Fracture of the nose - Causes, Symptoms and Treatment .MF .
The nose consists of bone and cartilage of the part.The back of the nose is formed by the nasal bones and frontal process of the maxilla, and the tip of the nose and wings are presented cartilage.nasal septum in the anterior has a cartilage skeleton, and in the back - bone.Often injuries are sudden and accidental and deliberate crime and lead to a fracture of the bone or cartilage skeleton of the external nose and septum.Undetected it can not get through, as a consequence suffer all functions of the nose - from the olfactory and respiratory and to the aesthetic.It is important to timely seek qualified help.
Fracture nose - a frequent injury of the facial area (up to 40% of cases).
The main reason for the nose fracture - this is his injury.The mechanism of injury - direct or side impact or a hard blunt object hitting the hard surface.The most common fracture of the nasal bone is found in the sport, street fights, in falls and traffic accidents.
Symptoms of a fracture of the nose bones
Distinguish broken nose offset or not, as well as open and closed fractures of the nasal bones.As with any closed fracture of the bone, the integrity of the skin of the nose is not broken.When you open the fracture has damaged the skin, while in the wound can identify bone fragments (crushing).
Signs nasal fracture :
- Nosebleed.It should be noted that the injury to the nose, after which does not develop nosebleeds fracture of speech does not go.It is rather a soft tissue injury without damage to the skeleton.This does not mean that any bleeding from the nose - an attribute fracture.
- pain at palpation of the nose and a sharp swelling in impact applications and under the eyes.
- Over time appear bruising around the nose and under the eyes - a symptom of "points."
- Changing the shape of the nose, its displacement or retraction.
- difficulty in nasal breathing.
Causes nasal fracture
nose - it is the most prominent part of the face, so often injured entities other facial area.40% of all injuries in the area - is nasal trauma includingand its fracture.
most common causes:
- Sports Injuries - boxing, hockey, martial arts equipment with a shock.
- Personal injury and street fights.
- Traffic accidents, work-related accidents.
Complications of nasal fracture
nose injuries, includingand fractured nasal bones often leads to a curvature of the nasal septum.As described in the relevant sections of this pathology leads to disruption of nasal breathing, then to chronic sinusitis and rhinitis.In such a situation it is necessary surgery.Other possible complications include fracture of the cartilage of the nose, head injuries, up to the base of the skull fracture (which often ends with a fatal outcome) and hematoma of the nasal septum (which is fraught with festering melting and cartilage).In all these cases it is vital to seek medical help.
Diagnostics nasal fracture
Diagnosis begins with a dialogue with the doctor who will find out the nature of the injury.On examination can determine the change in shape of the nose and pronounced swelling at the site of impact.On palpation (feeling) can be determined fragments crepitus (crunching) and expressed pain.When rinoskopii possible to set breaking points nasal mucosa.In the absence of any visible displacement of the nose must perform rengenografiyu nasal bones in the lateral projection.After clarification dignoza (offset - no bias) addressed the issue of conducting repositioning bones and further tactics of the patient.
Treatment of nasal fracture
In the first minutes after the injury (if available) must be applied cold in the nose area.This will prevent the emergence of a strong edema and may contribute to stop nasal bleeding.
Tactics of treatment depends on the nature of nasal fracture and other related injuries.If the injury was not more than 7 days, then perform manually reposition the bones (reposition - setting bone fragments in his place) .Repozitsiya performed under local anesthesia.The solution of anesthetic (lidocaine) is irrigated by the mucous membrane of the nasal cavity and the outside is intradermal injection.Sometimes it is possible to set the bones in place two finger movements.If there is a retraction of the bone using a special tool - the elevator (elevatio - lift).ELEVATOR inserted into the nasal cavity and the sunken part of the bone is lifted and compared with other parts of the nasal bone skeleton.Tenderness to this manipulation can not be avoided, however, by any forces to withstand a few seconds the most acute pain.Then the nasal cavity are set swabs for tight clamping and "pooderzhivaniya" nose skeleton.Tampons are in the nose for about 3 days.
categorically unacceptable self reduction, sinceclumsy movement can only lead to more traumatic soft tissue fragments of bones.
After a long time after the injury, when the swelling subsides, you may find that not only affected the respiratory, but also an aesthetic function of the nose.In such cases, carry out surgery (rhinoplasty).At the same time it may need to restore nasal breathing, by correcting crooked nasal septum.In such cases, perform the large volume operation - rhinoseptoplasty.These interventions can be made as an ENT doctor and a plastic surgeon.