Patient Satisfaction with Post Closed Nasal Bone Reduction
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 4
Abstract
Background: A lot of controversy around closed reduction approach of nasal bone fracture when it comes to the most satisfying approach in both functional and cosmetic areas. Objective: To determine the rate of satisfaction with the aesthetic and functional results of closed nasal bone reduction and how likely the dissatisfied patient is to seek another surgery to restore the nose to a more acceptable shape. Methods: 204 patients who had closed nasal bone reduction done between January 1st 2015 and January 1st 2017 in two tertiary centers in Riyadh, Kingdom of Saudi Arabia and met the inclusion criteria were recruited in this study who had closed nasal bone reduction with 2 weeks of injury. After review of their medical records, patients then were interviewed over the phone. Gender, cause of trauma, satisfaction rate and revision of surgery were documented. Results: 108 met the inclusion criteria and had complete data from their medical records. 52 patients responded when contacted. 45 (86.5%) patients were males and 7 (13.5%) were females; the most common cause of nasal trauma was road traffic accidents followed by falls. Average time between the nasal trauma and surgery was 7.3 days (range between 4 and 12 days). 26 (50%) were satisfied with the aesthetic and functional outcomes, and 26(50%) were dissatisfied. 20(38.5%) patients were considering or have already underwent revision surgery. Conclusion: Unfortunately, closed nasal bone reduction had high rates of patient’s dissatisfaction with aesthetic outcomes and high rates of revisions.
Authors and Affiliations
Sayer R. Alanazi, MD, Abdulaziz Alhejji MBBS, Bandar Alqahtani MBBS, Majed D Alanazi, SBFM, ABFM
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