비중격골절을 동반한 비골골절에서 rolled silastic sheet를 이용한 비중격 교정방법의 임상적 연구

Abstract

The nasal bone fracture is the most common type of facial bone fracture and most nasal bone fractures involve the septum. The nasal septum is important for the support of the distal nose and for the maintenance of the nasal airway. But nasal septal fractures combined with nasal bone fractures are usually unrecognized and untreated at the time of injury. In recent years the postoperative nasal packing materials are variable, but it is often considered by patient to be one of the most unpleasant aspect of their operation and these materials are not focused on the correction of nasal septum. We examined 215 patients treated nasal bone fracture from March 2006 to July 2007 and 86 patients(40%) were combined with nasal septal fracture. 40 patients combined with nasal septal fracture were packed with only vaseline gauze and 46 patients were packed with rolled silastic sheet and vaseline gauze. In patients with rolled silastic sheet packing, the complaints of keeping nasal pack were decreased and the duration of intranasal packing was prolonged, also the postoperative complications were decreased compared with vaseline gauze packing. Postoperative nasal packing using rolled silastic sheet in nasal bone fracture combined with septal fracture was comfortable to the patients and effective method to correction of nasal septal fracture.