Nasal Fractures - Causes, Symptoms, Diagnosis, Treatment

Nasal Fractures



Nasal fracture definition - Broken nose - Nasal fracture symptoms - Nasal fracture diagnosis - Nasal fracture treatment - Nasal fracture reduction - Treatment for a broken nose - The treatment of nasal fractures - Open nasal fracture repair - Post-operative instructions for reduction nasal fracture
Nasal fracture definition - Broken nose - Nasal fracture symptoms - Nasal fracture diagnosis - Nasal fracture treatment - Nasal fracture reduction - Treatment for a broken nose - The treatment of nasal fractures - Open nasal fracture repair - Post-operative instructions for reduction nasal fracture

Nasal fracture can occur due to trauma to the face, nasal bone can be broken or cracked due to traumatic forces.

It is the most common type of facial fractures and nasal fractures account for approximately 40% of all bone injuries (source:     Nasal Fracture Imaging - eMedicine - Medscape)


Nasal Fracture Definition

 
Nasal fracture definition - Broken nose - Nasal fracture symptoms - Nasal fracture diagnosis - Nasal fracture treatment - Nasal fracture reduction - Treatment for a broken nose - The treatment of nasal fractures - Open nasal fracture repair - Post-operative instructions for reduction nasal fracture
Nasal Fracture Definition

Nasal fracture (or a broken nose) defined as a break or crack in nasal bone. Occurs as traumatic causes such as sports injuries, accidents, falls, vehicle accidents.

In patients with nasal fractures, if broken bones glide over one another and he nose deformity is emergence this fracture type is called as "displaced nasal fracture (or depressed nasal fracture)"; if broken bone ends stand firmly in place, this nasal fracture type is called as "non-displaced nasal fracture (or non-depressed nasal fracture)". Sometimes the nasal bone fractures can occur as only crashing style.

Nasal Fracture Symptoms

 
Nasal fracture definition - Broken nose - Nasal fracture symptoms - Nasal fracture diagnosis - Nasal fracture treatment - Nasal fracture reduction - Treatment for a broken nose - The treatment of nasal fractures - Open nasal fracture repair - Post-operative instructions for reduction nasal fracture
Nasal Fracture Symptoms
 
Symptoms of nasal fractures can be seen in:

- Nose hyperemia and bruises
- Swelling in the nose
- Nasal Deformity
- Nosebleeds
- Nasal congestion
- Hearing of  crepitation sounds  when touching the nose
If other facial bones broken in well together, additional findings may occur

The above, patients are seen photographs which have nasal deformities after nasal fracture.
 
Nasal fracture definition - Broken nose - Nasal fracture symptoms - Nasal fracture diagnosis - Nasal fracture treatment - Nasal fracture reduction - Treatment for a broken nose - The treatment of nasal fractures - Open nasal fracture repair - Post-operative instructions for reduction nasal fracture

In patients with nasal fracture depending on the severity of the trauma, nasal septum fracture, epistaxis or septal hematoma may occur.

Detailed examination of ENT can reveal these findings . X-ray of nasal bone and paranasal sinuses tomography  can help for detecting the severity of the trauma.
 
 
 
 
 

Nasal Fracture Diagnosis

 
Nasal fracture definition - Broken nose - Nasal fracture symptoms - Nasal fracture diagnosis - Nasal fracture treatment - Nasal fracture reduction - Treatment for a broken nose - The treatment of nasal fractures - Open nasal fracture repair - Post-operative instructions for reduction nasal fracture
Nasal Fracture Diagnosis

The diagnosis of nasal fractures usually can be made by a simple examination and visually.

During the examination:

- Crepitation sounds on palpation of nose
- Changes in the form of nose (patient photo which taken before the trauma) be evaluated.
 
Nasal fracture definition - Broken nose - Nasal fracture symptoms - Nasal fracture diagnosis - Nasal fracture treatment - Nasal fracture reduction - Treatment for a broken nose - The treatment of nasal fractures - Open nasal fracture repair - Post-operative instructions for reduction nasal fracture
Nasal fracture definition - Broken nose - Nasal fracture symptoms - Nasal fracture diagnosis - Nasal fracture treatment - Nasal fracture reduction - Treatment for a broken nose - The treatment of nasal fractures - Open nasal fracture repair - Post-operative instructions for reduction nasal fracture
 
Paranasal sinus computed tomography and the nasal bone radiography can provides more detailed information in the evaluation of the fracture line.

