A Ten-year Retrospective Study of Nasal Bone Fractures at a Tertiary Care Hospital of Nepal

  • Monika Pokharel Kathmandu University School of Medical Sciences, Dhulikhel, Nepal https://orcid.org/0000-0002-9298-5534
  • Subindra Karki Kathmandu University School of Medical Sciences, Dhulikhel, Nepal
  • Ashish Dhakal Kathmandu University School of Medical Sciences, Dhulikhel, Nepal
  • Abha Kiran KC Kathmandu University School of Medical Sciences, Dhulikhel, Nepal
  • Krishna Sundar Shrestha Kathmandu University School of Medical Sciences, Dhulikhel, Nepal
  • Pradeep Rajbhandari Kathmandu University School of Medical Sciences, Dhulikhel, Nepal
  • Manish Neupane Kathmandu University School of Medical Sciences, Dhulikhel, Nepal
Keywords: Closed reduction, Complication, Nasal bone fracture

Abstract

 Introduction: Nasal bone fracture occurs due to its vulnerable position and reduced biomechanical resistance to traumas. If not timely treated, it can result in permanent functional and esthetic damage. Methods: A retrospective and cross-sectional study conducted on 91 patients above 17 years of age with nasal bone fractures in the Department of Otorhinolaryngology and Head and Neck surgery of a tertiary care hospital in Kavre. Results: Road traffic accident was the most common cause of fracture (45.1%) followed by fall (36.3%), violence (13.2%), sports-related accidents (4.4%) and occupational accidents (1.1%). Class I fracture was seen in 70 (76.9%), Class II in 17 (18.7%), and Class III in 4 (4.4%). A closed reduction procedure was performed in 74 (81.30%) of the cases, closed reduction with septoplasty was done in 10 (11%), closed reduction with augmentation rhinoplasty was performed for 3 (3.3%), closed reduction with inferior turbinoplasty was required in 3 (3.3%) whereas closed reduction with debridement was done in 1(1.1%). Conclusion: Nasal bone fracture is a complex clinical issue which needs to be addressed early. Violence prevention programs along with drinking and driving campaigns need to be more strengthened to decrease the alarmingly high frequency of nasal bone fracture in the current scenario.

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Author Biographies

Monika Pokharel, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal

Associate Professor,

Department of Otorhinolaryngology and HNS.

Subindra Karki, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal

Associate Professor,

Department of Radiodiagnosis and Imaging.

Ashish Dhakal, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal

Assistant Professor,

Department of Otorhinolaryngology and HNS.

Abha Kiran KC, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal

Lecturer,

Department of Otorhinolaryngology and HNS.

Krishna Sundar Shrestha, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal

Lecturer,

Department of Otorhinolaryngology and HNS.

Pradeep Rajbhandari, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal

Lecturer,

Department of Otorhinolaryngology and HNS.

Manish Neupane, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal

Medical Officer,

Department of Otorhinolaryngology and HNS.

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Published
2021-06-20
How to Cite
1.
Pokharel M, Karki S, Dhakal A, KC A, Shrestha K, Rajbhandari P, Neupane M. A Ten-year Retrospective Study of Nasal Bone Fractures at a Tertiary Care Hospital of Nepal. J Lumbini Med Coll [Internet]. 20Jun.2021 [cited 28Jul.2021];9(1):5 pages. Available from: https://jlmc.edu.np/index.php/JLMC/article/view/426
Section
Original Research Article