Effectiveness of out-fracture of the inferior turbinate with reduction nasal bone fracture

Figure 1 Preoperative facial bone computed tomography and preoperative and postoperative acoustic rhinometry. A: Preoperative facial bone computed tomography. Left side wall fracture with septal deviation and the right-side inferior turbinate was narrowing by septal deviation; B: Preoperative and postoperative acoustic rhinometry. Change of right nasal cavity minimal cross-sectional area after closed reduction with out-fracture of the inferior turbinate.

Figure 2 Intraoperative findings. A: A medium-sized speculum is inserted just beyond the nostril rim, with care being exercised to avoid tearing the vestibular mucosa; B: The blades are spread. Usually, a crunching sound is heard as the bony septum centralizes and the turbinate in-fractures.

Figure 3 Photographs showing the surgical methods. A: Inferior turbinate out-fracture method; B: In-fracturing of the inferior turbinate.

Figure 4 Graphs showing the improvement according to lateral or frontal impact group. A: In the lateral impact group, 26 patients experienced an improvement in their nasal obstruction symptoms 2 wk after the operation. An additional 6 patients also showed an improvement 4 wk later; B: In the frontal impact group, 14 patients showed an improvement in nasal obstruction symptoms 2 wk after the operation. After 4 wk, all patients reported being satisfied with the results.

Figure 5 Nasal bone fracture type according to Stranc classification.

Figure 6 Mean minimal cross-sectional area for fracture group; frontal impact, lateral impact, total. MCA: Minimal cross-sectional area.