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J Stomatol Oral Maxillofac Surg 2019 Mar 9. Epub 2019 Mar 9.

Department of Oral and Maxillofacial Surgery, Rouen University Hospital, 1 rue de Germont, 76000 Rouen, France; Laboratory of anatomy, Rouen Faculty of Medicine, 22 boulevard Léon-Gambetta, 76000 Rouen, France; French National Institute for Health (INSERM), LIMICS UMR-1142, 76000 Rouen, France.

Purpose: Nasomaxillary fractures can be mistaken for fractures confined to the nasal bones, resulting in inappropriate treatments that jeopardize patient outcomes. Our purpose here was to provide information on nasomaxillary fractures via a retrospective study and literature review.

Material And Methods: We retrospectively collected clinical, computed tomography (CT), therapeutic, and outcome data in consecutive patients managed for unilateral impacted nasomaxillary fractures at our centre over a 5-year period (2013-2017). Read More

Arch Craniofac Surg 2019 Feb 20;20(1):31-36. Epub 2019 Feb 20.

Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine, Daegu, Korea.

Background: After closed reduction, patients are sometimes concerned that their external nasal shapes have changed. The aim of this study was to investigate and explain changes in nasal shape after surgery through objective photogrammetric anthropometry measurements taken through three-dimensional (3D) reformed computed tomography (CT) images.

Methods: Our study included 100 Korean patients who underwent closed reduction of isolated nasal bone fracture from January 2016 to June 2017. Read More

Arch Craniofac Surg 2019 Feb 20;20(1):24-30. Epub 2019 Feb 20.

Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background: Closed reduction of the fracture under general or local anesthesia with elevators or forceps is widely used to treat nasal bone fractures. However, operating under general anesthesia increases the risk of morbidity and raises the cost of management. Furthermore, using forceps or elevators may cause undercorrection, new fractures, mucosal damage, and nasal hemorrhage. Read More

Craniomaxillofac Trauma Reconstr 2019 Mar 17;12(1):45-53. Epub 2018 May 17.

Department of Plastic Surgery, Rutgers-New Jersey Medical School, Newark, New Jersey.

Mechanical falls are a common cause of facial trauma in the elderly population. It has been shown that the likelihood of sustaining a facial fracture due to a fall or activities of daily life significantly increases with age. Craniomaxillofacial fractures are most common during the first three decades of life; however, elderly patients more frequently require lengthy hospital stays and surgical intervention, and have shown increased complication rates compared with younger patients. Read More

J Foot Ankle Surg 2019 Feb 22. Epub 2019 Feb 22.

Orthopedic Surgeon, Department of Orthopedic Surgery, Albert Einstein Medical Center, Philadelphia, PA.

Ankle fractures are common orthopedic injuries with favorable outcomes when managed with open reduction and internal fixation (ORIF). Several patient-related risk factors may contribute to poor short-term outcomes, and machine learning may be a valuable tool for predicting outcomes. The objective of this study was to evaluate machine-learning algorithms for accurately predicting short-term outcomes after ORIF for ankle fractures. Read More

Plast Surg Nurs 2019 Jan/Mar;39(1):22-24

Alberto Pérez-García, MD, Department of Plastic Surgery, La Fe University and Polytechnic Hospital, Valencia, Spain. Juan Ramón Esteban-Vico, MD, Department of Plastic Surgery, La Fe University and Polytechnic Hospital, Valencia, Spain. Concepción Lorca-García, MD, Department of Pediatric Surgery, Gregorio Marañón Hospital, Madrid, Spain. Jose María García-Sánchez, MD, Department of Plastic Surgery, La Fe University and Polytechnic Hospital, Valencia, Spain. Luis Miranda Gómez, PhD, Department of Plastic Surgery, La Fe University and Polytechnic Hospital, Valencia, Spain. Abel Llinás Porte, MD, Department of Plastic Surgery, La Fe University and Polytechnic Hospital, Valencia, Spain. Pilar García-Sanz, RN, School of Nursing, University of Valencia, Spain.

