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Terry Hung, MBChir, FRCS; Waitsz Chang; Alexander C. Vlantis, FCS(SA); Michael C. F. Tong, FRCS; Charles A. van Hasselt, FRCS

Arch Facial Plast Surg. 2007;9(1):40-43.

Objective  To evaluate the outcome of closed reduction from a patient's point of view, because there is increasing evidence that closed reduction of nasal fractures fails to address deformities of the cartilaginous nasal framework and the septum.

Methods  We performed a retrospective study of 62 patients who underwent a closed reduction of nasal fracture between July 1, 2002, and June 30, 2005. All patients were interviewed regarding the esthetic and functional outcomes after closed reduction.

Results  Eighteen patients (29%) expressed dissatisfaction with the esthetic outcome of the reduction, and 18 (29%) said they would consider further surgery to correct the residual nasal deformity.

Conclusions  A stringent preoperative assessment of the nasal fracture, other nasal deformities, and nasal function is essential before offering patients a simple closed reduction of their nasal fractures. A septorhinoplasty, as the definitive procedure, should be offered to patients when a closed reduction is deemed unable to address all deformities.

Author Affiliations: Department of Surgery, Division of Otolaryngology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China.