Effect of intraoperative ultrasound-guided nasal fracture repair on postoperative child satisfaction and nasal function.
10.13201/j.issn.2096-7993.2025.06.011
- Author:
Chunmiao LI
1
;
Ying LI
1
;
Dongjie SENG
1
;
Ying XU
1
;
Zejuan JI
1
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery，He'nan Children's Hospital，Children's Hospital Affiliated to Zhengzhou University，Zhengzhou，450018，China.
- Publication Type:Journal Article
- Keywords:
nasal bone fracture;
nasal function;
reconstructive surgery;
satisfaction;
ultrasound
- MeSH:
Humans;
Nasal Bone/surgery*;
Patient Satisfaction;
Child;
Female;
Male;
Postoperative Complications;
Treatment Outcome;
Postoperative Period;
Fractures, Bone/surgery*;
Ultrasonography
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2025;39(6):559-563
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of intraoperative ultrasound-guided nasal bone fracture repair on the clinical outcome of pediatric patients with nasal bone fracture. Methods:A total of 83 patients with nasal bone fracture who underwent prosthesis in our hospital from June 2022 to March 2024 were selected and assigned to control group （endoscopic nasal bone fracture repair） and experimental group （ultrasound-guided nasal bone fracture repair） using random number table method. Both groups were treated with the same nursing measures after surgery. There were 41 cases in the control group and 42 cases in the experimental group. The evaluation parameters of nasal bone fracture, nasal ventilation function, nasal appearance and olfactory function score, postoperative complications and satisfaction were compared between the two groups. Results:The operation time and hospital stay were significantly lower in the experimental group than in the control group （P<0.05）, and secondary repair case （n=0） in the experimental group was significantly less than in the control group （P<0.05）. Compared to preoperative status, the minimum nasal cross-sectional area, nasal volume and total nasal expiratory volume of the two groups increased three months post-operatively, and those in the experimental group were higher （P<0.05）, nasal expiratory and inspiratory resistance, nasal appearance and olfactory disorder scores decreased and those in the experimental group were lower （P<0.05）. The postoperative complications incidence in the experimental group was lower than in the control group （7.14% and 14.63%, respectively, P>0.05）. The overall satisfaction in the experimental group was higher than in the control group（90.48% and 82.93%, respectively, P>0.05）. Conclusion:Ultrasound-guided nasal fracture repair can effectively shorten the operation time, improve the success rate, and promote the postoperative recovery of nasal appearance and nasal function, reduce complications, and enhance the overall satisfaction of children and their families.
