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Nasal Bone Fractures: Differences Amongst Sub-Specialty Consultants
Journal article   Open access   Peer reviewed

Nasal Bone Fractures: Differences Amongst Sub-Specialty Consultants

Jason E Cohn, Sammy Othman, Michael Toscano, Tom Shokri, Jason D Bloom and Seth Zwillenberg
Annals of otology, rhinology & laryngology, v 129(11), pp 1120-1128
Nov 2020
DOI: https://doi.org/10.1177/0003489420931562
PMID: 32506930
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1177/0003489420931562View
Published, Version of Record (VoR)Open Access (License Unspecified),  Open

Abstract

Adult Consultants Female Fracture Fixation - methods Humans Male Middle Aged Nasal Bone - injuries Nasal Bone - surgery Retrospective Studies Rhinoplasty - methods Skull Fractures - diagnosis Skull Fractures - surgery
Nasal fractures constitute the largest proportion of facial trauma each year, however, there is no consensus management. In this study, we investingated the role of the consultant and the functional and aesthetic outcomes of procedures performed to address nasal bone fractures. A retrospective chart review of patients who sustained nasal bone fractures was conducted from 8/1/14 through 1/23/18. Categorical variables were analyzed using chi-squared testing and Fisher's exact test, where appropriate, while continuous variables were compared using Mann-Whitney U testing. During the study period, 136 patients met inclusion criteria for full analysis. The mean age of this cohort was 47.6 ± 20.2 years with the majority identifying as African-American (53.7%) and male (67.2%). Otolaryngologists were significantly more likely to assess pre-operative nasal obstruction (100%) compared to plastic surgeons (24.1%) (  < .001). Otolaryngology elected operative management (53.3%) at a significantly higher rate than plastic surgery (24.1%) (  = .005). Additionally, otolaryngology was significantly more likely to manage patients in an outpatient setting (91.2%), whereas plastic surgery more commonly performed inpatient management (57.1%) (  = .006). Plastic surgery averaged a significantly shorter amount of time from presentation to operative management (7.3 ± 10.7 days) compared to otolaryngology (20 ± 27.7) (  = .019). Consulting service was not associated with a need for revision surgery. Consultants across subspecialties differ in the management of nasal bone trauma. A more standardized approach is warranted by all individuals involved in the care of maxillofacial trauma patients.

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3 citations in Web of Science
3 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Otorhinolaryngology
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