 months postoperatively. For Group B, scores were also recorded at 2 weeks and 3 months after the second-stage surgery. Differences were analyzed using statistical software. Results:Two weeks post-surgery, the nasal appearance scores significantly decreased in all three groups compared to preoperative scores （P< 0.01）, with no statistically significant differences between the groups （P= 0.43, 0.71, 0.58）. In Group A, the VAS score for nasal congestion decreased significantly following simultaneous surgery （P<0.01）. In Group B, there were no significant differences in nasal congestion VAS scores between pre-surgery and post-first-stage, nor between three months post-first-stage and two weeks post-first-stage （P= 0.61, 0.13）. However, the VAS scores significantly decreased after the second-stage surgery compared to pre-surgery, and three months post-second-stage surgery compared to three months post-first-stage surgery （P<0.01）. The VAS scores for nasal congestion at two weeks post-surgery in Group A were lower than those in Group B after the first-stage surgery （P<0.01）. The incidence rates of nasal adhesions post-surgery in Groups A, B, and C were 0%, 6.9%, and 4.3%, respectively. Conclusion:For traumatic nasal bone fractures with associated septal fractures, performing simultaneous nasal bone reduction and septoplasty under general anesthesia using endoscopy is more time-efficient compared to staged surgery, and it results in a lower occurrence rate of post-surgical nasal adhesions.
