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New Maneuver for Fixation of Pediatric Nasal Bone Fracture

Aldelaimi, Tahrir N. BDS, MSc, FIBMS

Journal of Craniofacial Surgery: July 2011 - Volume 22 - Issue 4 - p 1476-1478
doi: 10.1097/SCS.0b013e31821d1997
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Surgical treatment of nasal bone fractures in children is a complex and challenging task not only to maxillofacial surgeons but exceeding to ears, nose, and throat and plastic surgeons. Twelve child patients including 9 boys (75%) and 3 girls (25%) with nasal bone fractures were seen at the Maxillofacial Surgery Department at Ramadi Teaching Hospital during the period of December 2009 to December 2010. Fractured nasal bone is reduced to its anatomic position with Walsham forceps, and the dislocated or disrupted nasal septum with Asch forceps. The most common cause of the injury was road traffic accident and motorcycle accident 5 (42%); nasal deviation was found in 9 cases (75%), and depression in 2 (17%). In 9 patients (75%), injuries were isolated, and 3 (25%) were associated with other facial bone fractures. Significant advances have been made in the management of these injuries, decreasing the incidence of secondary deformities.

From the Department of Oral and Maxillofacial Surgery, College of Dentistry, Anbar University, Ramadi, Iraq.

Received February 13, 2011.

Accepted for publication March 6, 2011.

Address correspondence and reprint requests to Tahrir N. Aldelaimi, BDS, MSc, FIBMS, Department of Oral and Maxillofacial Surgery, College of Dentistry, Anbar University, Ramadi City, Anbar Province, Iraq; E-mail: tahrir_aldelaimi@yahoo.com

The author reports no conflicts of interest.

© 2011 Mutaz B. Habal, MD