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NASAL FRACTURES

NASAL FRACTURES. In contact sports & fights Depressed or deviated NB Nonaccidental injury Simple or Compound. NASAL FRACTURES Clinical Presentaion. Deformity, Obstruction& bleeding The deformity is obvious Careful palpation Nasal cavity examination Radiography. NASAL FRACTURES treatment.

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NASAL FRACTURES

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  1. NASAL FRACTURES • In contact sports & fights • Depressed or deviated NB • Nonaccidental injury • Simple or Compound Professor Sameer Bafaqeeh

  2. NASAL FRACTURESClinical Presentaion • Deformity, Obstruction& bleeding • The deformity is obvious • Careful palpation • Nasal cavity examination • Radiography Professor Sameer Bafaqeeh

  3. NASAL FRACTUREStreatment • Reduction of NF • Disimpacted bony fragments • Swinging, reduces the fracture • Depressed NB is lifted • External cast Professor Sameer Bafaqeeh

  4. Fracture of Nasal Bone Prof.BAFAQEEH Professor Sameer Bafaqeeh

  5. Complicationsof Nasal Trauma – Septal deviation– Septal hematoma– Septal abscess– Causes of cosmetic defects:• poor initial management• secondary infection Professor Sameer Bafaqeeh

  6. NASAL FRACTURE Prof.BAFAQEEH Prof.BAFAQEEH Professor Sameer Bafaqeeh

  7. FRACURE NASAL BONE Professor Sameer Bafaqeeh

  8. * Prof.BAFAQEEH Prof.BAFAQEEH Professor Sameer Bafaqeeh

  9. NASAL Fracture Professor Sameer Bafaqeeh

  10. Complications of NF(Septal Hematoma) • Perichondrium injury • Hematoma • necrosis abscess • int. sepsis • [”saddle nose”] Professor Sameer Bafaqeeh

  11. (Septal Hematoma) Examination: • Thin, firm& swollen septum • Fluctuant swelling • Nasal obstruction • Urgent drainage • Firm N packing Professor Sameer Bafaqeeh

  12. Complication of NFDS & Nasal deformity • DS : “Springiness” • Elective or acutely septoplasty • Difficult 2ndprocedures Professor Sameer Bafaqeeh

  13. Key Points in NF Prof.BAFAQEEH Professor Sameer Bafaqeeh

  14. Fractures of the Zygoma&the Bony Orbit • Common • Blunt violent injury • Tripod fracture tripod fracture 3 Professor Sameer Bafaqeeh

  15. Fractures of the Zygoma&the Bony Orbit • Inspection: Globe level • Palpation: Orbital rim • Depressed maxilla • Parasthesia OR Numbness • Jaw& Eye movements Professor SameerBafaqeeh

  16. Fractures of the Zygoma&the Bony Orbit • No Treatment • Reduction: OE,DF,ION damage • Elevation OR Open reduction &wiring Professor Sameer Bafaqeeh

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