CT Analysis of Structural Buttresses in the Traumatised Nose

NCT01136616 | Completed DMC

• 2 other identifiers: NUHS/SUR-PRAS/2010/3D / 09 / 383
• Study Type: observational
• Target: 67
• Locations: 1 country
• Sites: 1

Brief Summary

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

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

Conditions

Fractures

Keywords

Nasal fracture; Nasal buttresses; Septal deviation; Nasal morphology; CT Scan

Outcome Measures

Primary Outcomes (1)

• Normal architecture of the nasal buttresses

  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.

  1 year

Study Arms (1)

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

Eligibility Criteria

• Age: 21 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• 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.

You may qualify if:

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

You may not qualify if:

• \- Patient refusal

Sponsors & Collaborators

• National University Hospital, Singapore: lead

Study Sites (1)

National University Hospital, Singapore

Singapore, Singapore, 119074, Singapore

Location

MeSH Terms

Conditions

Fractures, Bone

Condition Hierarchy (Ancestors)

Wounds and Injuries

Study Officials

• Shu Jin Lee, MD

  National University Hospital, Singapore

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 2, 2010
• First Posted: June 3, 2010
• Study Start: May 1, 2009
• Primary Completion: May 1, 2013
• Study Completion: May 1, 2013
• Last Updated: April 3, 2014

Record last verified: 2014-04

Locations

SG (1)