Facial Plast Surg 2024; 40(05): 648-654
DOI: 10.1055/a-2235-7142
Original Research

Aesthetic Outcomes of Rhinoplasty Performed in the Early Posttrauma Period after Nasal Bone Fracture

Pei-Hsun Liao
1   Department of Otolaryngology, Head and Neck Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
2   School of Medicine, National Defense Medical Center, Taipei, Taiwan
3   Department of Otorhinolaryngology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, South Korea
4   College of Pharmacy and Science, Chia Nan University of Pharmacy and Science, Tainan, Taiwan
,
Junyong Go
3   Department of Otorhinolaryngology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, South Korea
,
Chak Yuen Fung
5   Department of Otolaryngology—Head and Neck Surgery, Tan Tock Seng Hospital, Singapore
,
Yong Ju Jang
3   Department of Otorhinolaryngology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, South Korea
› Author Affiliations

Abstract

The optimal timing of rhinoplasty for patients with nasal bone fractures remains controversial. We investigated whether the timing of rhinoplasty after nasal trauma affects the aesthetic outcome of the procedure. A total of 41 adult patients with nasal bone fractures who underwent rhinoplasty between 2006 and 2021 were enrolled in this study. A visual analog scale (VAS) was used to indicate the assessor's satisfaction with the surgical outcome after a comparison of the pre- and postoperative facial photographs of each patient. Of the 41 patients, 28 underwent rhinoplasty within 14 days after nasal trauma (early rhinoplasty group), whereas 13 underwent rhinoplasty more than 14 days after nasal trauma (late rhinoplasty group). The rate of receiving spreader and shield graft was higher in the late rhinoplasty group (p = 0.043 and 0.018, respectively). Patients with type IV or V nasal bone fracture and patients with preoperative saddle noses had higher VAS scores than those with types I to III fractures and those without preoperative saddle nose (p = 0.003 and 0.020, respectively). There was no significant difference in overall aesthetic outcome between the early and late rhinoplasty groups. Both groups achieved significantly better radix height, dorsal height, and tip projection after rhinoplasty. The aesthetic outcome of rhinoplasty performed in the early posttrauma period is comparable with that of rhinoplasty performed more than 2 weeks after nasal bone fracture. Rhinoplasty can be considered a safe surgical treatment option for nasal bone fracture, even in the early posttrauma period.

Level of Evidence: 4.



Publication History

Accepted Manuscript online:
27 December 2023

Article published online:
29 January 2024

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  • References

  • 1 Perkins SW, Dayan SH. Management of nasal trauma. Aesthetic Plast Surg 2002; 26 (Suppl. 01) S3
  • 2 Davis RE, Chu E. Complex nasal fractures in the adult-a changing management philosophy. Facial Plast Surg 2015; 31 (03) 201-215
  • 3 Mondin V, Rinaldo A, Ferlito A. Management of nasal bone fractures. Am J Otolaryngol 2005; 26 (03) 181-185
  • 4 Fattahi T, Steinberg B, Fernandes R, Mohan M, Reitter E. Repair of nasal complex fractures and the need for secondary septo-rhinoplasty. J Oral Maxillofac Surg 2006; 64 (12) 1785-1789
  • 5 Rohrich RJ, Adams Jr WP. Nasal fracture management: minimizing secondary nasal deformities. Plast Reconstr Surg 2000; 106 (02) 266-273
  • 6 Higuera S, Lee EI, Cole P, Hollier Jr LH, Stal S. Nasal trauma and the deviated nose. Plast Reconstr Surg 2007; 120 (7, Suppl 2) 64S-75S
  • 7 Reilly MJ, Davison SP. Open vs closed approach to the nasal pyramid for fracture reduction. Arch Facial Plast Surg 2007; 9 (02) 82-86
  • 8 Lu GN, Humphrey CD, Kriet JD. Correction of nasal fractures. Facial Plast Surg Clin North Am 2017; 25 (04) 537-546
  • 9 Chen CT, Hu TL, Lai JB, Chen YC, Chen YR. Reconstruction of traumatic nasal deformity in orientals. J Plast Reconstr Aesthet Surg 2010; 63 (02) 257-264
  • 10 Wong CH, Daniel RK. Immediate functional and cosmetic open rhinoplasty following acute nasal fractures: our experience with Asian noses. Aesthet Surg J 2013; 33 (04) 505-515
  • 11 Kim JH, Lee JW, Park CH. Cosmetic rhinoseptoplasty in acute nasal bone fracture. Otolaryngol Head Neck Surg 2013; 149 (02) 212-218
  • 12 Yi JS, Kim MJ, Jang YJ. An Asian perspective on improving outcomes for nasal bone fractures by establishing specific treatment options. Clin Otolaryngol 2017; 42 (01) 46-52
  • 13 Kim J, Jung HJ, Shim WS. Corrective septorhinoplasty in acute nasal bone fractures. Clin Exp Otorhinolaryngol 2018; 11 (01) 46-51
  • 14 Wang JH, Jang YJ, Park SK, Lee BJ. Measurement of aesthetic proportions in the profile view of Koreans. Ann Plast Surg 2009; 62 (02) 109-113
  • 15 Waldron J, Mitchell DB, Ford G. Reduction of fractured nasal bones; local versus general anaesthesia. Clin Otolaryngol Allied Sci 1989; 14 (04) 357-359
  • 16 Fernandes SV. Nasal fractures: the taming of the shrewd. Laryngoscope 2004; 114 (03) 587-592