Clinical and epidemiological characterization of patients with nasal fracture treated in a Cuban university hospital
Keywords:
nasal bone, facial bones, trauma, epidemiology.Abstract
Introduction: Nasal fractures are the most common fractures of the maxillofacial region. However, Cuban literature on the subject is scarce and outdated, so the motivation for this research arose. Objective: To characterize patients with nasal fractures treated in a Cuban university hospital in a clinical and epidemiological manner. Methods: An observational, descriptive and cross-sectional study was carried out in patients treated at the Maxillofacial Surgery Service of the University General Hospital. “Carlos Manuel de Céspedes” of Bayamo, Granma province, Cuba, from January 1 to December 31, 2020. Clinical, epidemiological and therapeutic variables were studied. Results: 99 patients were included, of whom 74 (74.75 %) were male. In 44.44 % of the cases the ages were between 21 and 40 years. Fifty patients (50.51 %) had fractures resulting from interpersonal violence. Ninety-seven patients (97.98 %) presented epistaxis. Fifty-nine patients (59.60 %) received closed reduction associated with nasal packing and external fixation with plaster cast. Conclusions: Male gender and age group 21 to 40 years predominated. The main etiology was interpersonal violence. Epistaxis was present in most cases. Closed fractures prevailed, as well as those with laterally deviated dorsum.Downloads
References
Gupta A, Babu AK, Bansal P, Sharma R, Sharma SD. Changing trends in maxillofacial trauma: A 15 years’ retrospective study in the Southern Part of Haryana, India. Indian J Dent Res. 2018 [acceso 21/03/2021];29(2):190-5. Disponible en: https://www.ijdr.in/text.asp?2018/29/2/190/229608
Pereira N, Andrades P. Septoplastia submucosa asistida por endoscopia más reducción nasal cerrada en fracturas nasoseptales: estudio comparativo frente a la técnica tradicional. Cir Plást Iberolatinoam. 2017;43(3):269-73. DOI: 10.4321/S0376-78922017000400008
Akhondzadeh R, Olapour A, Rashidi M, Elyasinia F. Comparison of Sedation with Dexmedetomidine Alfentanil Versus Ketamine-Alfentanil in Patients Undergoing Closed Reduction of Nasal Fractures. Anesth Pain Med. 2020;10(4):e102946. DOI: 10.5812/aapm.102946
García IA, Diaz V, Carias A. Manejo médico de las fracturas nasales. Rev Fac Cienc Méd. 2018 [acceso 21/03/2021]:24-34. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-988615?src=similardocs
Yu H, Minseok J, Youngjun K, Youngwoong C. Epidemiology of violence in pediatric and adolescent nasal fracture compared with adult nasal fracture: An 8-year study. Arch Craniofac Surg. 2019;20(4):228-32. DOI: 10.7181/acfs.2019.00346
Souza DP, Neves F, Buysse A, Garcia HA, Leandro LFL. Estudio epidemiológico de fracturas nasales en hospitales particulares de São Paulo, Brasil. Rev Esp Cir Oral Maxilofac. 2014;36(4):149-55. DOI: 10.1016/j.maxilo.2013.05.003
Esses DFS, Costa FWG, Sá CDL, Silva PGB, Bezerra TMM, Carvalho FSR, et al. Occupational group, educational level, marital status and deleterious habits among individuals with maxillofacial fractures: retrospective study. Med Oral Patol Oral Cir Bucal. 2018;23(1):e13-22. DOI: 10.4317/medoral.21969
Werlinger F, Villalón M, Duarte V, Acevedo R, Aguilera R, Alcocer D, et al. Trends of maxillofacial trauma: An update from the prospective register of a multicenter study in emergency services of Chile. Med Oral Patol Oral Cir Bucal. 2019;24(5):e588-94. DOI: 10.4317/medoral.22985
Țenț PA, Juncar RI, Juncar M. Clinical patterns and characteristics of midfacial fractures in western romanian population: a 10-year retrospective study. Med Oral Patol Oral Cir Bucal. 2019;24(6):e792-8. DOI: 10.4317/medoral.23153
Shoraourddi HS, Rahman SA, Wan M, Liszen T, Shaari R. Correlation among the fractured facial bones in a teaching hospital in Malaysia: A retrospective study of recent 5-years. J Oral Maxillofac Surg Med Pathol. 2020;32:14-8. DOI: 10.1016/j.ajoms.2019.10.014
Morales D, Brugal I. Trauma maxilofacial en el Servicio de Urgencias del Hospital Universitario “General Calixto García”. 2016-2017. Rev Haban Cienc Méd. 2018 [acceso 21/03/2021];17(4):620-9. Disponible en: http://www.revhabanera.sld.cu/index.php/rhab/article/view/2369
Andrades P, Borel C, Bartel R, Hernández R, Villalobos R. Rendimiento de la evaluación clínica en el diagnóstico de fractura de huesos propios nasales. Rev Chilena Cir. 2012;64(5):462-7. DOI: 10.4067/S0718-40262012000500009
Han Kyul P, Jae Yeol L, Jae Min S, Tae Seup K, Sang Hun S. The Retrospective Study of Closed Reduction of Nasal Bone Fracture. Maxillofac Plast Reconstr Surg. 2014;36(6):266-72. DOI: 10.14402/jkamprs.2014.36.6.266
Hahyun Y, Minseok J, Youngjun K, Youngwoong C. Epidemiology of violence in pediatric and adolescent nasal fracture compared with adult nasal fracture: An 8-year study. Arch Craniofac Surg. 2019;20(4):228-32. DOI: 10.7181/acfs.2019.00346
Hwan I, Jai W, Suk T, Won J. Demographic Factors of Nasal Bone Fractures and Social Reflection. J Craniofac Surg. 2019. DOI: 10.1097/SCS.0000000000006065
Bastianpillai J, Khan S, Acharya V, Tanna R, Pal S. How COVID-19 Changed Our Management of Nasal Bone Fractures and Its Impact on Patient Outcomes—A Retrospective Study. Ear, Nose & Throat J. 2020. DOI: 10.1177/0145561320981439
Li L, Zang H, Han D, Yang B, Desai SC, London NR. Nasal Bone Fractures: Analysis of 1193 Cases with an Emphasis on Coincident Adjacent Fractures. Facial Plastic Surg Aesthetic Med. 2020;22(4):249-54. DOI: 10.1089/fpsam.2020.0026
Espino S, Romero J, Acevedo O, Estepa JL. Experiencia en el manejo de los pacientes con fracturas nasales. Medisur. 2009 [acceso 21/03/2021];7(1):20-4. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2009000100004
Asociación Médica Mundial. Declaración de Helsinki. Principios éticos para la investigación en seres humanos. Fortaleza, Brasil: AMM; 2017 [acceso 15/11/2022]. Disponible en: https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/
Dalbosco HM, Beider B, Pérez F, Henao F. Reducción de fracturas nasales con anestesia local. Nuestra experiencia. Rev Fed Argent Soc Otorrinolaringol. 2017 [acceso 21/03/2021];24(2):48-51. Disponible en: http://faso.org.ar/revistas/2017/2/9.pdf
De Boutray M, Kün-Darbois JD, Sigaux N, Lutz JC, Veyssiere A, Sesque A, et al. Impact of the COVID-19 lockdown on the epidemiology of maxillofacial trauma activity: a French multicentre comparative study. Int J Oral Maxillofac Surg. 2020;S0901-5027(20)30383-0. DOI: 10.1016/j.ijom.2020.10.005
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