A case of nasal bone fracture with septal fracture reduction via closed reduction of nasal bone fracture and endoscopic septoplasty

A case of nasal bone fracture with septal fracture reduction via closed reduction of nasal bone fracture and endoscopic septoplasty

The nasal bone is the most common site of facial fractures. Concomitant septal fracture is present in 42.0%-96.2% of cases. The correction of nasal bone and septal fracture is important cosmetically as well as functionally. The closed reduction of nasal bone and septal fractures is generally recommended for fractures that cause septal deviation or airway obstruction. If adequate closed reduction of the nasal septum cannot be achieved, open septoplasty can be used. However, this approach has its limitations, including a long learning curve, long operative time, and high risk of postoperative scarring. In selected cases, considering the mechanism of fracture, endoscopic septoplasty can overcome the limitations of open septoplasty with favorable surgical outcomes. Here we suggest that closed nasal bone reduction and endoscopic septoplasty could be performed with less effort and achieve satisfactory outcomes in selected cases.