This study investigated the use of endonasal infiltrative anesthesia for the management of pain associated with nasal bone fracture reduction. Fifty-two patients with nasal bone fractures were distributed in 2 groups. In the first group, topical endonasal anesthesia and external transcutaneous infiltrative anesthesia were employed. Read More

J Plast Surg Hand Surg 2019 Feb 8:1-6. Epub 2019 Feb 8.

c Department of Anesthesiology and Pain Medicine, Gangneung Asan Medical Center , University of Ulsan College of Medicine , Seoul , Korea.

Purpose: Nasal bone fracture reduction surgery is normally followed by nasal packing to control bleeding. Yet, patients suffer from pain and require further analgesic treatments following nasal packing and removal. This study aimed to evaluate the effect of fentanyl-soaked packing as a method of controlling pain after nasal surgeries in a prospective, randomized, double-blind controlled trial. Read More

Arch Craniofac Surg 2018 Dec 27;19(4):270-274. Epub 2018 Dec 27.

Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea.

Background: Nasal bone fractures occur frequently because the nasal bone is located at the forefront of the face. The goal of this study was to examine the cause, change in severity, change in incidence, and demographics of nasal bone fracture according to today's lifestyle.

Methods: A total of 2,092 patients diagnosed as having nasal bone fractures at our department between 2002 and 2017 were included in this study. Read More

Laryngoscope 2018 Dec 28. Epub 2018 Dec 28.

Department of Otolaryngology and Communication Sciences, State University of New York Upstate Medical University, Syracuse, New York, U.S.A.

Objectives/hypothesis: To determine outcomes of patients with displaced nasal bone fractures after closed nasal reduction (CNR).

Study Design: Retrospective patient review.

Methods: Review of all patients presenting to the emergency department of a tertiary-care, level 1 trauma hospital with a nasal bone fracture over a 2-year period, followed by telephone survey after CNR. Read More

BMJ Case Rep 2018 Dec 7;11(1). Epub 2018 Dec 7.

Department of Otorhinolaryngology, Hospital of Sion, Sion, Switzerland.

Acute laryngeal trauma is estimated to occur in approximately one patient per 14 500 to 42 500 emergency room admissions. If the larynx is injured, its vital functions are affected and can be threatened in case of severe injury. Soft cartilage offers no protective advantage, which is the reason why young as well as older individuals are at risk of thyroid cartilage fracture. Read More

J Contemp Dent Pract 2018 Oct 1;19(10):1174-1180. Epub 2018 Oct 1.

Department of Oral and Maxillofacial Surgery, MES Dental College, Malappuram, Kerala, India.

Introduction: The closed reduction of a displaced nasal fracture is a preferred method in oral and maxillofacial surgery. This prospective study was conducted to evaluate the treatment outcome following closed reduction of nasal bone fractures.

Materials And Methods: A total of 20 patients with nasal bone fracture who underwent closed reduction were included in the study. Read More

J Oral Maxillofac Surg 2018 Sep 13. Epub 2018 Sep 13.

Professor, Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University, Daegu, Korea. Electronic address:

Purpose: Nasal and blowout fractures are the most common injuries from craniomaxillofacial trauma. Nasal fractures are easily diagnosed by clinical signs, such as pain and crepitus. However, blowout fractures are frequently asymptomatic and are easy to miss without computed tomographic (CT) scanning. Read More

J Craniofac Surg 2018 Oct;29(7):1825-1828

Department of Plastic and Reconstructive Surgery, Sanggye Paik Hospital, Inje University, College of Medicine, Seoul, South Korea.

Since the nose is at the center of the face, small changes to it can cause a big overall change. Therefore, a nasal fracture needs to be operated on when deformity is expected. Although many taxonomies have been developed for nasal bone fractures, no study has aimed to predict individual patient satisfaction. Read More

Medicine (Baltimore) 2018 Aug;97(35):e11983

Department of Thoracic Surgery, Weifang People's Hospital, Weifang, P.R. China.

