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

Authors

  • Monika Pokharel Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Dhulikhel, Kavre, Nepal https://orcid.org/0000-0002-9298-5534
  • Subindra Karki Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Dhulikhel, Kavre, Nepal
  • Ashish Dhakal Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Dhulikhel, Kavre, Nepal
  • Abha Kiran KC Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Dhulikhel, Kavre, Nepal
  • Krishna Sundar Shrestha Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Dhulikhel, Kavre, Nepal
  • Pradeep Rajbhandari Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Dhulikhel, Kavre, Nepal
  • Manish Neupane Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Dhulikhel, Kavre, 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 in 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 Hospital, Dhulikhel, Kavre, Nepal

Associate Professor, Department of Otorhinolaryngology and HNS

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

Associate Professor, Department of Radiodiagnosis and Imaging

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

Assistant Professor, Department of Otorhinolaryngology and HNS

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

Lecturer, Department of Otorhinolaryngology and HNS

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

Lecturer, Department of Otorhinolaryngology and HNS

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

Lecturer, Department of Otorhinolaryngology and HNS

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

Medical Officer, Department of Otorhinolaryngology and HNS

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Published

2021-06-20

How to Cite

Pokharel, M., Karki, S., Dhakal, A., KC, A. K., Shrestha, K. S., Rajbhandari, P., & Neupane, M. (2021). A Ten-year Retrospective Study of Nasal Bone Fractures at a Tertiary Care Hospital of Nepal. Journal of Lumbini Medical College, 9(1). Retrieved from https://nepjol.info./index.php/JLMC/article/view/41303

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Section

Original Research Articles