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Satisfacción estética y funcional tras reducción cerrada de fracturas nasales: implementación de la escala NOSE.

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Title: Satisfacción estética y funcional tras reducción cerrada de fracturas nasales: implementación de la escala NOSE.
Alternate Title: Aesthetic and functional satisfaction after closed reduction of nasal fractures: implementation of the NOSE scale.
Authors: SÁNCHEZ-ÁLVAREZ, Donovan C.1, RAMÍREZ-RIVERO, Carlos E.2, RUIZ-GONZÁLEZ, Carlos E.3, NAVAS, Angie G.3, VILLARREAL, Diego C.4
Source: Cirugía Plástica Ibero-Latinoamericana. jul-sep2023, Vol. 49 Issue 3, p217-224. 7p.
Abstract (English): Background and objective. Nasal fracture is the most common facial injury, accounting for more than 50% of all facial fractures in adults. Because it is often not diagnosed and treated promptly, it can generate different degrees of functional limitation and undesirable aesthetic results. Few studies evaluate the satisfaction of patients treated with the closed nasal fracture reduction technique. Our objective is to evaluate functional and aesthetic satisfaction after closed reduction of a nasal bone fracture in a hospital in Colombia, using the nasal obstruction symptom evaluation (NOSE) and subjective aesthetic scales. Methods. Prospective analytical observational study of patients with nasal fractures undergoing closed reduction at the University Hospital of Santander, Colombia. The scores of the NOSE scales and subjective aesthetics were recorded, before and 2 months after surgery. Results. We evaluated 55 patients, 90.9% men. Median age 31 years (IQR 24-48). The main injury context was physical violence (40%), followed by traffic accident (32.7%). After the procedure, the patients presented improvement in nasal obstruction measured with the NOSE scale (p<0.001); before surgery, 89% had moderate-severe nasal obstruction, later it decreased to 14.5%. The NOSE scale showed reliability due to internal consistency with Cronbach's alpha of 0.8317. After surgery, there was an increase in satisfaction regarding the nasal appearance (p<0.001). Conclusions. The NOSE questionnaire allows us to quantify the improvement of nasal obstruction symptoms in patients with closed reduction due to nasal bone fracture. Improvement of nasal obstructive symptoms and increased aesthetic satisfaction was observed. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción y objetivo. La fractura nasal es la lesión facial más común y más del 50 % de todas las fracturas faciales en adultos. Debido a que en muchas ocasiones no es diagnosticada y tratada oportunamente, puede generar diferentes grados de limitación funcional y resultados estéticos indeseables. Pocos estudios evalúan la satisfacción de los pacientes tratados con técnica cerrada de reducción de fractura nasal. Nuestro objetivo es valorar la satisfacción funcional y estética posterior a reducción cerrada de fractura de huesos nasales en un hospital de Colombia, mediante la escala de evaluación de síntomas de obstrucción nasal (NOSE, por sus siglas en inglés - nasal obstruction symptom evaluation) y la escala estética subjetiva. Material y método. Estudio observacional analítico prospectivo de pacientes con fractura nasal llevados a reducción cerrada en el Hospital Universitario de Santander, Colombia. Se registraron las puntuaciones de las escalas NOSE y estética subjetiva, antes y 2 meses después de la cirugía. Resultados. Evaluamos 55 pacientes, 90.9% hombres. La mediana de edad fue de 31 años (RIC 24-48). El contexto de lesión principal fue violencia física (40%), seguido de accidente de tránsito (32.7%). Tras el procedimiento, los pacientes presentaron mejoría de obstrucción nasal medida con la escala NOSE (p<0.001); antes de la cirugía el 89% presentaba obstrucción nasal moderada-severa, posteriormente descendió a 14.5%. La escala NOSE mostró fiabilidad por consistencia interna con alfa de Cronbach de 0.8317. Tras la cirugía hubo aumento de la satisfacción respecto al aspecto nasal (p<0.001). Conclusiones. En nuestro estudio, el cuestionario NOSE permitió cuantificar la mejora de síntomas de obstrucción nasal en pacientes con reducción cerrada por fractura de huesos nasales. Observamos mejoría de síntomas obstructivos nasales y aumento de satisfacción estética. [ABSTRACT FROM AUTHOR]
Copyright of Cirugía Plástica Ibero-Latinoamericana is the property of Cirugia Plastica Ibero-Latinoamericana and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: Satisfacci&#243;n est&#233;tica y funcional tras reducci&#243;n cerrada de fracturas nasales: implementaci&#243;n de la escala NOSE.