Background: Thoracolumbar spine (TLS) fractures are commonly associated with the young healthy population, with its risk factors including both high-energy traumas and neurological deficit. The underlying mechanisms of traditional Chinese medicine (TCM) and TLS fractures have been explored. Therefore, our prospective study was conducted in order to explore the beneficial effects of TCM fumigation "Bone-healing Powder" method in both postoperative pain as well as the recovery of the patient's neurological function following healing from their traumatic TLS fractures. Read More

J Craniofac Surg 2018 Oct;29(7):1952-1955

Department of Plastic Surgery, Kyorin University School of Medicine, Shinkawa, Mitaka, Tokyo, Japan.

In 1986, Altemir first reported the use of submental intubation to avoid tracheotomy in patients with panfacial and midfacial fractures for whom intermaxillary fixation is necessary, but orotracheal and nasotracheal intubations are not recommended. This novel technique allowed intraoperative access to perform dental occlusion and reconstruction of the nasal pyramid in patients with skull base fractures. Herein, we describe a refined technique based on Altemir's original procedure. Read More

Med Sci Monit 2018 Jun 26;24:4386-4394. Epub 2018 Jun 26.

Department of Anesthesiology, Sir Run Run Shaw Hospital of Zhejiang University, Hangzhou, Zhejiang, China (mainland).

BACKGROUND Lidocaine is widely used as a general and local anesthetic in minor or major surgeries. The objective of the study was to compare postoperative pain relief and adverse events using different forms of lidocaine administration in patients following closed nasal bone reduction surgery. MATERIAL AND METHODS A total of 381 patients with a solitary nasal fracture that could be managed with closed reduction were included in this study and divided into 3 groups of 127 patients in each group. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Jun;32(6):718-721

Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu Sichuan, 610041,

Objective: To evaluate the effectiveness of a new type of sutured titanium wire combined with titanium nail internal fixation in correction of serious old medial canthus deformity.

Methods: Between March 2012 and June 2015, 18 patients with unilateral serious old medial canthus deformity were treated. There were 14 males and 4 females. Read More

JAMA Facial Plast Surg 2018 Dec;20(6):460-467

Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Stanford University, Stanford, California.

Importance: Initial treatment of nasal fractures can result in long-standing cosmetic or functional defects, but the risk factors for subsequent septorhinoplasty have not been explored.

Objective: To assess the risk factors for septorhinoplasty after the initial treatment of isolated nasal fracture.

Design, Setting, And Participants: This retrospective population-based analysis of US patients diagnosed with nasal fracture between January 1, 2007, and December 31, 2015, used insurance claims data from the Commercial and Medicare Supplemental categories of the Truven Health MarketScan database. Read More

Braz J Otorhinolaryngol 2018 May 18. Epub 2018 May 18.

Istanbul Kemerburgaz University, Medical Faculty, Department of Otorhinolaryngology, Tarsus, Turkey.

Introduction: The most common cause of septoplasty failure is inferior turbinate hypertrophy that is not treated properly. Several techniques have been described to date: total or partial turbinectomy, submucosal resection (surgical or with a microdebrider), with turbinate outfracture being some of those.

Objective: In this study, we compared the pre- and postoperative lower turbinate volumes using computed tomography in patients who had undergone septoplasty and compensatory lower turbinate turbinoplasty with those treated with outfracture and bipolar cauterization. Read More

Arch Craniofac Surg 2018 Jun 24;19(2):102-107. Epub 2018 May 24.

Department of Plastic and Reconstructive Surgery, Inje University Busan Paik Hospital, Inje University School of Medicine, Busan, Korea.

