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CT Analysis of Structural Buttresses in the Traumatised Nose

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ClinicalTrials.gov Identifier: NCT01136616
Recruitment Status : Completed
First Posted : June 3, 2010
Last Update Posted : April 3, 2014
Sponsor:
Information provided by (Responsible Party):
National University Hospital, Singapore

Brief Summary:

Hypothesis: There are 5 support buttresses in the complex osteocartilaginous architecture of the nose.

  1. The membranous septum;
  2. The Right nasal bone;
  3. The Left nasal bone;
  4. The perpendicular plate of the ethmoid;
  5. The vomer, vomerine groove and anterior nasal spine.

Condition or disease
Fractures

  Show Detailed Description

Study Type : Observational
Actual Enrollment : 67 participants
Observational Model: Case-Only
Time Perspective: Prospective
Official Title: CT Analysis of Structural Buttresses in the Traumatised Nose - A Basis for Decision Making for Early Open Rhinoplasty and Biomechanical Study of Nasal Structural Support
Study Start Date : May 2009
Actual Primary Completion Date : May 2013
Actual Study Completion Date : May 2013

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Fractures

Group/Cohort
Nasal Fracture

67 patients admitted for facial fractures and who undergo routine CT scans of the face are to be studied. CT scans are evaluated to assess the position, comminution and displacement of the 5 said buttresses.

The buttresses are graded Grade 1 Simple fracture without displacement Grade 2 Simple fracture with displacement Grade 3 Comminuted fracture without displacement Grade 4 Comminuted fracture with minimal displacement Grade 5 Comminuted fractured with displacement

The septum is graded from Grade 0 Septum is straight Grade 1 Septum is deviated by less than 1 half the distance from the midline to the nasal turbinate Grade 2 Septum is deviated by more than 1 half the distance from the midline to the nasal turbinate Grade 3 Septum is almost touching the nasal turbinate




Primary Outcome Measures :
  1. Normal architecture of the nasal buttresses [ Time Frame: 1 year ]

    To impact current clinical practice and improve the treatment outcomes by utilizing CT scans to analyze

    1. Normal architecture of the nasal buttresses;
    2. Fracture patterns of the buttresses associated with septal deviation and changes to the external nasal morphology;
    3. Weakest buttress as seen by the highest frequency of fracture;
    4. Strongest buttress as seen by the lowest frequent of fracture;
    5. Assessment of nasal patency due to the changes in nasal morphology before and after the surgical correction.



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Ages Eligible for Study:   21 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
67 consecutive patients admitted for facial fractures and who undergo routine CT scans of the face with our protocol of axial and coronal sections taken at 0.6mm and gantry 0 are to be studied. The CT scans are evaluated to assess the position, comminution and displacement of the 5 said buttresses.
Criteria

Inclusion Criteria:

  • Age 21 - 80 years old
  • Both Male, Female
  • All patients with nasal fracture and are able to give informed consent

Exclusion Criteria:

- Patient refusal


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01136616


Locations
Singapore
National University Hospital, Singapore
Singapore, Singapore, 119074
Sponsors and Collaborators
National University Hospital, Singapore
Investigators
Principal Investigator: Shu Jin Lee, MD National University Hospital, Singapore

Responsible Party: National University Hospital, Singapore
ClinicalTrials.gov Identifier: NCT01136616     History of Changes
Other Study ID Numbers: NUHS/SUR-PRAS/2010/3
D / 09 / 383 ( Registry Identifier: DSRB - D / 09 / 383 )
First Posted: June 3, 2010    Key Record Dates
Last Update Posted: April 3, 2014
Last Verified: April 2014

Keywords provided by National University Hospital, Singapore:
Nasal fracture
Nasal buttresses
Septal deviation
Nasal morphology
CT Scan