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Abstract Introduction: Nasal bone fracture is the most common facial fracture and the third most common fracture of the human skeleton. The diagnosis and proper treatment of the nasal bone fracture are based on physician’s findings and skill. The way to manage the nasal bone fracture ranges from closed reduction to open reduction. Insufficient reduction caused secondary deformity after the swelling subside, and lead to requests of other surgical procedures. Objective: To evaluate satisfaction rate of patients and physician from outcome of closed reduction 1 month later nasal fracture Materials and Methods: The descriptive study reviewed patients with nasal fracture and treated by closed reduction at Amir-al-momenin hospital (Rasht) in 2007-2008 years. According to physical examination and radiologic findings, nasal fractures were classified. Demographic data, time of injury, mechanisms and severity of fracture were recorded on data sheet. Patients were followed up 1 month later of nasal fracture and their satisfaction upon Likert scale was recorded. The physician described satisfaction as good, fair, poor. Results: In this study from 67 patients 76.1% were male and 23.9% were female. Mean age of patients was 30.17± 13.45 years. The major cause of the nasal fractures was attributed to fighting (43.3%). B-type, U-type and F-type fractures composed 70.1%, 25.4% and 4.5% respectively. 26.9% of patients had soft tissues damages and 3% had fracture in other facial bone. 36 patients (53.7%) were satisfied, 17 patients (25.4%) were very satisfied and 14 patients (20.9%) were unsatisfied. None of them were very unsatisfied. Physician evaluated outcome as good, fair, and poor in 65.7% (44 cases), 23.9% (16 cases) and 10.4% (7 cases) respectively. Conclusion: Although, there isn’t statistically significant difference between different type of fracture or presence of soft tissue damage and patients' satisfaction rate, there is statistically significant difference between them and physician's satisfaction rate (P=0.02 and P=0.049). The results showed that in cases with severe fracture (F-type) and presence of soft tissue damage, closed reduction should be considered carefully as the choice of treatment.

Keywords: Fracture, Nasal Bone, Patients Satisfaction

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