We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Does a closed reduction improve aesthetical and functional outcome after nasal fracture?
- Authors
Plath, Michaela; Cavaliere, Carlo; Seide, Svenja; Hohenberger, Ralph; Plinkert, Peter K.; Baumann, Ingo; Zaoui, Karim
- Abstract
Background and purposes: How closed reduction (CR) to repair a nasal fracture affects the patient's quality of life (QoL) has not been investigated. Here, we assessed QoL before and after CR using disease-specific questionnaires and compared the QoL scores of patients with nasal fractures with normative scores from a reference cohort. Methods: This was a prospective study of 96 patients with nasal fractures undergoing CR. Patients were interviewed about aesthetic, functional, and QoL issues before and after surgery using the Functional Rhinoplasty Outcome Inventory (FROI-17) and the Rhinoplasty Outcome Evaluation (ROE). Photographs of the nasal area were taken before and after surgery and reviewed. Data were compared with those from a reference cohort (n = 1000). Results: Most fractures were type I (80.6%) and most were caused by sport-related accidents (36.5%). The ROE scores increased from 67.3 preoperatively to 73.4 postoperatively (p = 0.001). The FROI-17 also improved, indicating the overall effect of the nose on QoL (p = 0.002). Compared with the reference cohort, patients felt more affected by nasal symptoms before surgery (− 9.37, p = 0.02) than by more general aspects. ROE scores returned to normative values after surgery (p < 0.001). The postoperative cohort had lower scores for the FROI-17 item overall effects of the nose on QoL than the reference cohort did, although the nasal symptom score remained higher in patients than in reference controls. Conclusions: This study showed that CR can improve the aesthetical but not the functional outcome of the nose.
- Subjects
RHINOPLASTY; MEDICAL history taking; NASAL surgery; LONGITUDINAL method; QUALITY of life; NOSE
- Publication
European Archives of Oto-Rhino-Laryngology, 2023, Vol 280, Issue 5, p2299
- ISSN
0937-4477
- Publication type
Article
- DOI
10.1007/s00405-022-07754-4