Acil servise başvurmuş izole nazal fraktürlü hastaların analizi

Öz

Amaç: Bu çalışmanın amacı acil servise başvurmuş ve nazal fraktür nedeniyle nazal fraktür redüksiyon yapılmış hastaların etyolojik faktörlerinin kırık tipleriyle ilişkisini araştırmaktır.

 

Gereç ve Yöntem: Biz bu çalışmada izole nazal fraktür nedeniyle nazal fraktür redüksiyonu uygulanmış 74 hasta değerlendirdik. Hastalar Stranc ve Robertson sınıflaması kullanılarak Frontal etki grubu tip 1 (FI), Frontal etki grubu tip 2 (FII), Lateral etki grubu tip 1 (LI), Lateral etki grubu tip 2 (LII), Parçalı kırık grubu (C) olmak üzere sınıflandırıldı.

 

Bulgular: Hastaların yaş ortalaması 25,17 idi. En sık görülen kırık tipleri sırasıyla FI (n=20), LI (n=20), LII (n=17), C (n=12), FII (n=5) idi. En sık başvuru nedeni sırasıyla kavga (n=30), düşme (n=27), trafik kazası (n=8), spor olayları (n=6), iş kazası (n=3) idi. En sık iki ana semptom bulguları şişme (%70,2) ve epistaksis (%16,2) idi. Septal fraktür hastaların %24,3 ünde, septal hematom ise %35,13 ünde görüldü.

 

Sonuç: Kavga olaylarında en sık LII tip kırık, düşme olaylarında en sık LI tip, trafik kazası ve iş kazalarında en sık C tip kırık görülmektedir. Genç hastalarda nazal fraktürün en sık nedeni kavgadır.

Anahtar Kelimeler

• nasal fracture,emergency,tomography

Analysis of Patients with Isolated Nasal Fracture Applied to Emergency Service

Öz

Objectives: The aim of this study is to investigate the relationship between etiologic factors and fracture types of patients underwent nasal fracture reduction due to nasal fracture and applied to emergency service.

 

Material and Methods: In this study, we evaluated 74 patients who underwent nasal fracture reduction due to isolated nasal fracture. Patients were classified as two groups according to Stranc and Robertson classification: Frontal impact group type 1 (FI), Frontal impact group type 2 (FII), Lateral impact group type 1 (LI), Lateral impact group type 2 (LII), Communited fracture group (C).

 

Results: The mean age of the patients was 25.17. The most common types of fractures were FI (n=20), LI (n=20), LII (n=17), C (n=12) and FII (n=5). The most common cause of injury was fights (n=30), falls (n=27), traffic accidents (n=8), sports events (n=6), and occupational accidents (n=3). The two most common symptom findings were swelling (70.2%) and epistaxis (16.2%). Septal fractures were seen in 24.3% of patients and septal hematomas in 35.13%.

 

Conclusion: LII type fractures are the most commonly seen in fighting events, LI type is the most common type of fall events, and C type fractures are the most common in traffic accidents and occupational accidents. The fight is also the most common cause of nasal fractures in young patients.

Anahtar Kelimeler

• nasal,fracture,emergency

Kaynakça

1. 1. Kang CM, Han DG. Objective Outcomes of Closed Reduction According to the Type of Nasal Bone Fracture. Arch Craniofac Surg 2017;18:30-36
2. 2. Hoffman J.F. An algorithm for the initial management of nasal trauma. Facial Plast Surg 2015;31:183-193
3. 3. Kim J, Jung HJ, Shim WS. Corrective Septorhinoplasty in Acute Nasal Bone Fractures. Clin and Exp Otolaryngology. 2018;11: 46-51.
4. 4. Stranc MF, Robertson GA. A classification of injuries of the nasal skeleton. Ann Plast Surg 1979;2:468-74.
5. 5. Çil Y, Kahraman E. An analysis of 45 patients with pure nasal fractures. Ulus Travma Acil Cerrahi Derg. 2013;19:152–56
6. 6. Farias IPSE, Bernardino ÍM, Nóbrega LMD, Grempel RG, D'Avila S. Acta Ortop Bras. 2017;25 :258-61.
7. 7. Schneider D, Kammerer PW, Schon G. Etiology and injury patterns of maxillofacial fractures from the years 2010 to 2013 in Mecklenburg-Western Pomerania, Germany: a retrospective study of 409 patients. J Craniomaxillofac Surg. 2015;43:1948-51.
8. 8. Nishioka H, Kondoh S, Yuzuriha S. Convex Bone Deformity after Closed Reduction of Nasal Bone Fracture. J Plast Reconstr Aesthet Surg. 2018;71:81-9

9. 9. Kapoor PK, Richards S, Dhanasekar G, Kumar BN. Management of nasal injuries: a postal questionnaire survey of UK ENT consultants. J Laryngol Otol. 2002;116:346-8.
10. 10. Mondin V, Rinaldo A, Ferlito A. Management of nasal bone fractures. Am J Otolaryngol. 2005;26:181-5.
11. 11. Perkins V, Vijendren A, Egan M, McRae D. Optimal timing for nasal fracture manipulation‐is a two week target really necessary? A single‐centre retrospective analysis of 50 patients. Clinical Otolaryngology. 2017;42:1377-81.
12. 12. Zhou HH, Liu Q, Yang RT, Li Z, Li ZB. Maxillofacial Fractures in Women and Men: A 10-Year Retrospective Study. J Oral Maxillofac Surg. 2015;73:2181-8