Early outcomes of surgical correction of post-traumatic nasal framework deformities at Military Hospital 175
Main Article Content
Abstract
Objective: To evaluate the early outcomes of surgical correction of post-traumatic nasal framework deformities at Military Hospital 175 at 1 month after surgery.
Subjects and Methods: A prospective descriptive study without a control group was conducted using a longitudinal pre- and postoperative follow-up design. The study included 62 patients diagnosed with post-traumatic nasal framework deformities who underwent reconstructive nasal surgery at Military Hospital 175 between January 2023 and December 2025. Early outcomes were assessed 1 month postoperatively.
Results: A total of 62 patients were enrolled, with a mean age of 33.4 ± 10.2 years; males accounted for 79.0% of cases. Preoperative septal deviation and nasal obstruction were observed in 69.4% and 75.8% of patients, respectively. At 1 month, 32 of 47 patients with preoperative nasal obstruction (68.1%; 95% CI, 53.8–79.6) reported no obstruction. The mean Nasal Obstruction Symptom Evaluation (NOSE) score significantly decreased from 63.8 ± 14.2 to 18.6 ± 10.7 (p < 0.001). Excellent/good aesthetic outcomes and very satisfied/satisfied ratings were each observed in 52 of 62 patients (83.9%; 95% CI, 72.8–91.0). The most common complication was mild asymmetry (6.5%).
Conclusion: Surgical correction of post-traumatic nasal framework deformities provides significant improvements in both nasal function and aesthetic appearance, with high patient satisfaction and a low complication rate.
Keywords
Post-traumatic nasal framework deformity, nasal trauma, rhinoplasty, Nasal Obstruction Symptom Evaluation (NOSE)
Article Details
References
2. Dong SX, Shah N, Gupta A. Epidemiology of Nasal Bone Fractures. Facial Plast Surg Aesthet Med. 2022 Jan-Feb;24(1):27-33. doi: 10.1089/fpsam.2020.0643.
3. Sasindran V, Harikrishan B, Mathew N. Cosmetic and Functional Outcomes of Septorhinoplasty. Indian J Otolaryngol Head Neck Surg. 2020;72:194-9. https://doi.org/10.1007/s12070-019-01756-1.
4. Ngô Văn Công. Đánh giá kết quả phương pháp phẫu thuật tạo hình mũi bằng sụn sườn toàn phần tại Bệnh viện Chợ Rẫy từ 2022 - 2023. Tạp chí Y học Việt Nam. 2024;534:94-7. https://doi.org/10.51298/vmj.v534i1.8039.
5. Lipan MJ, Most SP. Development of a severity classification system for subjective nasal obstruction. JAMA Facial Plast Surg. 2013;15:358-61. https://doi.org/10.1001/jamafacial.2013.344.
6. Menegat F, Monnazzi MS, Silva BN, de Moraes M, Gabrielli MAC, Pereira-Filho VA. Assessment of nasal obstruction symptoms using the NOSE scale after surgically assisted rapid maxillary expansion. International Journal of Oral and Maxillofacial Surgery. 2015;44:1346-50. https://doi.org/10.1016/j.ijom.2015.06.018.
7. Floyd EM, Ho S, Patel P, Rosenfeld RM, Gordin E. Systematic Review and Meta-analysis of Studies Evaluating Functional Rhinoplasty Outcomes with the NOSE Score. Otolaryngol Head Neck Surg. 2017;156:809-15. https://doi.org/10.1177/0194599817691272.
8. Radulesco T, Ebode D, Medawar C, Penicaud M, Michel J. Prospective Evaluation of Aesthetic and Functional Outcomes following Video-Assisted Rhino-Septoplasty. Aesthetic Plast Surg. 2024;48:4855-61. https://doi.org/10.1007/s00266-024-04146-3.