{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T09:07:23Z","timestamp":1784538443096,"version":"3.55.0"},"reference-count":15,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T00:00:00Z","timestamp":1621296000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To prevent aesthetic and functional deformities, precisely closed reduction is crucial in the management of nasal fractures. Plain film radiography (PF), ultrasonography (USG), and computed tomography can help confirm the diagnosis and classification of fractures and assist in performing closed reduction. However, no study in the literature reports on precisely closed reduction assisted with PF measurements under the picture archiving and communication system (PACS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively evaluated 153 patients with nasal bone fracture between January 2013 and December 2017. Surgeons conducted precisely closed reduction assisted with PF measurement of the distance between the fracture site and nasal tip under PACS on 34 patients (group A). Another group on 119 patients were reduced under surgeon\u2019s experience (group B).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>No significant differences in age, gender, Arbeitsgemeinschaft fur Osteosynthesefragen (AO) classification, and reduction outcome were observed between group A and group B ( P &gt; .05). The operative time of the group A was significantly lower (12.50 \u00b1 4.64 minutes) compared to group B (23.78 \u00b1 11.20 minutes; P &lt; .001). After adjusted age, gender, and AO classification, patients in group A scored 10.46 minutes less on the operative time than those in group B ( P &lt; .001). In addition, the severity of nasal bone fracture (AO classification, \u03b2 = 3.37, P = .002) was positive associated with the operative time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In this study, closed reduction in nasal bone fracture assisted with PF measurements under PACS was performed precisely, thereby effectively decreasing operative time and the occurrence of complications. This procedure requires neither the use of new instruments or C-arm nor USG or navigation experience. Moreover, reduction can be easily performed using this method, and it requires short operative time, helps achieve great reduction, less radiation exposures, and is cost-effective.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01455613211012111","type":"journal-article","created":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T22:38:16Z","timestamp":1621377496000},"page":"NP413-NP413","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Precisely Closed Reduction of Nasal Bone Fracture Assisted With Plain Film Measurements Under the Picture Archiving and Communication System"],"prefix":"10.1177","volume":"102","author":[{"given":"Tzu-Hsien","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Radiology, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6437-8721","authenticated-orcid":false,"given":"Chien-Liang","family":"Fang","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstruction Surgery, Department of Surgery, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City"},{"name":"Department of Food Nutrition and Health Biotechnology, College of Medical and Health Science, Asia University, Taichung City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chong-Bin","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi City"},{"name":"Department of Optometry, College of Medical and Health Science, Asia University, Taichung City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming-Shan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City"},{"name":"Department of Biotechnology, College of Medical and Health Science, Asia University, Taichung City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih-Hsuan","family":"Changchien","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstruction Surgery, Department of Surgery, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City"},{"name":"Department of Biotechnology, College of Medical and Health Science, Asia University, Taichung City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsin-Yi","family":"Yang","sequence":"additional","affiliation":[{"name":"Clinical Medical Research Center, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai-Jan","family":"Fang","sequence":"additional","affiliation":[{"name":"Concordia Middle School, Chia-Yi City"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,5,18]]},"reference":[{"key":"bibr1-01455613211012111","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-197906000-00004"},{"key":"bibr2-01455613211012111","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(86)90159-2"},{"key":"bibr3-01455613211012111","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200008000-00003"},{"key":"bibr4-01455613211012111","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003477"},{"key":"bibr5-01455613211012111","doi-asserted-by":"publisher","DOI":"10.1177\/2292550317749535"},{"key":"bibr6-01455613211012111","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003602"},{"key":"bibr7-01455613211012111","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1064653"},{"key":"bibr8-01455613211012111","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2010.12.019"},{"key":"bibr9-01455613211012111","doi-asserted-by":"publisher","DOI":"10.7181\/acfs.2016.17.1.14"},{"key":"bibr10-01455613211012111","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2017.08.022"},{"key":"bibr11-01455613211012111","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003564"},{"key":"bibr12-01455613211012111","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003482"},{"key":"bibr13-01455613211012111","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000001850"},{"key":"bibr14-01455613211012111","first-page":"242","volume":"36","author":"Choi H","year":"2009","journal-title":"J Korean Soc Plast Reconstr Surg"},{"key":"bibr15-01455613211012111","doi-asserted-by":"publisher","DOI":"10.3109\/2000656X.2015.1034726"}],"container-title":["Ear, Nose &amp; 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