Background: Nasal fracture and orbital blowout fracture often occur concurrently in cases of midface blunt trauma. Generally, these multiple fractures treatment is surgery, and typically, the nasal bone and orbit are operated on separately. However, we have found that utilizing a transconjunctival approach in patients with concurrent nasal bone fracture and orbital blowout fracture is a useful method. Read More

J Craniofac Surg 2018 Oct;29(7):e640-e641

Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Circumpalatal wiring has 2 negative points. The first is premature loosening of the wire and the second is tongue irritation caused by exposed wire in roof of the mouth. In this article, a modified technique (palatal wiring) is introduced in which these 2 problems are targeted. Read More

Plast Reconstr Surg 2018 05;141(5):742e-758e

Oklahoma City, Okla. From the Section of Plastic Surgery, University of Oklahoma.

Learning Objectives: After studying this article, the participant should be able to: 1. Describe the A-frame configuration of anterior facial buttresses, recognize the importance of restoring anterior projection in frontal sinus fractures, and describe an alternative design and donor site of pericranial flaps in frontal sinus fractures. 2. Read More

Arch Craniofac Surg 2018 Mar 20;19(1):41-47. Epub 2018 Mar 20.

Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine, Gwangju, Korea.

Background: The number of surgical risks recalled by a patient after surgery can be used as a parameter for assessing how well the patient has understood the informed consent process. No study has investigated the usefulness of a self-developed mobile application in the traditional informed consent process in patients with a nasal bone fracture. This study aimed to investigate whether delivery of information, such as surgical risks, through a mobile application is more effective than delivery of information through only verbal means and a paper. Read More

J Craniofac Surg 2018 Jul;29(5):e489-e490

Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Karadeniz Technical University.

Fractures of the frontal sinus are frequently encountered injuries of maxillofacial fractures. The most common causes are traffic accidents, followed by sports-related injuries. There is still no consensus regarding the optimal management of frontal sinus fractures. Read More

J Craniofac Surg 2018 Jul;29(5):e475-e477

Department of Plastic-Reconstructive Surgery.

Introduction: Combined mid-face and nasal apparatus trauma injuries pose a significant challenge to airway patency (AW), in the immediate postoperative setting following fracture reduction. As such, the authors describe a modified technique with the goal of maintaining a patent nasal AW, while at the same time, minimizing nasopharyngeal bleeding and nasal AW edema-which can complicate patients requiring intermaxillary fixation (IMF) in the setting of pan-facial trauma.

Methods: A modified technique was devised to assist the reconstruction surgeon in avoiding the risks associated with tracheostomy placement. Read More

J Oral Maxillofac Surg 2018 Jul 20;76(7):1511.e1-1511.e9. Epub 2018 Feb 20.

Department Head, Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University, Chengdu, China. Electronic address:

Purpose: The purpose of this study was to explore new landmark-independent methods suitable for determining the midsagittal plane (MSP) in patients with craniomaxillofacial trauma and its clinical application.

Materials And Methods: Preoperative spiral computed tomography data of 25 patients with craniomaxillofacial trauma were imported into Mimics software (Materialise, Leuven, Belgium) to reconstruct 3-dimensional skull models. In the experimental group, the MSP was determined by different landmarks that were clear, were scattered, and did not have displacement according to the types of fractures. Read More

J Craniofac Surg 2018 Jul;29(5):1358-1362

Department of Radiology, Inha University School of Medicine, Incheon, South Korea.

The aim of this study was to elucidate the precise location of the maxillary ostium using computed tomography for the reduction of depressed nasomaxillary fractures.Computed tomography images (61 males, 42 females; age range, 3-97 years) were analyzed. Coronal sections were cut every 3 mm. Read More

J Craniofac Surg 2018 Jun;29(4):e409-e411

Department of Plastic Surgery, Inha University School of Medicine, Incheon, Korea.

The authors developed a technique for reducing the fractured segment by introducing an elevator through the accessory maxillary ostium (AMO).Through an upper gingivolabial vestibular incision, the fractured segments were exposed. In cases where no cleft was available for inserting the elevator, the blunt end of a Cottle elevator was inserted into the AMO via a nasal approach. Read More

J Craniofac Surg 2018 Jun;29(4):e405-e408

Oral and Maxillofacial Surgery, PUCRS, Porto Alegre.

