# Comparative Analysis of Open and Closed Nasal Fractures in Trauma Settings: Mechanisms, Intent, Surgical Interventions, and Outcomes

## TL;DR

This study compares closed and open nasal fractures in trauma settings, identifying risk factors and outcomes to improve clinical management and prevention strategies.

## Contribution

The study identifies specific risk factors for open nasal fractures, offering new insights for trauma prevention and clinical resource allocation.

## Key findings

- Open nasal fractures are associated with higher injury severity scores and self-inflicted intent.
- Firearm mechanisms and unintentional causes significantly increase the likelihood of open fractures.
- The study highlights the need for targeted prevention and improved management of complex facial traumas.

## Abstract

Objectives: This study aimed to explore nasal fracture patterns, trauma mechanism and intent, treatment approaches, and mortality rates, offering insights for clinical practice and prevention in trauma settings. Design: This retrospective analysis was carried out using trauma data from the National Trauma Data Bank (NTDB) for the years 2013 to 2016. Main outcome measures: Trauma mechanism and mortality rates between closed and open fractures were conducted. Results: This study involved 122,574 closed and 9704 open nasal fractures to elucidate demographic, hospital, and clinical characteristics. Significant risk factors for open nasal fractures included a higher injury severity score, self-inflicted intent, unintentional causes, and firearm mechanism compared to assault injuries. Conclusions: Significant factors associated with open nasal fractures include injury severity, self-inflicted intent, trauma type, and firearm mechanisms, which notably increase the likelihood of open fractures. Findings highlight the need for targeted prevention, efficient resource allocation, and risk screening to enhance the management of complex facial traumas in the national trauma system.