Treatment for old fracture of the facial bone.
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概要
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We introduced our treatments for old fractures of facial bones, especially nasal fractures. Late treatment is very difficult for manipulation, thus osteotomy and continuing reduction is the best way for treatment of nasal lateral deformities. When we approach to the osteotomized part, skin incision is usually over the perinasal cavity, but if more strict reduction is required, we choose skin incision on the front of face for the approach. For saddle nose and bone defect of unreduced fracture in the center of the face, we usually use iliac bone graft or silicon rubber for augmentation. Treatment for complex fracture of the face should be done as two stages. First, the main deformity should be reduced approximately, and thereafter, we should reduce secondary minor deformities.