원저

전산화 단층 촬영을 이용한 비골 골절의 새로운 분류 및 임상적 적용

박찬흠1,*, 민병억1, 주형로1, 이준호1, 장기현1, 정기남1, 홍성주1
Chan Hum Park1,*, Byoung Yuk Min1, Hyung Ro Chu1, Jun Ho Lee1, Ki Hyun Chang1, Ki Nam Jung1, Sung Ju Hong1
Author Information & Copyright
1한림대학교 의과대학 이비인후-두경부외과학교실
1Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Hallym University, Chuncheon, Korea
*교신저자: 박찬흠, 200-704 강원도 춘천시 교동 153 한림대학교 의과대학 이비인후-두경부외과학교실 전화: (033) 240-5181·전송: (033) 241-2909 E-mail: hlpch@lycos.co.kr

© Copyright 2005 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Aug 29, 2005; Accepted: Sep 29, 2005

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: There are many classifications of nasal bone fracture. The majorities of fractures are according to direction and degree of fracture. But no paper has reported the clinical application of classification of nasal bone fracture by CT (Computed Tomography) scans. The purpose of this study is to evaluate the practical effectiveness of new classification of nasal bone fracture according to CT scan. Materials and Methods: We studied 121 patients with nasal bone fracture which was diagnosed with facial CT scans. Type I fracture is unilateral thin bone fracture. Type II fracture is bilateral thin bone fracture. Type III fracture is bilateral fracture including thin and thick bone. Type IV fracture includes the neighboring bone fractures. Each types are subdivided into ‘s’ and ‘o’ according to presence and absence of septal fracture. Doctor’s and patient’s satisfactions were investigated after minimal 6 months later by visual analogue scale. All results were statistically confirmed. Results: Patient’s and doctor’s satisfactions were statistically lower in severe fractures and septal fractures. Satisfactions of open reduction was high than closed reduction in Type III fractures. Conclusion: New classification systems help to decide surgical procedures and predict operative results. (J Clinical Otolaryngol 2005;16:270-274)

Keywords: 비골; 골절; 분류; 전산화 단층 촬영
Keywords: Nasal bone; Fractures; Classification; Computed tomography