Juvenile nasopharyngeal angiofibroma (JNA) is a rare benign tumor that occurs predominantly in young males. The authors report the case of a 22-year-old male patient who presented with a painless, exophytic tumor mass protruding through the right nostril, with anterior lateral extension associated with severe posterior involvement, erosion of the sphenoid bone to the right of the pterygoid process, and significant epistaxis. The preoperative evaluation, surgical approach, postoperative results, and a review of the literature are presented. Read More

Arch Craniofac Surg 2017 Dec 23;18(4):238-242. Epub 2017 Dec 23.

Department of Otorhinolaryngology, Eulji University College of Medicine, Daejeon, Korea.

Background: Conservative treatment is performed for isolated anterior wall of the maxillary sinus fractures, in many cases when the fracture is clinically not severe and asymptomatic. Despite the absence of symptoms, complications such as sinusitis, rhinitis, and chronic purulent secretion may develop; therefore, successful reduction is required. We attempted to reduce the risk of complications using an alternative technique: reduction of the fracture with two urinary balloon catheters inserted through the maxillary ostium and fixation using fibrin glue, which minimizes the damage to the bony fragments and sinus mucosa. Read More

Eur Arch Otorhinolaryngol 2018 Mar 12;275(3):809-813. Epub 2018 Jan 12.

Otorhinolaryngology, Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Objective: The aim of this study was to assess the infraorbital foramen (IOF) using CT in patients with Zygomaticomaxillary complex (ZMC) fractures (midface fracture).

Patients And Methods: This prospective study was carried out on 49 patients had ZMC fractures (98 sides) and 27 patients (54 sides) with craniomaxillofacial fractures rather than fractured ZMC as a control. Using CT, position of IOF was documented on 3D view in relation to inferior orbital rim, tooth root relation and finally with a novel imaginary line passing between anterior nasal spine and whitnall tubercle. Read More

Radiographics 2018 Jan-Feb;38(1):248-274

From the Section of Trauma and Emergency Radiology, Department of Diagnostic Radiology and Nuclear Medicine (D.D., U.K.B.), and the Division of Plastic Surgery (A.J.N., S.C.D.), R. Adams Cowley Shock Trauma Center, University of Maryland Medical Center, 22 S Greene St, Baltimore, MD 21201; the Division of Trauma and Emergency Imaging, Department of Radiology, Bellevue Hospital/NYU Langone Medical Center, New York, NY (M.P.B.); and the Department of Diagnostic Radiology, University of Miami Leonard M. Miller School of Medicine, Ryder Trauma Center at Jackson Memorial Hospital, Miami, Fla (F.M.).

The advent of titanium hardware, which provides firm three-dimensional positional control, and the exquisite bone detail afforded by multidetector computed tomography (CT) have spurred the evolution of subunit-specific midfacial fracture management principles. The structural, diagnostic, and therapeutic complexity of the individual midfacial subunits, including the nose, the naso-orbito-ethmoidal region, the internal orbits, the zygomaticomaxillary complex, and the maxillary occlusion-bearing segment, are not adequately reflected in the Le Fort classification system, which provides only a general framework and has become less relevant in contemporary practice. The purpose of this article is to facilitate the involvement of radiologists in the delivery of individualized multidisciplinary care to adults who have sustained blunt trauma and have midfacial fractures by providing a clinically relevant review of the role of multidetector CT in the management of each midfacial subunit. Read More

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 Dec;52(12):933-935

Department of Plastic Surgery, Luoyang Orthopedic Hospital of Henan Province(Orthopedic Hospital of Henan Province), Luoyang 471002, China.

Open Dent J 2017 31;11:546-556. Epub 2017 Oct 31.

Department of Biomedical, Dental Science and Morphological and Functional Images, Dental School, University of Messina, Messina, Italy.

