The diagnosis is mainly based on the history of trauma, clinical features and local examination.
Displacement deformity can be seen when the posterior part is not swollen, and the fracture site can be found by asking. After obvious swelling, the fracture displacement deformity can be concealed, and the diagnosis can only be made by carefully examining the X-ray films inside and outside the nose and the positive side of the nasal bone. Treatment measures
Treatment should be carried out as soon as possible.
Membrane repair is due to the abundant blood supply to the nose and the thin bone block. Failure to repair the fracture early will easily lead to dislocation healing and make reduction difficult. (a) rhinoplasty is suitable for
Fracture of nasal bone. exist
And the nasal mucosa shows anesthesia, press the protruding fracture piece with both thumbs to reset it. (2) Intranasal reduction is suitable for the inward collapse and displacement of nasal bone fracture. A bone covered with a rubber tube or gauze under local anesthesia
The device is inserted into the nasal cavity, so that the front end of the device extends to the fracture site, and the invaginated fracture piece is pushed forward and outward while using the thumb of the other hand.
Auxiliary reduction of lateral nose. Use after reset
The gauze is wrapped around the nasal bone fracture to prevent the fracture from shifting again and help to stop bleeding. The nasal packing can be taken out after 5 ~ 6 days. (1) Use nasal bone restorer to lift the collapsed nasal bone (2) Use nasal bone restorer to restore unilateral fracture (3) Use nasal bone restorer to restore bilateral fracture. If there are nasal bone repair forceps, insert the two beak ends of the forceps into the nostril respectively, repair the lateral wall and upper wall of the nose successively, clean the blood clots and secretions in the nasal cavity by suction, and then clean the nasal cavity by suction.
The part is wrapped in
Rubber tube yarn strips to assist in molding. Provide nasal splint
Made of glue, its lining is
When there is no pressure on the nose, fix it with adhesive tape. You can also stick a small gauze roll of 1 ~ 2 on both sides of the nose to make it higher than the back of the nose, and then fix it with adhesive tape to protect and shape it. For those
For the wounded who cannot be blocked by nasal cavity, they can be fixed with external nasal splint alone to prevent further displacement. External use of nasal splint or gauze can be taken off in 7 ~ 8 days. Tell the wounded 1 month not to squeeze their noses or blow their noses hard. In order to prevent the outside of the nose from being compressed and better shaped, a splint can be added to protect the outside of the nose. Have a nasal bone fracture
Generally not serious, you can stop bleeding by yourself, or block the anterior nasal cavity with gauze to stop bleeding. If accompanied by
Or the vascular injury of the upper nasal passage, serious diseases may occur.
If the anterior nasal cavity sealing method cannot stop bleeding, the posterior nasal cavity sealing method should be used instead.
Sometimes pressing from the outside of the nose is not only ineffective, but also aggravates the displacement of fracture pieces and aggravates the injury and deformity in the nose.
Drift should be allowed, and use
Prevent infection. Gradually reduce or stop in 3 ~ 7 days. If the long-term leakage does not stop, please
Consulting, making
Crack repair. Old nasal bone fracture can be corrected.