The majority of nasal @entity174 have been managed by using closed reduction and intranasal packing. In comminuted nasal @entity174 , @entity1538 and internal fixation may be indicated for accurate @entity2003 , but it is a very aggressive procedure. We developed a new technique for comminuted nasal @entity174 : indirect @entity1538 and intranasal Kirschner wire splinting. A periosteal elevator is used to elevate the mucoperiosteum posterior to the nasal bone through intercartilaginous incision and to reduce accurately the nasal bone, at the same time detecting the fracture lines. The Kirschner wire is used to insert between the nasal bone and the mucoperiosteum and to splint rigidly the nasal bone. During the follow-up period of 5 weeks to 4 months, 23 of 27 @entity1 (85 percent) had successful cosmetic results. Four @entity1 had slight @entity85 but did not request a late rhinoplasty. Nineteen @entity1 had accurate reduction on a computed tomography scan. Ten @entity1 had undercorrection of the nasal septum on a computed tomography scan, and three @entity1 had significant septal deviation with @entity1224 . Indirect @entity1538 through intercartilaginous incision and intranasal Kirschner wire splinting is a reliable and useful method for the treatment of comminuted nasal @entity174 because it achieves accurate reduction and rigid, long intranasal support, can be done comfortably under local anesthesia, permits early nasal breathing postoperatively, has no external scar, and minimizes complications such as @entity1415 , soft-tissue injury, @entity281 , and recurrent displacement.

Indirect XXXX through intercartilaginous incision and intranasal Kirschner wire splinting of comminuted nasal @entity174 .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity2003 :: ('MESH:D009127', 'Disease') :: ['reduction and rigid fixation'] @entity1538 :: ('MESH:D005902', 'Disease') :: ['open reduction'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures'] @entity1415 :: ('MESH:D004844', 'Disease') :: ['nasal bleeding'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity85 :: ('MESH:D009140', 'Disease') :: ['cosmetic deformity'] @entity1224 :: ('MESH:D000402', 'Disease') :: ['airway obstruction']
@entity1538 :: (MESH:D005902,Disease) :: ['open reduction']
