Official publication of Rawalpindi Medical University
Comparison Of Outcomes Between Early And Delayed Reduction Of Nasal Bone Fractures

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Keywords

early reduction, delayed reduction, nasal bone fractures, Nasal bone.

How to Cite

1.
Kousar A, Chaudhry S, Masood S, Akram AU, Javaid A, Piracha AB. Comparison Of Outcomes Between Early And Delayed Reduction Of Nasal Bone Fractures. JRMC [Internet]. 2024 Mar. 28 [cited 2024 Apr. 12];28(1). Available from: https://journalrmc.com/index.php/JRMC/article/view/2402

Abstract

Objective: To determine the outcomes of early versus delayed reduction of nasal bone fractures in terms of patient satisfaction and postoperative pain.

Study Design: Comparative study.

Study Setting & Duration: Department of Otorhinolaryngology, at Rawalpindi Teaching Hospital, Rawalpindi. The duration of the study was 6 months after approval by the Ethical Committee from February 2023 to July 2023.

Materials and Methods: A total of 96 patients were selected. The study participants were individuals who, according to operational definitions, had nasal bone fractures and presented for evaluation at the Department of Otorhinolaryngology, Head & Neck Surgery at Rawalpindi Teaching Hospital, Rawalpindi. Patients were divided into two groups. Patients who underwent early reduction (within 2 weeks of trauma) were included in Group A while those who underwent delayed reduction (more than 2 weeks) were included in Group B. They also met all inclusion and exclusion criteria requirements and these requirements were strictly adhered to to control confounders and bias. Patients were chosen via a series of non-probability sampling. SPSS 28 was used to determine the frequencies in the data.

Results: A total of 96 patients were included in this study. Out of which 52(54.17 %) were males and 44(45.8 %) were females. Patients who underwent early reduction had higher mean satisfaction scores on the seventh and fourteenth postoperative day (4.22 ± 0.75 and 4.60 ± 0.49 respectively) than those who underwent Delayed reduction (2.41± 0.82 and 2.93 ± 0.80 respectively). Patients who underwent early reduction had a better mean Pain Intensity score at 0(2.37 ± 0.81)3rd (1.37 ± 0.81), and 7th-day (0.58 ± 0.49) than the Delayed reduction, at 0(5.83 ± 1.20), 3rd (5.08 ± 0.67), and 7th-day (4.31 ± 0.58). Patient discomfort was more intense in the delayed reduction group than in the early reduction group. Early reduction led to higher patient satisfaction and a better mean pain intensity score.

Conclusion: The results of nasal fractures between the early and delayed reduction groups did differ statistically significantly. Early reduction decreased  pain intensity and increased patient satisfaction.

Keywords: early reduction, delayed reduction, nasal bone fractures, Nasal bone.

https://doi.org/10.37939/jrmc.v28i1.2402
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Copyright (c) 2024 Amna Kousar, Sadia Chaudhry, Sundas Masood, Ansa Umara Akram, Amna Javaid, Adia Bushra Piracha