Fracture of the anterior nasal spine: a systematic review

Raggio, Blake S. and Graham, H. D. (2017) Fracture of the anterior nasal spine: a systematic review. Journal of Oral and Maxillofacial Surgery, Medicine and Pathology, 30 2: 81-85. doi:10.1016/j.ajoms.2017.09.008


Author Raggio, Blake S.
Graham, H. D.
Title Fracture of the anterior nasal spine: a systematic review
Journal name Journal of Oral and Maxillofacial Surgery, Medicine and Pathology
ISSN 2212-5558
2212-5566
Publication date 2017-10-14
Year available 2018
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.ajoms.2017.09.008
Open Access Status Not yet assessed
Volume 30
Issue 2
Start page 81
End page 85
Total pages 5
Place of publication New York, NY, United States
Publisher Elsevier
Language eng
Formatted abstract
Objective: Fracture of the anterior nasal spine is uncommon and poorly described in the literature. Herein we report a rare case of anterior nasal spine fracture (ANSF) and conduct the first systematic review on the management of ANSFs.

Methods: A systematic review of PubMed, Ovid-MEDLINE, and EMBASE was conducted per PRISMA guidelines. Articles in English of all study designs were eligible for review.

Results: From an initial 53 articles reviewed, 6 met criteria for qualitative analysis (all Case Reports) comprising a total of 7 ANSF cases including our own. Patients with ANSF were more often young (mean age, 24.3 years), male (86%), and Caucasian (83%) with a history of facial trauma (100%). Common clinical features included columellar tenderness (71%), mucogingival ecchymosis (57%), and mucosal edema (57%). Lateral plain films definitively diagnosed an ANSF in 3/4 patients (75%). A computed tomography scan definitively diagnosed an ANSF in 4/4 patients (100%). Six of 7 patients (86%) experienced an ANSF with either no, mild, or unspecified displacement and were treated conservatively. One of 7 patients (14%) exhibited an ANSF with severe displacement and underwent open repair. Satisfactory outcomes were reported in 3/3 patients who underwent conservative treatment and 1/1 patient who underwent open repair.

Conclusion: ANSF remains a poorly elucidated mid-face fracture. There is insufficient evidence to make definitive recommendations regarding the management of ANSFs. Further prospective research is warranted.
Keyword Acquired nose deformity
Bone fracture
Bone
Nasal
Closed fracture reduction
Open fracture reduction
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: HERDC Pre-Audit
Ochsner Clinical School Publications
 
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Created: Sat, 07 Apr 2018, 20:01:03 EST