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September 1948

NASAL FRACTURESAn Analysis of One Hundred Cases

Author Affiliations

From the University of Illinois College of Medicine, Department of Otolaryngology.

Arch Otolaryngol. 1948;48(3):344-361. doi:10.1001/archotol.1948.00690040355006

OF MORE than 135 cases of recent nasal injuries, fractures were found in 100. An analysis of these 100 cases has led to the formulation of certain principles concerning the management of nasal fractures.

The numerical distribution of the fractures was as follows:

Associated fractures of the maxillary, the frontal bone and/or the zygoma and zygomatic process were present in 8 of these cases.

The type of fracture was determined by the direction of the force of the blow. The severity of the fracture was found to be proportionate to the force of the blow, the type of object encountered and the age of the patient. Because of the variation in the degree of ossification and calcification of the nasal bones, it was found that the force which was required to cause a given degree of bony displacement in children and adolescents was less than that needed to

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