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A complication from neurocranial restructuring: Nasal septum fracture
Journal article   Peer reviewed

A complication from neurocranial restructuring: Nasal septum fracture

Greg E Davis, Michael P Murphy, Bevan Yueh and Ernest A Weymuller
Archives of otolaryngology--head & neck surgery, Vol.129(4), pp.472-474
04/01/2003
DOI: 10.1001/archotol.129.4.472
PMID: 12707197

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Abstract

We report a case of nasal septum fracture after a complementary and alternative medicine procedure called neurocranial restructuring (NCR) that was used to treat a patient with chronic sinusitis. We initially evaluated this patient, obtained a computed tomographic scan, and recommended frontal sinus obliteration. The patient opted to see an alternative medicine practitioner, who performed NCR. This treatment involves the expansion of endonasal balloons in the nasopharynx that are used to "alter the skeletal structure." During the NCR procedure, the patient experienced severe midface pain and a crunching sound. Because of persisting pain, she presented to the emergency department, at which time another computed tomographic scan showed new septal fractures. The patient ultimately received a frontal sinus obliteration, bilateral revision antrostomies, and repositioning of her nasal septum. To our knowledge, this is the first published case report of a complication from NCR.
 Neurosurgery Biological and medical sciences Ent, stomatology, face, injuries. Foreign bodies. Diseases due to physical agents: otorhinolaryngology Medical sciences Skull, brain, vascular surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Traumas. Diseases due to physical agents

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