Nasal Fracture Reduction Using Ultrasonography

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  • 鼻骨骨折整復時の超音波エコー診断
  • 臨床 鼻骨骨折整復時の超音波エコー診断
  • リンショウ ビコツ コッセツ セイフクジ ノ チョウオンパ エコー シンダン

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Abstract

The success of nasal fracture healing whether the reposition of nasal bone fracture succeeded or not intraoperatively is only evaluated by the surgeon’s inspection and palpation. We used ultrasonogaphy to confirm adequate bone restoration in 33 subjects with nasal bone fracture. All subjects underwent computed tomography and ultrasonography in preoperative evaluation, then underwent closed reduction. In 2 cases, ultrasonography did not show fractured bone well, so reduction was done without intraoperative ultrasonography. In 31 cases, ultrasonography showed the fractured bone well and were a good surgical reference. Excellent fractured bone reduction judged by ultrasonography was confirmed in 71.0%. Moderate reduction—deformity improved but remained—judged by ultrasonography was 25.8%. Poor reduction—deformity unchanged pre and postoperatively—judged by ultrasonography was 3.2%. Using ultrasonography in closed nasal fracture reduction thus improves accuracy in reduction.<br>

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