Open Access
CC BY 4.0 · Arch Plast Surg 2023; 50(04): 389-392
DOI: 10.1055/a-2107-2071
Pediatric/Craniomaxillofacial/Head & Neck
Case Report

Open Reduction of an Isolated Anterior Nasal Spine Fracture: A Case Report and Review of the Literature

Jinwoo Park 
1   Department of Plastic and Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
,
In Sik Yun 
1   Department of Plastic and Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
,
Tai Suk Roh 
1   Department of Plastic and Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
,
Young Seok Kim 
1   Department of Plastic and Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
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Funding None.
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Abstract

A 14-year-old girl had a midfacial trauma event caused by hitting against an opening door and experienced discomfort and swelling of the columella and upper lip. Physical examination revealed mild tenderness on light palpation without any discomfort with upper lip movement. A computed tomography scan of the maxillofacial bones with three-dimensional reconstruction showed a fracture of the anterior nasal spine with obvious leftward displacement, mild-deviation of the caudal aspect of the nasal septum, and no sign of nasal bone fracture. Open reduction and internal fixation was performed with regard to aesthetic and functional concerns, including nasal septum deviation. The postoperative course was uneventful, and healing proceeded normally without complications. Herein, we emphasize the importance of differential diagnosis of isolated anterior nasal spine fractures in patients with midfacial trauma and clinicians' strategic decision-making in treatment modalities.

Keyword

open reduction - anterior nasal spine fracture - isolated anterior nasal spine fracture

Authors' Contributions

J.P.: conceptualization, investigation, methodology, writing–original draft; I.S.Y.: conceptualization, methodology, investigation; T.S.R.: conceptualization, data curation, writing–review & editing; Y.S.K.: conceptualization, methodology, writing – review and editing, supervision. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.


Ethical Approval

The study was performed in accordance with the principles of the Declaration of Helsinki. Written informed consent was obtained from the patient’s legal guardian.


Patient Consent

The patient's legal guardian provided informed consent for the publication of clinical case and the accompanying patient's photographs.




Publication History

Received: 16 August 2022

Accepted: 02 June 2023

Accepted Manuscript online:
07 June 2023

Article published online:
02 August 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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