Objective To compare the effect of endoscopic open reduction and conventional closed reduction in treatment of patients with type Ⅱ fracture of nasal bone.
Methods Totally 64 patients with type Ⅱ fracture of nasal bone were randomly divided into two groups, with 32 cases in each group. The control group was treated with conventional closed reduction, and the observation group was treated with endoscopic open reduction of nasal bone. Visual Analogue Scale (VAS) was used to evaluate the therapeutic conditions of the patients, and six items such as nasal congestion, nasal itching and sneezing, nasal secretion, nasal pain, nasal appearance, and the influence of trauma on psychological status were selected as subjective scoring items.
Results There was a significant difference in the score of nasal secretion before operation between the two groups (P < 0.05). At 3 months after operation, the scores of 6 subjective scoring items in both groups were significantly lower than those before treatment, and the scores of nasal congestion, nasal itching and sneezing as well as nasal appearance in the observation group were significantly lower than those in the control group (P < 0.05).
Conclusion Endoscopic open reduction of nasal bone fracture can significantly improve the nasal ventilation condition, nasal itching and sneezing and nasal appearance in patients with type Ⅱ fracture of nasal bone, and has higher safety.
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