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Closed Reduction vs. Open Reduction Nasal Surgery

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Nasal fractures are a common injury in New York, particularly among athletes and those who participate in contact sports. When a nasal fracture occurs, the bones and cartilage in the nose may be displaced, causing pain, swelling and difficulty breathing. In some cases, surgery may be required to correct the problem.

Maurice M. Khosh, MD, FACS, explains the two primary types of nasal fracture repair surgery: closed reduction and open reduction, and offers some insight as to when each type is necessary.

Closed Reduction Nasal Surgery

Closed reduction nasal surgery is a minimally invasive procedure that involves manipulating the nasal bones and cartilage back into their proper position without making any incisions. This procedure is typically performed under local anesthesia and is often completed within an hour.

During closed reduction nasal surgery, Dr. Khosh will use specialized instruments to gently manipulate the bones and cartilage back into their proper position. This procedure is generally less invasive than open reduction nasal surgery, and patients typically experience less pain and swelling during the recovery period.

One of the primary benefits of closed reduction nasal surgery is that it is a minimally invasive procedure that can be performed quickly and with minimal discomfort. However, it is important to note that not all nasal fractures can be treated with closed reduction surgery. In some cases, open reduction surgery may be required to correct the problem.

Open Reduction Nasal Surgery

Open reduction nasal surgery is a more invasive procedure that involves making an incision in the skin to access the nasal bones and cartilage. This procedure is typically performed under general anesthesia and may take several hours to complete.

During open reduction nasal surgery, Dr. Khosh will make an incision in the skin to access the nasal bones and cartilage. The bones and cartilage will then be manipulated back into their proper position, and the incision will be closed with sutures. Patients who undergo open reduction nasal surgery may experience more pain and swelling during the recovery period than those who undergo closed reduction surgery.

One of the primary benefits of open reduction nasal surgery is that it allows Dr. Khosh to manipulate the nasal bones and cartilage back more accurately into their proper position. This procedure is typically reserved for more severe nasal fractures or cases where closed reduction surgery has been unsuccessful.

Which Procedure is Right for You?

If you have suffered a nasal fracture, it is important to seek medical attention right away. Dr. Khosh can evaluate your injury and determine whether closed reduction or open reduction surgery is the best option for you.

In general, closed reduction nasal surgery is preferred for less severe nasal fractures, while open reduction surgery is reserved for more complex cases. However, every patient is unique, and the decision about which procedure to use will depend on a variety of factors, including the severity of the fracture and the patient’s overall health.

If you have suffered a nasal fracture in NYC, contact Maurice M. Khosh, MD, FACS, at (212) 339-9988 to request an exam and consultation.

Posted on behalf of Maurice M. Khosh, MD, FACS

Maurice M. Khosh, MD, FACS
580 Park Avenue Suite 1BE,
New York, NY 10065
(212) 339-9988

What Dr. Khosh's Patients Say

5.0

Based on 174 reviews

Meredith G.
Saw Dr. Khosh for a fractured nose. He reset my nose beautifully (and with little discomfort to me) and then discussed some of my sinus issues with me upon my follow up visit. Never felt like he was rushing me out and felt very confident in his abilities. I would highly recommend to anyone needing plastic or reconstructive options!
Jackie C.
Great front office, really good experience after what was a terrible accident. I was made to feel comfortable. Dr. Khosh is very good at what he does. I'm still healing but I'm confident of the results
Kaitlin M.
Dr. Khosh takes exceptional care of his patients. He has operated on me twice, each time making me feel extremely comfortable and satisfied with the results. His staff is also very kind and knowledgeable.
Diana G.
Dr. Khosh & his staff Susan & Christine are absolutely amazing! They were so supportive & helpful from beginning to end & they are just wonderful people. Thank you guys I truly appreciate everything you guys have done for me. I would recommend them to anyone & everyone!
Joann M.
After visiting and being evaluated by several doctors, I kept going back to Dr. Khosh. His tranquil spirit and professionalism were captivating. Thank you for a job well done and keeping me calm throughout the entire process. A special thanks to your staff Susan and Christine for all of their support as well. Hi highly recommend Dr. Khosh.
Leah G.
Upon hearing of the overwhelmingly positive experience a friend of mine had in choosing Dr. Khosh as her surgeon, I decided to make an appointment for my own septoplasty/rhinoplasty/turbinate reduction. Although I was slightly skeptical as the praise I had heard seemed a bit hyperbolic, all uncertainty dissipated after meeting the Doctor and his staff. My pre- and post-operative experience was excellent in terms of concerns adequately addressed prior to the surgery and mitigation of any bruising in the convalescent period. Despite my apparent predisposition to rather slower healing, a year after the surgery, my nose looks really pretty and my breathing entirely unobstructed! I highly recommend Dr. Khosh!
Courtney G.
AMAZING!!!!!! I had Dr Khosh perform lipo on my chin/neck and my result is unbelievable! Better than I could have expected! I met with a couple of surgeons and the second I met with Dr Khosh I knew he was the one I was going with. He was compassionate and explained every detail of what would take place during the surgery and what to expect during recovery. I even emailed a few times during recovery with various questions and he got right back to me asap which was really comforting! I honestly fully recommend Dr Khosh, he did an amazing job and is an amazing person.
Frieda S.
i can finally breathe!! Dr. Khosh made the entire experience a breeze, it was truly a pleasure to be under his care. I am forever thankful and highly recommend him. Not only does his work speak for himself, but he has excellent bedside manner. His kindness and patience is above and beyond. He takes the time to answer to every question you have to help you understand the process while at the same time making you feel so comfortable. From the first consultation i knew i was in good hands. I am so pleased with the result and forever thankful.
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