ABSTRACT

Profile of Nasal Bone Fracture at Hasan Sadikin Hospital Bandung Period of

January 1st 2013 to December 31st 2013
Imra Susparul*, Hasibuan Lisa**
**Sub Division of Plastic Surgery, Department of Surgery
*School of Medicine, University of Padjadjaran, Dr.Hasan Sadikin Hospital
Bandung
Background : Nasal bone fracture is a common facial injury, moreover as the
third commonest fracture of all fracture in human body. Social and economic factors,
culture and environment could make differences in mechanism of nasal bone fracture,
therefor nasal bone fracture has a variative insidence from one country to others, and
from one district to others in one country.
Patient and method : This research was conducted as a retrospective-descriptive
research, and the data were taken from medical record division in Plastic Surgery,
Oromaxilofacial department and Ear Nose and Throat (ENT) Department, Dr.Hasan
Sadikin Hospital Bandung. The data taken were from January 2011 to December 2013.
Diagnosis was made by history taking, physical examination and imaging. The data
taken is evaluated and analized with descriptive analysis.
Result : During one year period, there were 54 patients of nasal bone fracture
were 10-58 years old, and the mean age was 26.16 12.43 years old. The commonest
injury was occur in third decade (57.7%), and the second commonest injury was occur in
second decade (22.22%) (Table 1). Male is more common than female, which male
85.18% and female 14.81% (Table 2) and the ratio 5.75:1. Traffic accident (57.04%) and
sport injury (27.7%) were the commonest mechanism of trauma of nasal bone fracture.
Reposition in general anasthesia was the commonest treatment (59.25%), beside no
reduction with butterfly splint conservatively 31.48% (Table 5). Amount 11.10% patients
refuse the treatment. Range of length of hospital stay was between 1 and 14 days with
average length of stay was 5.63 days.
Conclusion: We conclude that nasal bone fracture was occur commonly in young
male. The commonest mechanism of trauma were traffic accident and sport injury. This
research confirmed that risk factor of nasal bone fracture was vary from one country to
others. Traffic acident was the commonest mechanism of trauma of nasal bone fracture in
Dr.Hasan Sadikin Hospital Bandung from January 2011 to December 2013. Some
recommendation to decrease traffic accident were law enforcement, using standard
helmet, speed limitation and strict traffic regulation. Some education campaign need to
be held to give information for road users about safety in riding vehicles.
Keywords: nasal bone fracture, facial trauma

TABLE 1: Age Distribution in Nasal Bone Fracture Patients

Age Group (year)
Number
1-10
2
11-20
12
21-30
29

%
3.7
22.2
53.7

31-40
41-50
>50
Total

6
3
2
54

TABEL 2: Nasal Bone Fracture Distribution by Sex

Sex
Number
Male
46
Female
8
Total
54
TABEL 3: Nasal Bone Fracture Distribution by Etiology
Etiology
Number of pasien
Traffic Light Accident
28
Fall
3
Sports
13
Assault
5
Kecelakaan kerja
3
Others
2
Total
54

11.1
5.5
3.7
100

%
85.2
14.8
100

%
51.85
5.5
24.10
9.26
5.5
3.7
100

TABEL 4: Distribution of Nasal Bone Fractures Based Single Fracture and

Multiple Fractures
Type of Fracture
Number
%
Singel Fractures
29
53.7
Multipel Fractures
25
42.3
Total
54
100

TABLE 5: Nasal Bone Fracture Distribution by Type of Treatment

No Treatment
Number
%
1
Reposition with Narkose
32
59.26
2
Conservatif
17
31.48
(Butterfly Splint)

Refuse Medical Advice

Total

6
54

TABLE 6: Nasal Bone Fracture Distribution by Division

No Division
Number
1
Plastic Surgery
37
2
ENT
12
3
Oral Surgery and NeuroSurgery
5
Total

54

11.10
100

%
68.5
22.2
9.3
100