Abstract

Secondary nasal deformity after closed reduction of nasal fracture is not uncommon. Post-traumatic nasal swelling may mask true deformity and delay the definite treatment. Objective assessment of reduction during the operation is the key to ensure the good result. Intraoperative fluoroscan is applied in our series to assist the correction of nasal fracture. Between November 2000 and October 2004, 53 patients with nasal fractures receiving closed reduction under fluoroscopy were reviewed retrospectively. The results were evaluated by an independent surgeon both photos and post-operative radiography. 36 patients received the surgery within one week of injury, while the noses were swollen. Most patients had appropriate bony alignment from the x ray and good nasal appearance from the photography. Intraoperative Fluoroscan for reduction of nasal fracture allows early treatment and adequate reduction. The learning curve of nasal bone reduction can also be shortened. With the application of intraoperative fluoroscan, nasal fracture is able to be corrected precisely, and subsequently decreasing the incidence of secondary nasal deformity.

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