Fracture Nasal Bone Treatment

1. UNDERSTANDING AND TREATING NASAL BONE FRACTURES

2. A broken nose, also known as a nasal bone fracture, is a common injury resulting from various traumatic incidents. Nasal bone fractures can be painful and often lead to visible deformities and difficulty in breathing. In this article, you will explore the types of nasal fractures, their symptoms, causes, diagnosis, and the fracture nasal bone treatment methods to help patients regain their appearance. nasal health and Traumatologists use a classification according to which fracture of nasal bones are divided into 2 types: Types of nasal fractures Open (the integrity of the soft tissues of the face is compromised); Closed (the integrity of the skin and subcutaneous tissue is not compromised). Depending on the position of the bone fragments, fractures of the nasal bones are of two types: With offset; Without displacement.

3. Symptoms of a Nasal Fracture A nasal fracture presents with a distinct set of symptoms, including: Pain: In most cases, nasal fractures are accompanied by pain, the intensity of which depends on factors like the force of the injury and individual pain perception. Deformation: Visible changes in the shape or position of the nose are indicative of a displaced nasal 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 the caliber of damaged capillaries, arteries, and veins. Hematoma: Damage to blood vessels leads to bleeding into the soft tissues of the face - a hematoma, or bruise, forms at the site of injury. Difficulty in nasal breathing: Due to swelling of the mucous membrane and possible displacement of the bones, a physical barrier to air movement is created - breathing through the nose becomes difficult. Local Swelling and Redness: Inflammatory responses to the injury can cause local swelling and redness of the soft tissues. Mucous Discharge: Dysfunction of the mucous membrane may lead to excessive mucous discharge, although this symptom is not always present.

4. Causes of a broken nose A nasal fracture is a pathology that, in 95-98% of cases, occurs after injury. Street fights, martial arts with direct contact with opponents (boxing, karate, judo), road accidents, falls, and domestic injuries can lead to it. Sometimes nasal fractures occur against the background of other diseases - terminal syphilis critical osteoporosis (crystal man syndrome). The severity of bone damage depends on a number of factors: the force applied during the blow and the speed with which it was delivered; the nature of the object or surface that the patient hit; the angle at which the blow was struck (lateral injuries are more often accompanied by displacement of the bones). Regardless of the etiology, the diagnosis and treatment of a nasal fracture remain the same for all cases. Understanding the cause and nature of the primary injury is more important for the early detection of possible hidden injuries (basal skull fracture, concussion).

5. Diagnosis of a nasal fracture Diagnosing a nasal fracture typically involves a comprehensive evaluation by an experienced ENT specialist or traumatologist. The following diagnostic methods are employed: Clinical Assessment: The physician begins with a thorough examination of the patient's complaints and medical history, seeking information about the nature of the injury. Physical Examination: The doctor examines the patient's facial swelling, tissue deformation, hematoma, and bleeding, which are indicative of nasal bone damage. Nasal Passages Examination: To assess the condition of the nasal septum and any obstructions, the doctor examines the nasal passages. X-ray Imaging: X-rays of the skull in frontal and lateral projections are used to visualize the fracture, determine the degree of bone displacement, and assess any damage to adjacent structures.

6. Treatment Methods for Nasal Fractures 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 injury and the extent of tissue damage. 1. Conservative Treatment: In approximately 70-75% of cases, nasal fractures can be successfully treated approach involves: 2. Surgical Treatment: Surgical intervention is necessary in cases of open fractures with severe bone displacement. Surgical treatment of nasal fracture serves multiple purposes, including: conservatively. This Stopping bleeding. Restoring the integrity of soft tissues. Repositioning the displaced bones. When there is simultaneous harm to other cranial bones, comprehensive craniofacial plastic surgery might become a necessity. In these scenarios, patients undergo hospitalization, preoperative arrangements, procedure itself. The extent and intricacy of the surgery directly correlate with the severity and the scope of the inflicted damage. High-quality pain relief. Fixation of bone fragments using a fixing bandage. The use of nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain and local swelling. Application of cold packs to the affected area within the first hours after the injury to reduce swelling. detailed surgical and the

7. Rehabilitation The rapid healing of a nasal bone fracture is aided by the intricate system of blood vessels in the facial area, which delivers crucial nutrients for efficient tissue regeneration. In instances of surgical nasal fracture treatment, a hospital stay of 1-2 days is customary. During this period, the attending physician will administer dressings and closely monitor the progress of the wound. A prophylactic regimen of antibacterial agents will be prescribed to guard infections. Full recovery post-surgery may span 2-3 months, necessitating strict adherence to medical instructions, avoidance of physical strain, and tender care of the treated region. against potential

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