Rhinoplasty for fractured noses

Traditional treatment of a fractured nose questioned. Areport in the Arch Facial Plast Surg. 2007;9:40-43:
29 % of patients who underwent traditional closed procedures indicated that they would like revision surgery to correct an aesthetic and/or nasal airway problem. Of those who requested revision surgery

• 24 % cosmetic and functional reasons
• 35% nasal obstruction
• 47%aesthetic reasons alone

(PLD) Whilst this is a small report it does confirm my clinical observation. I advise that a thorough septo-nasal assessment is important, before patients are advised to undergo a closed reduction of a nasal fracture.(PLD)

The report concludes. “A septorhinoplasty may be offered as a definitive and/or elective procedure when the post-injury assessment.
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