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  Data: Aesthetic and functional satisfaction after closed reduction of nasal fractures: implementation of the NOSE scale.
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– Name: Abstract
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  Data: Background and objective. Nasal fracture is the most common facial injury, accounting for more than 50% of all facial fractures in adults. Because it is often not diagnosed and treated promptly, it can generate different degrees of functional limitation and undesirable aesthetic results. Few studies evaluate the satisfaction of patients treated with the closed nasal fracture reduction technique. Our objective is to evaluate functional and aesthetic satisfaction after closed reduction of a nasal bone fracture in a hospital in Colombia, using the nasal obstruction symptom evaluation (NOSE) and subjective aesthetic scales. Methods. Prospective analytical observational study of patients with nasal fractures undergoing closed reduction at the University Hospital of Santander, Colombia. The scores of the NOSE scales and subjective aesthetics were recorded, before and 2 months after surgery. Results. We evaluated 55 patients, 90.9% men. Median age 31 years (IQR 24-48). The main injury context was physical violence (40%), followed by traffic accident (32.7%). After the procedure, the patients presented improvement in nasal obstruction measured with the NOSE scale (p&lt;0.001); before surgery, 89% had moderate-severe nasal obstruction, later it decreased to 14.5%. The NOSE scale showed reliability due to internal consistency with Cronbach&#39;s alpha of 0.8317. After surgery, there was an increase in satisfaction regarding the nasal appearance (p&lt;0.001). Conclusions. The NOSE questionnaire allows us to quantify the improvement of nasal obstruction symptoms in patients with closed reduction due to nasal bone fracture. Improvement of nasal obstructive symptoms and increased aesthetic satisfaction was observed. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
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  Data: Introducci&#243;n y objetivo. La fractura nasal es la lesi&#243;n facial m&#225;s com&#250;n y m&#225;s del 50 % de todas las fracturas faciales en adultos. Debido a que en muchas ocasiones no es diagnosticada y tratada oportunamente, puede generar diferentes grados de limitaci&#243;n funcional y resultados est&#233;ticos indeseables. Pocos estudios eval&#250;an la satisfacci&#243;n de los pacientes tratados con t&#233;cnica cerrada de reducci&#243;n de fractura nasal. Nuestro objetivo es valorar la satisfacci&#243;n funcional y est&#233;tica posterior a reducci&#243;n cerrada de fractura de huesos nasales en un hospital de Colombia, mediante la escala de evaluaci&#243;n de s&#237;ntomas de obstrucci&#243;n nasal (NOSE, por sus siglas en ingl&#233;s - nasal obstruction symptom evaluation) y la escala est&#233;tica subjetiva. Material y m&#233;todo. Estudio observacional anal&#237;tico prospectivo de pacientes con fractura nasal llevados a reducci&#243;n cerrada en el Hospital Universitario de Santander, Colombia. Se registraron las puntuaciones de las escalas NOSE y est&#233;tica subjetiva, antes y 2 meses despu&#233;s de la cirug&#237;a. Resultados. Evaluamos 55 pacientes, 90.9% hombres. La mediana de edad fue de 31 a&#241;os (RIC 24-48). El contexto de lesi&#243;n principal fue violencia f&#237;sica (40%), seguido de accidente de tr&#225;nsito (32.7%). Tras el procedimiento, los pacientes presentaron mejor&#237;a de obstrucci&#243;n nasal medida con la escala NOSE (p&lt;0.001); antes de la cirug&#237;a el 89% presentaba obstrucci&#243;n nasal moderada-severa, posteriormente descendi&#243; a 14.5%. La escala NOSE mostr&#243; fiabilidad por consistencia interna con alfa de Cronbach de 0.8317. Tras la cirug&#237;a hubo aumento de la satisfacci&#243;n respecto al aspecto nasal (p&lt;0.001). Conclusiones. En nuestro estudio, el cuestionario NOSE permiti&#243; cuantificar la mejora de s&#237;ntomas de obstrucci&#243;n nasal en pacientes con reducci&#243;n cerrada por fractura de huesos nasales. Observamos mejor&#237;a de s&#237;ntomas obstructivos nasales y aumento de satisfacci&#243;n est&#233;tica. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Cirug&#237;a Pl&#225;stica Ibero-Latinoamericana is the property of Cirugia Plastica Ibero-Latinoamericana and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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