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Facial Plastic and Reconstructive Surgery

(128) Delayed Treatment of Nasal Bone Fracture in the Pediatric Population

Monday, October 2, 2023
2:45 PM – 3:45 PM East Coast USA Time
Has Audio

    Presenting Author(s)

  • Bailey R. Minehart, MD

    Resident
    LSU Health Sciences Center Dept of Otolaryngology
    New Orleans, LA, USA

  • Jacob Seicshnaydre, MD

    Otolaryngology PGY-I
    Louisiana Health Science Center New Orleans School of Medicine
    Baton Rouge, Louisiana, United States

    • Senior Author(s)

  • CG

    Celeste Gary, MD

    Louisiana Health Science Center New Orleans Department of Otolaryngology, USA

Disclosure(s):
Jacob Seicshnaydre, MD: No relevant relationships to disclose.


Introduction: Assess if delayed in nasal bone fracture results in more open septorhinoplasty revisions or if nasal bones have good success rate with closed reduction after 14 days

Methods: All closed reduction nasal bone cases from Children’s Hospital New Orleans were reviewed from 2018-December 2022 with age ranges from 0-17 years. Subjects were divided into early group if repaired within 13 days of injury and late group if repaired 14 days or greater from injury. Pre and post-operative symptoms were collected and compared.

Results: 48 subjects were identified. Out of 48 subjects, 45 underwent closed nasal bone reduction with only 3 patients requiring open technique. Of the 48 subjects who underwent closed technique, 23 subjects, approximately 48%, were delayed at 14 days or greater from injury. All 3 of the patients who underwent open reduction were treated >14 days from injury. Only 1 subject who underwent closed technique required an OSRP. Only 13% of subjects reported nasal deformity with the delayed technique and only 8% of subjects reported post-operative nasal obstruction with the delayed technique. Overall, only 13% of subjects with delayed treatment required open revision.

Conclusions: Management of pediatric nasal bone fractures can be treated in delayed closed technique with minimal post-operative complications and overall satisfaction from patients and family, however 13% of subjects in delayed treatment did require open reduction.