Background: Orbital fractures are classified as diseases usually related to common midface trauma. It represents the most challenging treatment due to the complex anatomy, physiology, and aesthetic role. A midface trauma involves also the zygomatic complex and the nose, however the orbit fracture seems to be a more frequent disease due to its anatomical features. Read More

Facial Plast Surg 2017 Dec 1;33(6):591-597. Epub 2017 Dec 1.

Department of Oral and Maxillofacial Surgery, Loma Linda University, Loma Linda, California.

Facial Plast Surg 2017 12 1;33(6):557-561. Epub 2017 Dec 1.

Department of Facial Plastics, Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.

J Craniofac Surg 2018 Jan;29(1):156-158

Department of Plastic and Reconstructive Surgery, Toho University Omori Medical Center, Tokyo, Japan.

Background: Nasal bone osteotomy subjectively judges the position for osteotomy by visual inspection and by manual feel using the fingertip. Therefore, the outcome depends on the surgeon's experience and mastery of the procedure is technically challenging.

Methods: The authors applied a navigation system for the intraoperative evaluation of the osteotomy line and reduction position in 5 patients with malunited nasal bone fracture. Read More

Craniomaxillofac Trauma Reconstr 2017 Dec 27;10(4):255-262. Epub 2017 Sep 27.

Department of Oral and Maxillofacial Surgery, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.

Despite a paradigm shift in anesthesia and trauma airway management, the craniomaxillofacial fracture (CMF) patients continue to pose a challenge. A prospective study was planned between April 2007 and March 2015 to investigate the safety, efficacy, utility, and complications of anterior submandibular approach for transmylohyoid intubation (TMI) in CMFs using an armored endotracheal tube (ETT). Out of 1,207 maxillofacial trauma cases reported, this study recruited 206 patients (152 males and 54 females) aged between 21 and 60 years. Read More

J Craniomaxillofac Surg 2017 Dec 28;45(12):2075-2083. Epub 2017 Sep 28.

Composite Materials and Mechanics Laboratory, Mechanical and Aerospace Engineering Department, New York University, Tandon School of Engineering, 6 MetroTech Center, Brooklyn, NY 11201, USA.

Purpose: Orthopedic and maxillofacial bone fractures are routinely treated by titanium internal fixation, which may be prone to exposure, infection or intolerance. Magnesium (Mg) and its alloys represent promising alternatives to produce biodegradable osteosynthesis devices, with biocompatibility and, specifically, hydrogen gas production during the degradation process, being the main drawback. Aim of this study is to test and compare biocompatibility, degradation rate and physiscochemical properties of two Mg-alloys to identify which one possesses the most suitable characteristics to be used as resorbable hardware in load-bearing fracture sites. Read More

J Craniofac Surg 2018 Mar;29(2):286-288

Department of Plastic and Reconstructive Surgery, School of Medicine, Chungnam National University, Daejeon, South Korea.

Fracture of nasal bone is among the most common facial bone fractures. Reduction of nasal bone fracture is able to be performed under local or general anesthesia. The aim of this study is to compare monitored anesthetic care (MAC) and general anesthesia (GA) based on intraoperative vital signs, and the adverse effects after closed reduction of nasal bone fractures. Read More

J Craniomaxillofac Surg 2017 Nov 2;45(11):1875-1877. Epub 2017 Sep 2.

Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul, South Korea. Electronic address:

Purpose: Posttraumatic edema in facial bone fracture patients may interfere with the operation field and delay the schedule. Thus, swiftly reducing the edema alleviates patient discomfort and advances the operation date. Ice packing and compression bandages are often used for such a purpose, but such methods are often inconvenient for the face. Read More

Facial Plast Surg Clin North Am 2017 Nov;25(4):537-546

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, 3901 Rainbow Boulevard, MS 3010, Kansas City, KS 66160, USA. Electronic address:

Nasal fractures are the most frequently fractured facial bone from blunt facial trauma resulting in a significant number of patients seeking treatment. Proper evaluation and treatment in the acute setting can minimize secondary surgeries, lower overall health care costs, and increase patient satisfaction. Nasal fracture management, however, varies widely between surgeons. Read More

Facial Plast Surg Clin North Am 2017 Nov;25(4):503-511

Facial Plastic and Reconstructive Surgery, Department of Otolaryngology Head and Neck Surgery, Greater Baltimore Cleft Lip and Palate Team, Johns Hopkins University School of Medicine, 6701 N Charles Street, Baltimore, MD 21204, USA; Department of Dermatology, Johns Hopkins University School of Medicine, 601 North Caroline Street 6th Floor, Baltimore, MD 21287-0910, USA.

