Acute XXXX management: A prospective study and literature review.

@entity1 @entity85 @entity174 @entity130
OBJECTIVES/HYPOTHESIS: Functional and @entity85 are common after nasal injuries and at times necessitate advanced surgery to reverse the effects of @entity130 . This study was designed to study the factors related to @entity130 and @entity1 parameters in influencing the acute management of nasal injuries and its outcome. STUDY DESIGN: Prospective study. METHODS: Nasal injuries from County Waterford in Southeast Ireland were referred to a new Cost-Neutral Nasal Fracture Clinic. The first 400 @entity1 from this prospective audit, referred to Waterford Regional Hospital from August 2009 through December 2010, were included in this study. Twenty-one variables, including satisfaction scores using Visual Analog Scale (VAS), were studied. Data was obtained at each stage of management, from initial assessment in ears, nose, and throat (ENT) casualty to being seen and further reviewed in consultant-based specialty clinic. RESULTS: @entity1 outnumbered @entity1 72: 28, and the mean age was 26.89 (0.4 years-87 years). @entity1 presenting time to the ENT casualty after the injury ranged between 1 and 90 days (mean 10.5 days). The interval between injury and intervention was on an average 6.1 days. Accident (41%) and soccer (46%), among the sports group, were predominantly related to @entity130 . The overall satisfaction rate was 77.5% for breathing and 85.6% for cosmesis. One hundred twenty-seven (31.8%) @entity1 were referred to and managed from the septorhinoplasty clinic. Overall, 11% required septorhinoplasty. @entity1 satisfaction was seen in manipulation performed up to 5 weeks postinjury. CONCLUSION: Our databank is the largest prospectively studied series of nasal-fracture management from Ireland. The incidence of @entity174 in the southeast of Ireland is 0.37%. Age, gender, mode of injury, and type of sport influenced the satisfaction rates in this study. This type of service may not be practical in all ENT departments, but a regional center may be an idea worth considering. LEVEL OF EVIDENCE: 2b. Laryngoscope, 2015.