Nasal Fracture Treatment


 
Nasal fracture definition - Broken nose - Nasal fracture symptoms - Nasal fracture diagnosis - Nasal fracture treatment - Nasal fracture reduction - Treatment for a broken nose - The treatment of nasal fractures - Open nasal fracture repair - Post-operative instructions for reduction nasal fracture
Nasal fracture definition - Broken nose - Nasal fracture symptoms - Nasal fracture diagnosis - Nasal fracture treatment - Nasal fracture reduction - Treatment for a broken nose - The treatment of nasal fractures - Open nasal fracture repair - Post-operative instructions for reduction nasal fracture
 
An x-ray or Paranasal Sinus CT and examination of the nose are required for determine to a fracture is displaced or non-displaced. However, tomography scan can be necessary to rule out other facial bone fractures.

Non-displaced fractures usually require no treatment. To follow of the patient is satisfactory and fracture heal spontaneously.

Displaced fractures require reduction to prevent permanent nasal deformity.

Nasal fracture reduction (for displaced fractures) in adults can usually be carried out in the office using local anesthesia. It can require general anesthesia in an outpatient setting especially in young children.


Nasal Fracture Reduction Technique (Closed Reduction of Nasal Fracture):


Boies or Salinger elevator inserted into the nose under the depressed fragment. Steady outward pressure can be applied on the posterior aspect of the nasal bone. Control outward pressure with counterpressure exteriorly with the other thumb. Fragments may need to be molded into the proper position.

Walsham forceps can be use also to directly grasp the nasal bone. Manipulation of the nasal bone into position can require for all efforts.

Septal reduction can be checked also. If not adequately reduced, Asch forceps can be used to elevate the nasal pyramid while applying direct pressure to the displaced portion of the septum until it is moved back into the proper position.

Septal hematoma can be checked and drained if present.

Internal packing (eg, Vaseline gauze or 8-cm Merocel) and an external splint (eg, Thermaplast, Aquaplast) can be use to stabilize reduction. Nasal dorsal skin should be protected with Steri-Strip bandage application prior to placement of the splint. While the nasal packing is in place, the patient should be on an oral antibiotic with adequate.

This reduction technique can be made with open approach. Usually, closed reduction technique can used in almost all patients.
 

Post-operative Instructions for Reduction Nasal Fracture

 
Nasal fracture definition - Broken nose - Nasal fracture symptoms - Nasal fracture diagnosis - Nasal fracture treatment - Nasal fracture reduction - Treatment for a broken nose - The treatment of nasal fractures - Open nasal fracture repair - Post-operative instructions for reduction nasal fracture
Post-operative Instructions for Reduction Nasal Fracture

During that period of nasal fracture healing time, activity that may cause further nasal trauma should be avoided. nasal protection used. Internal nasal packing can remove in 2-5 days and external nasal splint can remove in 7 days.

Antibiotics and pain medication are usually given for a period of first one week.

Q-tip dipped in hydrogen peroxide or warm soapy water can be used to clean the front of the nose and nostrils.
 
Application of cold compressors (ice pack) for 15 minutes three times a day will help reduce bruising and swelling especially first two days after the trauma.

Head elevation can help to reduce blood pressure on the facial area (sleeping with an extra pillow or two can elevate head slightly).

There are no diet restrictions, but alcohol consumption is not recommended and tobacco use is prohibitedas Nicotine decreases blood flow to the healing nasal tissues and can actually compromise wound healing.

In the first two months after broken nose glasses are inconvenient to use.
 
Source links:
 
  • Travmatik Burun Kırıklarında Yapılması Gerekenler

  • Broken Nose (Nasal Fracture) - eMedicineHealth.com

  • Broken nose - MayoClinic.c

  • Nose fracture: MedlinePlus Medical Encyclopedia

  • Nasal Fractures

  • Nasal fracture - Wikipedia, the free encyclopedia

  • Nasal Trauma - Advanced ENT

  • Nasal Fracture Reduction - eMedicine - Medscape

  • Closed Reduction of Nasal Fracture Post-Operative Instructions ...

  •                
     
    Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

    Private Office:
    Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
    Appointment Phone: +90 212 561 00 52
    E-Mail: muratenoz@gmail.com
    Mobile phone: +90 533 6550199
    Fax: +90 212 542 74 47


     

     
    

    Comments

    Popular posts from this blog

    Our Patient Return To Poland A Week After The Revision Rhinoplasty in Istanbul

    Our Patient is Returning To Ireland Three Weeks After The Rhinoplasty Operation in Istanbul, Turkey

    Our Patient Return To Rotterdam 5 Days After The Rhinoplasty Without Bone Broken