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Surgery Research and Practice
Volume 2014, Article ID 238520, 4 pages
http://dx.doi.org/10.1155/2014/238520
Clinical Study

Patient Aesthetic Satisfaction with Timing of Nasal Fracture Manipulation

Department of Ear, Nose and Throat Surgery, West Middlesex University Hospital, Twickenham Road, Isleworth, Middlesex TW7 6AF, UK

Received 19 August 2013; Accepted 22 October 2013; Published 2 January 2014

Academic Editor: Rui Fernandes

Copyright © 2014 Sunil Dutt Sharma et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. To determine patient cosmetic satisfaction following nasal fracture manipulation under general anaesthetic when offered at different time intervals after injury. Materials and Methods. Prospective chart review of adult patients with nasal fractures treated by closed reduction at a busy district general hospital in Greater London over a 10-month period. Patients were asked by a standardised telephone interview about satisfaction with nasal cosmesis pre- and postoperatively using a Likert scale. Results. Seventy-six of 106 patients presented for nasal manipulation at up to 9 weeks after injury and were successfully contacted (72%) postoperatively. Forty-nine patients (64%) reported that they still would have had the surgery in retrospect. Those done within 1-2 weeks after injury resulted in the highest mean satisfaction score ( ). There was a negative correlation between patient satisfaction and timing of surgery ( , ). Of the patients satisfied or very satisfied with their procedure, 96% had it done within 4 weeks. Conclusion. The majority of patients treated with closed reduction of nasal fractures under general anaesthetic are satisfied with the cosmetic outcome and would still have undergone surgery in retrospect. Increasing time of surgery after 2 weeks resulted in lower patient satisfaction.