鼻骨骨折合并鼻中隔骨折的临床特点及分类.

Objective To summarize the clinical characteristics of nasal fracture combined with septal fracture and to analyze the classification and the therapeutic effect of septal fracture. Methods The clinical data and CT images of 91 patients who had undergone surgical reduction of nasal fracture in our department were analyzed retrospectively. All patients were divided into the group of simple nasal fracture (Group A) and the group of nasal fracture combined with septal fracture (Group B), and the differences in gender composition, age, and grading of nasal fracture between the two groups were compared. The occurrence site and the curative effect of nasal septal fracture were analyzed statistically. Results Among the 91 patients with nasal fractures, 36 had concomitant septal fractures (39.6%). There was no significant difference between Group A and Group B in terms of gender composition, while both the age of the patients and fracture grading were significantly higher in Group B than those in Group A. There was 61.1% (22/36) of the septal fractures which occurred in the anterior end of the infranasal bony septum (Type Ⅰ), 30.6% (11/36) in the anterior and middle bony septum (Type Ⅱ), and 8.3% (3/36) through the bony septum and cartilaginous septum (Type Ⅲ ). Patients with septal fractures all obtained satisfied outcomes with closed reduction and postoperative compression. Conclusions Adult and severe nasal fractures are more likely to be accompanied by septal fractures. The nasal septal fractures is more likely to occur at the anterior end of the bony septum, and good clinical results can be achieved by closed reduction. [ABSTRACT FROM AUTHOR]