Evaluation of nasal permeability after treatment of fractures

MÁRCIO MENEZES NOVAES, ADRIANO ROCHA GERMANO, LEANDRO BARBOSA RIBEIRO, JOSÉ SANDRO PEREIRA DA-SILVA

Objective: The present study analyzes nasal per- meability in patients suffering from nasal frac- tures. Methods: Prospective observational cohort study to evaluate the signs and symptoms of nasal obstruction in patients with fracture in this region, correlating the clinical findings of the nasal air escape area in the Altmann mirror (rhino-hygrometry) and the symptoms observed on the nasal obstruction symptom scale (NOSE) by Stewart et al. (2004). Results: Twenty-eight patients were enrolled, and nasal obstruction symptoms decreased by 25% to 10% on the NOSE scale (p < 0.05). Rhino-hygrometry showed an increase in air leakage area, but without statistical significance (p > 0.05) and no correlation between statistical and objective variables. The surgeries performed in the first two weeks after trauma showed better results regarding the reduction of nasal obstruction symptoms and increased nasal escape area. Conclusion: Surgery to reduce nasal fractures improves symptoms of nasal obstruction and when performed in the first two weeks, present the best results.

Keywords: Nasal bone fracture. Airway. Nasal obstruction.

How to cite: Novaes MM, Germano AR, Ribeiro LB, da-Silva JSP. Evaluation of nasal permeability after treatment of fractures. J Braz Coll Oral Maxillofac Surg. 2020 May-Aug;6(2):60-7.

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