Comparison Of Outcomes Between Early And Delayed Reduction Of Nasal Bone Fractures
Objective: To determine the outcomes of early versus delayed reduction of nasal bone fractures in terms of patient satisfaction and postoperative pain. Study Design: Comparative study. Study Setting & Duration: Department of Otorhinolaryngology, at Rawalpindi Teaching Hospital, Rawalpindi....
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Rawalpindi Medical University
2024-03-01
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| Series: | Journal of Rawalpindi Medical College |
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| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/2402 |
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| author | Amna Kousar Sadia Chaudhry Sundas Masood Ansa Umara Akram Amna Javaid Adia Bushra Piracha |
| author_facet | Amna Kousar Sadia Chaudhry Sundas Masood Ansa Umara Akram Amna Javaid Adia Bushra Piracha |
| author_sort | Amna Kousar |
| collection | DOAJ |
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Objective: To determine the outcomes of early versus delayed reduction of nasal bone fractures in terms of patient satisfaction and postoperative pain.
Study Design: Comparative study.
Study Setting & Duration: Department of Otorhinolaryngology, at Rawalpindi Teaching Hospital, Rawalpindi. The duration of the study was 6 months after approval by the Ethical Committee from February 2023 to July 2023.
Materials and Methods: A total of 96 patients were selected. The study participants were individuals who, according to operational definitions, had nasal bone fractures and presented for evaluation at the Department of Otorhinolaryngology, Head & Neck Surgery at Rawalpindi Teaching Hospital, Rawalpindi. Patients were divided into two groups. Patients who underwent early reduction (within 2 weeks of trauma) were included in Group A while those who underwent delayed reduction (more than 2 weeks) were included in Group B. They also met all inclusion and exclusion criteria requirements and these requirements were strictly adhered to to control confounders and bias. Patients were chosen via a series of non-probability sampling. SPSS 28 was used to determine the frequencies in the data.
Results: A total of 96 patients were included in this study. Out of which 52(54.17 %) were males and 44(45.8 %) were females. Patients who underwent early reduction had higher mean satisfaction scores on the seventh and fourteenth postoperative day (4.22 ± 0.75 and 4.60 ± 0.49 respectively) than those who underwent Delayed reduction (2.41± 0.82 and 2.93 ± 0.80 respectively). Patients who underwent early reduction had a better mean Pain Intensity score at 0(2.37 ± 0.81)3rd (1.37 ± 0.81), and 7th-day (0.58 ± 0.49) than the Delayed reduction, at 0(5.83 ± 1.20), 3rd (5.08 ± 0.67), and 7th-day (4.31 ± 0.58). Patient discomfort was more intense in the delayed reduction group than in the early reduction group. Early reduction led to higher patient satisfaction and a better mean pain intensity score.
Conclusion: The results of nasal fractures between the early and delayed reduction groups did differ statistically significantly. Early reduction decreased pain intensity and increased patient satisfaction.
Keywords: early reduction, delayed reduction, nasal bone fractures, Nasal bone.
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| format | Article |
| id | doaj-art-fbc4f5ed000c4a5f83ebf208abefe9bf |
| institution | Kabale University |
| issn | 1683-3562 1683-3570 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj-art-fbc4f5ed000c4a5f83ebf208abefe9bf2025-02-06T08:38:20ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702024-03-0128110.37939/jrmc.v28i1.2402Comparison Of Outcomes Between Early And Delayed Reduction Of Nasal Bone FracturesAmna KousarSadia Chaudhry0Sundas MasoodAnsa Umara AkramAmna JavaidAdia Bushra Pirachafuji foundation hospital Objective: To determine the outcomes of early versus delayed reduction of nasal bone fractures in terms of patient satisfaction and postoperative pain. Study Design: Comparative study. Study Setting & Duration: Department of Otorhinolaryngology, at Rawalpindi Teaching Hospital, Rawalpindi. The duration of the study was 6 months after approval by the Ethical Committee from February 2023 to July 2023. Materials and Methods: A total of 96 patients were selected. The study participants were individuals who, according to operational definitions, had nasal bone fractures and presented for evaluation at the Department of Otorhinolaryngology, Head & Neck Surgery at Rawalpindi Teaching Hospital, Rawalpindi. Patients were divided into two groups. Patients who underwent early reduction (within 2 weeks of trauma) were included in Group A while those who underwent delayed reduction (more than 2 weeks) were included in Group B. They also met all inclusion and exclusion criteria requirements and these requirements were strictly adhered to to control confounders and bias. Patients were chosen via a series of non-probability sampling. SPSS 28 was used to determine the frequencies in the data. Results: A total of 96 patients were included in this study. Out of which 52(54.17 %) were males and 44(45.8 %) were females. Patients who underwent early reduction had higher mean satisfaction scores on the seventh and fourteenth postoperative day (4.22 ± 0.75 and 4.60 ± 0.49 respectively) than those who underwent Delayed reduction (2.41± 0.82 and 2.93 ± 0.80 respectively). Patients who underwent early reduction had a better mean Pain Intensity score at 0(2.37 ± 0.81)3rd (1.37 ± 0.81), and 7th-day (0.58 ± 0.49) than the Delayed reduction, at 0(5.83 ± 1.20), 3rd (5.08 ± 0.67), and 7th-day (4.31 ± 0.58). Patient discomfort was more intense in the delayed reduction group than in the early reduction group. Early reduction led to higher patient satisfaction and a better mean pain intensity score. Conclusion: The results of nasal fractures between the early and delayed reduction groups did differ statistically significantly. Early reduction decreased pain intensity and increased patient satisfaction. Keywords: early reduction, delayed reduction, nasal bone fractures, Nasal bone. https://www.journalrmc.com/index.php/JRMC/article/view/2402early reduction, delayed reduction, nasal bone fractures, Nasal bone. |
| spellingShingle | Amna Kousar Sadia Chaudhry Sundas Masood Ansa Umara Akram Amna Javaid Adia Bushra Piracha Comparison Of Outcomes Between Early And Delayed Reduction Of Nasal Bone Fractures Journal of Rawalpindi Medical College early reduction, delayed reduction, nasal bone fractures, Nasal bone. |
| title | Comparison Of Outcomes Between Early And Delayed Reduction Of Nasal Bone Fractures |
| title_full | Comparison Of Outcomes Between Early And Delayed Reduction Of Nasal Bone Fractures |
| title_fullStr | Comparison Of Outcomes Between Early And Delayed Reduction Of Nasal Bone Fractures |
| title_full_unstemmed | Comparison Of Outcomes Between Early And Delayed Reduction Of Nasal Bone Fractures |
| title_short | Comparison Of Outcomes Between Early And Delayed Reduction Of Nasal Bone Fractures |
| title_sort | comparison of outcomes between early and delayed reduction of nasal bone fractures |
| topic | early reduction, delayed reduction, nasal bone fractures, Nasal bone. |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/2402 |
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