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CC BY 4.0 · Int Arch Otorhinolaryngol 2025; 29(02): s00441788314
DOI: 10.1055/s-0044-1788314
Original Research

Clinical Characteristics of Nasal Fractures: An 11-year Retrospective Study

Ramyar Farzan 
1   Department of Plastic and Reconstructive Surgery, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
,
Mohammadjavad Sharifian 
2   Guilan University of Medical Sciences, Rasht, Iran
,
Mohammad Tolouei 
3   Department of General Surgery, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
,
Siamak Rimaz 
4   Respiratory Diseases Research Center, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran
,
Sanaz Masoumi 
5   Burn and Regenerative Medicine Research Center, Velayat Burn University Hospital, Guilan University of Medical Sciences, Rasht, Iran
› Author Affiliations
Funding The present study is part of a master's thesis and has received a grant from Guilan University of Medical Sciences.
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Abstract

Introduction Nasal fractures are one of the most common diseases in the otorhinolaryngology emergency room that leads to significant complications. However, there is still no suitable method to prevent their occurrence, which may result from insufficient studies on their causes and related factors.

Objectives To describe the demographic features, pattern, time of consultation, and etiological factors of patients with different types of nasal fractures.

Methods We conducted a retrospective study of the records of patients with a diagnosis of nasal fracture treated between 2010 and 2021. The data included demographic characteristics, type of maxillofacial injury and associated lesions, complication rates, treatment modalities, and a description of the surgery.

Results We included 599 patients, mostly male subjects (81.6%) injured in a road accident (55.3%), with a mean age of 31.64 ± 14.65 years, and mean length of hospital stay of 2.27 ± 2.21 days. Most accompanying fractures were maxillary (38.5%), multiple (24.6%), and mandibular (23.1%). The mean length of hospital stay was statistically different according to the cause of the fracture (p = 0.036) and the types of treatment performed (p = 0.041).

Conclusion In general, trauma patients in the second to fourth decades of life and of the male gender are more prone to nasal fractures. Identifying the factors affecting the incidence of fractures enables the determination of the presentation patterns and the nature of the lesions to be evaluated. In addition, treatment evaluation and an analysis of the complication rate enable a more realistic interpretation of how patients are managed.

Keywords

injuries - maxillofacial injury - fractures - bone - epidemiology

Ethical Approval and Consent to Participate

The present study was approved by the Ethics Committee of Guilan University of Medical Sciences under code number of IR.GUMS.REC.1400.153. All patients provided written informed consent.


Authors' Contributions

RF and SM: design, project development, data collection, and manuscript writing. MT: data analysis. MSH and SR: recruitment and data collection. All authors have read and approved the final manuscript.




Publication History

Received: 24 January 2024

Accepted: 13 May 2024

Article published online:
10 June 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Ramyar Farzan, Mohammadjavad Sharifian, Mohammad Tolouei, Siamak Rimaz, Sanaz Masoumi. Clinical Characteristics of Nasal Fractures: An 11-year Retrospective Study. Int Arch Otorhinolaryngol 2025; 29: s00441788314.
DOI: 10.1055/s-0044-1788314