Fracture Nasal Bone Treatment

1. UNDERSTANDING AND TREATING NASAL BONE FRACTURES

2. A broken nose, also known as a nasal bone fracture, is acommoninjuryresultingfromvarioustraumatic incidents. Nasalbone fractures can be painful and oftenleadtovisibledeformitiesanddifficultyin breathing. In this article, you will explore the types of nasalfractures,theirsymptoms,causes,diagnosis, and the fracture nasal bone treatmentmethods to helppatientsregaintheirnasalhealth and appearance. Traumatologistsuseaclassificationaccordingtowhichfractureofnasalbonesaredividedinto2 types: Typesof Open(theintegrityofthesofttissuesofthefaceiscompromised); Closed(theintegrityoftheskinandsubcutaneoustissueis notcompromised). nasal fracturesDependingonthepositionofthebonefragments,fracturesofthenasalbonesareoftwotypes: Withoffset; Withoutdisplacement.

3. SymptomsofaNasalFracture Anasalfracturepresentswithadistinctsetofsymptoms,including: Pain: In most cases, nasal fractures are accompanied by pain, the intensityofwhichdependsonfactorsliketheforceoftheinjuryand individualpainperception. Deformation: Visible changes in the shape or position of the nose areindicativeofadisplacednasal fracture. Nose bleed: It is observed in 99% of cases of fractures and is a consequence of injury to small vessels that penetrate the mucous membrane of the nasal cavity. The intensity of bleeding depends on thecaliberofdamagedcapillaries,arteries,andveins. Hematoma:Damagetobloodvesselsleadstobleeding intothesoft tissues of the face - a hematoma, or bruise, forms at the site of injury. Difficultyinnasalbreathing:Duetoswellingof themucous membraneandpossibledisplacementof thebones,aphysical barrier to air movement is created - breathing through the nose becomesdifficult. Local Swelling and Redness: Inflammatory responses to the injury cancauselocalswellingandrednessofthesofttissues. MucousDischarge:Dysfunctionofthemucousmembranemay lead toexcessivemucousdischarge,althoughthissymptomis not alwayspresent.

4. Causesofabrokennose A nasal fracture is a pathology that, in 95-98% of cases, occurs after injury.Street fights,martialarts with direct contact with opponents(boxing,karate,judo),roadaccidents,falls,and domesticinjuriescanleadtoit. Sometimes nasal fractures occur against the background of other diseases- terminalsyphiliscriticalosteoporosis (crystalman syndrome). Theseverityofbonedamagedependsonanumberoffactors: the force applied during the blow and the speed with which it wasdelivered; thenatureoftheobjectorsurfacethatthepatienthit; the angleat which the blow was struck (lateral injuries are moreoftenaccompaniedbydisplacementofthebones). Regardless of the etiology, the diagnosis and treatment of a nasalfractureremainthesameforallcases.Understandingthe cause and nature of the primary injury is more important for theearlydetection ofpossiblehiddeninjuries(basalskull fracture,concussion).

5. Diagnosisofanasalfracture Diagnosing a nasal fracture typically involves a comprehensive evaluation by an experienced ENTspecialist or traumatologist. Thefollowingdiagnosticmethodsareemployed: Clinical Assessment: The physician begins with a thorough examination of the patient's complaints and medical history, seekinginformationaboutthenatureoftheinjury. PhysicalExamination:Thedoctor examinesthepatient's facial swelling, tissue deformation, hematoma, and bleeding, whichareindicativeofnasal bonedamage. Nasal Passages Examination: To assess the condition of the nasal septum and any obstructions, the doctor examines the nasal passages. X-ray Imaging:X-raysof theskullinfrontalandlateral projections are used to visualize the fracture, determine the degree of bone displacement, and assessany damageto adjacentstructures.

6. TreatmentMethodsforNasalFractures The fracture nasal bone treatment aims to achieve several goals, including pain reduction, bleeding control, and the repositioning and stabilization of bone fragments. The choice of treatment method depends on the severity of the injuryandtheextentoftissuedamage. 1.Conservative Treatment: In approximately 2. Surgical Treatment: Surgical intervention is 70-75% of cases, nasal fractures can be This necessary in cases of open fractures with severe successfully treated conservatively. approachinvolves: bone displacement. Surgical treatment of nasal fractureservesmultiplepurposes,including: Stoppingbleeding. Restoringtheintegrityofsofttissues. Repositioningthedisplacedbones. When there is simultaneous harm to other cranial bones, comprehensive craniofacial plastic surgery High-qualitypainrelief. Fixationofbonefragments bandage. using a fixing Theuseof nonsteroidalanti-inflammatory drugs(NSAIDs) tomanagepainandlocal swelling. Application ofcold packs to the affected area within the first hours after the injury to reduce swelling. scenarios, detailed surgical might become a necessity. In these patients undergo hospitalization, preoperativearrangements,andthe procedureitself.Theextentandintricacyofthe surgery directly correlate with the severity and the scopeofthe inflicteddamage.

7. Rehabilitation The rapid healing of a nasal bone fracture is aided by the intricate system of blood vessels in the facialarea,which delivers crucialnutrientsfor efficienttissueregeneration.Ininstancesof surgical nasal fracture treatment, a hospital stay of 1-2days is customary. During this period, the attending physician will administer dressings and closelymonitortheprogressofthewound.A prophylactic regimen of antibacterial agents will beprescribedtoguardagainstpotential infections. Full recovery post-surgery may span 2-3months,necessitatingstrictadherenceto medical instructions, avoidance of physical strain, andtendercareofthetreatedregion.

8. Contact us www.drramentspecialist.com +91 9815153761, +91 9878217662 Dr. Ram ENT Hospital, Ropar, Punjab