The optimal management of frontal sinus fractures remains controversial. Fortunately, the severity of these injuries has diminished with more stringent auto-safety regulations, changing the treatment paradigms used to repair these injuries. Appropriate patient selection and close follow-up may allow for conservative management strategies when dealing with frontal sinus fractures, largely replacing the more morbid and invasive techniques that have been the mainstay for years. Read More

J Craniofac Surg 2017 Nov;28(8):e760-e763

*Department of Oral and Maxillofacial Surgery, "KAT" General Hospital of Attica, Athens †Department of Oral and Maxillofacial Surgery, "Venizeleio" General Hospital of Heraklion, Crete, Greece.

Background: It has been advocated that reduction of nasal bone fractures should be followed by internal packing and/or external splinting. Despite the ample literature concerning the advantages and limitations of various splint types, the necessity and effectiveness of external splinting has not been well documented.

Objective: To present the authors' experience and review the literature on treatment of nasal bone fractures, focusing on the indications and effectiveness of external splinting following closed reduction. Read More

J Plast Reconstr Aesthet Surg 2018 Jan 24;71(1):85-89. Epub 2017 Aug 24.

Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto, Nagano 390-8621, Japan.

Background: Nasal fracture is the most common type of facial fracture treated by plastic surgeons. Here, we clarify the postoperative deformities that frequently remain after closed reduction of fresh nasal bone fracture by three-dimensional computed tomography (3D-CT).

Methods: Hundred consecutive cases of fresh nasal bone fracture in patients treated between May 2010 and January 2016 were examined. Read More

Arch Craniofac Surg 2017 Jun 26;18(2):97-104. Epub 2017 Jun 26.

Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital, Ulsan, Korea.

Background: Nasal bone fracture is one of the most common facial bone fracture types, and the surgical results exert a strong influence on the facial contour and patient satisfaction. Preventing secondary deformity and restoring the original bone state are the major goals of surgeons managing nasal bone fracture patients. In this study, a treatment algorithm was established by applying the modified open reduction technique and postoperative care for several years. Read More

Arch Craniofac Surg 2017 Jun 26;18(2):92-96. Epub 2017 Jun 26.

Department of Plastic and Reconstructive Surgery, Wonju College of Medicine, Yonsei University, Wonju, Korea.

Background: All nasal bone fractures have the potential for worsening of olfactory function. However, few studies have studied the olfactory outcomes following reduction of nasal bone fractures. This study evaluates posttraumatic olfactory dysfunction in patients with nasal bone fracture before and after closed reduction. Read More

Arch Craniofac Surg 2017 Mar 25;18(1):59-61. Epub 2017 Mar 25.

Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.

As the number of people who have undergone augmentation rhinoplasty has increased recently, nasal fractures are becoming more common after rhinoplasty. A silicone implant can affect the nasal fracture pattern, but there is no significant difference in treatment methods commonly. A 28-year-old female who had undergone augmentation visited our clinic with a nasal fracture. Read More

Arch Craniofac Surg 2017 Mar 25;18(1):30-36. Epub 2017 Mar 25.

Department of Plastic and Reconstructive Surgery, School of Medicine, Catholic University of Daegu, Daegu, Korea.

Background: Nasal fractures have a tendency of resulting in structural or functional complications, and the results can vary according to the type of nasal bone fracture. The aim of this study was to evaluate the objective postoperative results according to the type of nasal bone fractures.

Methods: We reviewed 313 patients who had a closed reduction of nasal bone fracture. Read More