Clinical and paraclinical characteristics and evaluation of surgical outcomes for patients with nasal bone fractures at Hai Phong Medical University Hospital

Abstract

Objective: Describe the clinical, paraclinical characteristics, and treatment outcomes of nasal bone fractures at Hai Phong University of Medical Unerversity Hospital, while identifying risk factors and effective treatment methods. Study Design and Methods: A descriptive cross-sectional study with 32 patients diagnosed and surgically treated for nasal bone fractures using a convenience sampling method. Results: The majority of nasal bone fracture patients were from the working age group (21-40 years old) and male, with the main causes being traffic and sports accidents. Symptoms included nasal root pain (84.4%), nasal congestion (46.9%), and nosebleeds (40.6%). CT scan classifications showed that most cases involved fractures of the lower part of the nasal bone. The main treatments were closed reduction and endoscopic septoplasty. The treatment outcome was good in 87.5% of cases, especially for patients who arrived within the first 3 days, with a recovery rate 2.533 times higher than for those who arrived later. Conclusion: The study confirms that early intervention reduces complications and improves treatment effectiveness.