Ahmed Khalaf Rabeea
Objective: Trial of reduction of nasal bone fracture after several years beyond the usual timing for reduction which is one-two weeks. The reduction was done by the classical method of reduction using Walsham’s and Asch’s forceps. Method: Retrospective study for fourteen patients 9 male and 5 female, with a different type of isolated nasal bone fracture type 1,2,3 underwent classical closed reduction of the nasal bone fracture after many years of trauma with encouraging results regarding the proper reduction of the fracture and good nasal patency. The procedure was done under general anesthesia. Closed reduction is easy and simple surgery by using Walsham’s forceps for reduction of the bone and using Asch’s forceps for reduction and mobilization of the nasal septum, but some patient need septoplasty or sept rhinoplasty to reach proper management of the deformity. The study conducted from June 2015-June 2020. Result: Encouraging results were obtained for all patient, we perform a successful reduction of old fracture for all 14 patients. In 21.42% of patients need only closed reduction. In 64.27% of the patients need closed reduction and septoplasty surgery. In 14.28% of the patients need closed reduction and sept rhinoplasty to obtain a satisfactory aesthetic result. Assessment of the result by pre and post-operative photography for all patients and by x-ray or CT scan for the nose before and after surgery according to facilities. Conclusion: According to the results of this trial we succeed in reducing isolated nasal bone fracture by the classical method even after years of fracture time, a satisfactory result was achieved regarding the function of the nose and it is aesthetic appearance.
