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VOLUME 14 , ISSUE 2 ( May-August, 2022 ) > List of Articles


“Gypsum Plaster Sandwich”: A Novel Method of Splinting of Fractured Nasal Bones after Closed Reduction

Sudhir M Naik, Sarika S Naik, J Sarah Bai, BR Prajwal Gowda

Keywords : Closed reduction, Gypsum plaster sandwich, Gypsum plaster splint, Nasal fracture

Citation Information : Naik SM, Naik SS, Bai JS, Gowda BP. “Gypsum Plaster Sandwich”: A Novel Method of Splinting of Fractured Nasal Bones after Closed Reduction. Int J Otorhinolaryngol Clin 2022; 14 (2):50-52.

DOI: 10.5005/jp-journals-10003-1406

License: CC BY-NC 4.0

Published Online: 17-06-2022

Copyright Statement:  Copyright © 2022; The Author(s).


External nasal dressing as splints provides stability and splints the reduced nasal fractured bones and also after open rhinoplasty surgeries. As gypsum plaster splints are more cumbersome, fastening them to the facial skeleton is difficult with adhesive plasters and the compliance factor reduces their overall performance. So, we have devised a way of fastening the splint to the facial skeleton. The compliance is better with this splint and the splint can be placed in its place as a masquerade with fastening tags to the frontal as well as nasal ends. This splint has the added advantage of no adhesive plaster being used and the patient him/herself can handle the splint without assistance.

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  1. Rohrich RJ, Adams WP Jr. Nasal fracture management: minimizing secondary nasal deformities. Plast Reconstr Surg 2000;106(2): 266–273. DOI: 10.1097/00006534-200008000-00003.
  2. Drezner DA. Thermoplastic splint for use after nasal fracture. Otolaryngol Head Neck Surg 1994;111(1):146–147. DOI: 10.1177/01945998 9411100127.
  3. Wurtele P. Fixing external nasal splint with Tegaderm IV dressing. J Otolaryngol 1990;19(1):79. PMID: 2313790.
  4. Matti BA, Nicolle FV. Use of orthoplast as nasal splint. Br J Plast Surg 1986;39(3):414–416. DOI: 10.1016/0007-1226(86)90058-5.
  5. Gunasekaran S, Jaramillo M, Pothier DD. A cost-effective external splint device for nasal fractures and rhinoplasty: a technical note. Int J Otorhinolaryngol 2006;4(2). Available from:
  6. Hussain K, Wijetunge DB, Grubnic S, et al. A comprehensive analysis of craniofacial trauma. J Trauma 1994;36(1):34–47. DOI: 10.1097/00005373-199401000-00006.
  7. Logan M, O'Driscoll K, Masterson J. The utility of nasal bone radiographs in nasal trauma. Clin Radiol 1994;49(3):192–194. DOI: 10.1016/s0009-9260(05)81775-1.
  8. Muraoka M, Nakai Y, Shimada K, et al. 10 year statistics and observations of facial bone fractures. Acta Otolaryngol Suppl 1991;486:217–223. DOI: 10.3109/00016489109134999.
  9. Scherer M, Sullivan WG, Smith DJ, et al. An analysis of 1423 facial fractures in 788 patients at an urban trauma center. J Trauma 1989;29(3):388–390. DOI: 10.1097/00005373-198903000-00020.
  10. Murray JA, Maran AG, Mackenzie IJ, et al. Open vs closed reduction of the fractured nose. Arch Otolaryngol 1984;110(12):797–802. DOI: 10.1001/archotol.1984.00800380027008.
  11. Chadha NK, Repanos C, Carswell AJ. Local anaesthesia for manipulation of nasal fractures: Systematic review. J Laryngol Otol 2009;123(8):830–836. DOI: 10.1017/S002221510900560X.
  12. Illum P. Long-term results after treatment of nasal fractures. J Laryngol Otol 1986;100(3):273–277. DOI: 10.1017/s0022215100099138.
  13. Rubinstein B, Strong EB. Management of nasal fractures. Arch Fam Med 2000;9(8):738–742. DOI: 10.1001/archfami.9.8.738.
  14. Colton J, Beekhuis G. Management of nasal fractures. Otolaryngol Clin North Am 1986;19(1):73–85. PMID: 3951878.
  15. Naik SM, Naik SS. A study of external nasal spints used in nasal bone fractures and rhinoplasties. Clin Rhinol 2011;4(1):9–14. DOI: 10.5005/jp-journals-10013-1063.
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