Nasal Bone Fractures: Differences Amongst Sub-Specialty Consultants.


Journal

The Annals of otology, rhinology, and laryngology
ISSN: 1943-572X
Titre abrégé: Ann Otol Rhinol Laryngol
Pays: United States
ID NLM: 0407300

Informations de publication

Date de publication:
Nov 2020
Historique:
pubmed: 9 6 2020
medline: 18 11 2020
entrez: 9 6 2020
Statut: ppublish

Résumé

Nasal fractures constitute the largest proportion of facial trauma each year, however, there is no consensus management. In this study, we investingated the role of the consultant and the functional and aesthetic outcomes of procedures performed to address nasal bone fractures. A retrospective chart review of patients who sustained nasal bone fractures was conducted from 8/1/14 through 1/23/18. Categorical variables were analyzed using chi-squared testing and Fisher's exact test, where appropriate, while continuous variables were compared using Mann-Whitney U testing. During the study period, 136 patients met inclusion criteria for full analysis. The mean age of this cohort was 47.6 ± 20.2 years with the majority identifying as African-American (53.7%) and male (67.2%). Otolaryngologists were significantly more likely to assess pre-operative nasal obstruction (100%) compared to plastic surgeons (24.1%) ( Consultants across subspecialties differ in the management of nasal bone trauma. A more standardized approach is warranted by all individuals involved in the care of maxillofacial trauma patients.

Sections du résumé

BACKGROUND BACKGROUND
Nasal fractures constitute the largest proportion of facial trauma each year, however, there is no consensus management. In this study, we investingated the role of the consultant and the functional and aesthetic outcomes of procedures performed to address nasal bone fractures.
METHODS METHODS
A retrospective chart review of patients who sustained nasal bone fractures was conducted from 8/1/14 through 1/23/18. Categorical variables were analyzed using chi-squared testing and Fisher's exact test, where appropriate, while continuous variables were compared using Mann-Whitney U testing.
RESULTS RESULTS
During the study period, 136 patients met inclusion criteria for full analysis. The mean age of this cohort was 47.6 ± 20.2 years with the majority identifying as African-American (53.7%) and male (67.2%). Otolaryngologists were significantly more likely to assess pre-operative nasal obstruction (100%) compared to plastic surgeons (24.1%) (
CONCLUSIONS CONCLUSIONS
Consultants across subspecialties differ in the management of nasal bone trauma. A more standardized approach is warranted by all individuals involved in the care of maxillofacial trauma patients.

Identifiants

pubmed: 32506930
doi: 10.1177/0003489420931562
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1120-1128

Commentaires et corrections

Type : CommentIn

Auteurs

Jason E Cohn (JE)

Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA.

Sammy Othman (S)

Drexel University College of Medicine, Philadelphia, PA, USA.

Michael Toscano (M)

New York Institute of Technology College of Osteopathic Medicine, Glen Head, NY, USA.

Tom Shokri (T)

Department of Otolaryngology-Head and Neck Surgery, Penn State Hershey Medical Center, Hershey, PA, USA.

Jason D Bloom (JD)

Department of Otolaryngology-Head & Neck Surgery, Division of Facial Plastic Surgery, University of Pennsylvania, Philadelphia, PA, USA.
Bloom Facial Plastic Surgery, Two Town Place, Bryn Mawr, PA, USA.

Seth Zwillenberg (S)

Department of Otolaryngology-Head and Neck Surgery, Einstein Medical Center, Philadelphia, PA, USA.

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Classifications MeSH