When should a nasal fracture be reduced?
Reduction 6-10 days after injury in adults (after edema has resolved and before the setting of fracture fragments) Reduction 3-7 days after injury in children (after edema has resolved and before the setting of fracture fragments)
What is the management of nasal bone fracture?
Manipulation under local anesthesia is an effective first-line treatment for simple nasal fractures and should become a standard practice, but any associated septal injury can be responsible for postoperative nasal deformity and obstruction so other options may need to be considered.
What is closed reduction of nasal fracture?
Choice of anesthesia Closed reduction of nasal fractures can be performed under local anesthesia in the majority of patients. The nasal cavity should be prepared with cotton pledgets moistened in a solution with topical anesthetic with vasoconstrictor.
What is the CPT code for an open treatment of nasal fracture uncomplicated?
Clinical Indicators: Nasal Fracture (with or without septal fracture)
| Approach Procedure | CPT | RBRVS Global Days |
|---|---|---|
| Open treatment of nasal fracture; uncomplicated | 21325 | 090 |
| Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation | 21330 | 090 |
What is an open nasal fracture?
When the skin overlying the nasal bones is intact, the fracture is called a closed fracture, whereas if the nasal bones are exposed, the fracture is called an open fracture. Open nasal bone fracture is usually associated with significant facial injury such as that seen in MVAs.
What is an open fracture called?
An open fracture, also called a compound fracture, is a fracture in which there is an open wound or break in the skin near the site of the broken bone.
What is the difference between open and closed treatment of fractures?
Open fracture care is reported when the provider creates an opening to expose the bone to treat the fracture. Open fracture care is not performed in the emergency department; instead, the patient is taken to an operating room. Closed repair, by contrast, is made without an incision.
Is splint included in reduction?
If you report closed reduction w/o manipulation: Cast/splint/strapping is included. X-ray and supplies may be separately reported.
What are types of nasal fractures?
Nasal bone fractures were classified into six types: Type I) Simple without displacement; Type II) Simple with displacement/without telescoping; IIA; Unilateral; IIAs) Unilateral with septal fracture; IIB) Bilateral; IIBs) Bilateral with septal fracture; Type III) Comminuted with telescoping or depression.
Do nasal bone fractures require antibiotics?
Fractures that communicate with open wounds of the skin (including nasal fractures) should always receive prophylactic antibiotics. Mandibular fractures should also receive antibiotics, due to their communication with oral flora.
How is Open reduction of fracture done?
During an open reduction, orthopedic surgeons reposition the pieces of your fractured bone surgically so that your bones are back in their proper alignment. In a closed reduction, a doctor physically moves the bones back into place without surgically exposing the bone.