What is the role of closed reduction in the treatment of nasal fractures?

Updated: Dec 06, 2018
  • Author: Samuel J Haraldson, MD; Chief Editor: Craig C Young, MD  more...
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Closed reduction

  • Closed reduction of nasal fractures, including nasal septal fractures, should be performed by an otolaryngologist, plastic surgeon, or maxillofacial surgeon.

  • The repair technique requires specialized instruments and involves a reversal of forces that caused the injury.

  • An attempt at closed reduction of an obvious nasal deformity may be made in the acute setting by medical personnel who are trained in this procedure, in which only a gloved hand is used.

  • A study investigated the minimal and optimal duration of the nasal packing following reduction surgery of nasal bone fracture. The study demonstrated that 1-day packing had comparable postoperative outcome with reducing the patients' discomfort. A longer packing duration was not needed to achieve stable results and the study concluded that 1-day is a reasonable packing time for most nasal bone fractures. [15]

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