Will there be sequelae of nasal bone fracture
Nose bone fractures are mostly caused by some external factors. Because the nose protrudes from the face, it is easy to be hit and cause fractures. If the nose bone fracture is not treated properly, it will lead to various sequelae of nasal bone fractures. Therefore, it is necessary to do timely and thorough treatment after encountering nasal bone fractures to prevent its own image from being affected by sequelae. < P > However, displacement and deformity may occur after common nasal bone fracture. However, if the patient has a fracture or dislocation of the nasal septum, there may be nasal congestion, nasal septum cartilage deviating from the midline or protruding to one side of the nasal cavity near the nasal vestibule, mucosal tear and cartilage or bone exposure. If there is a hematoma under the mucosa of the nasal septum, it can show swelling symptoms on one or both sides of the septum. These have an impact on the appearance.
Therefore, in order to avoid sequelae, patients should pay attention to bed rest and avoid loud laughter and strenuous exercise. Food should be soft and easy to digest, drink plenty of water, and it is forbidden to contact after fracture reduction, press the nose and rub it hard; Follow the doctor's advice for nursing, and inform the doctor for examination and treatment in time if there is any discomfort.
Precautions:
Generally speaking, after nasal bone fracture, some sequelae can be avoided by standardized treatment and selecting the right time for reduction. Therefore, it is suggested that patients with nasal bone fracture must go to a regular hospital for treatment and pay attention to nursing during treatment and recovery, so much can restore the nasal shape to a normal state.
Symptoms of nose fracture
1. Nose bleeding: Most nose fractures will have tearing of nasal mucosa and massive nose bleeding.
2. Local deformity: When the violence that causes the nose fracture comes from one side, the ipsilateral nose bone sinks and the contralateral nose rises, resulting in a crooked nose deformity. Frontal violence often causes bilateral nose bone fractures, resulting in the collapse of the nose bridge and saddle deformity. The fracture of the nose with dislocation of the nasal septum shows the exposure of cartilage in the nasal septum or nasal cavity.
3. Tenderness and bone fricative: The pain after nose fracture is not dramatic, but the tenderness at the fracture site is obvious, and bone fricative can often be touched.
4. Eyelid ecchymosis: After nose fracture, ecchymosis may occur due to bleeding in the tissue seeping into both eyelids and under the synechia.
nasal bone fracture
nasal bone fracture is often accompanied by nasal septum fracture. If nosebleed, nasal congestion or nasal congestion is aggravated after trauma, nasal septum palpation should be performed routinely, and it should be performed under full mucosal contraction and superficial anesthesia. At the time of examination, nasal septum mucosa is damaged, hematoma is formed, and nasal septum is locally protruded, so nasal septum fracture should be highly suspected. Nasal CT examination can show nasal septum fracture piece, and cartilage dislocation can also be diagnosed. Nasal bone fracture can often be combined with compound injury, and the diagnosis is sometimes difficult to find, especially the scope and degree of injury. CT examination can clearly show the fracture site to guide treatment.
Different treatment schemes should be adopted according to the severity of the injury procedure and whether there is compound injury in the emergency period. The purpose of reduction is not to affect facial beauty, nasal ventilation, smell and other functions. In order to avoid sequelae such as external nasal deformity and nasal dysfunction, it is very necessary to take correct reduction when restoring nasal bone fracture. 2 ~ 6 hours after simple nasal bone fracture is the golden time, and compound injury should be carried out within 2 weeks after injury. Nasal bone fracture accompanied by nasal septum fracture should be treated by nasal bone reduction first, especially for patients with lower nasal bone fracture, after bilateral nasal Shuang Hezhen can be lifted up for reduction, nasal septum fracture or dislocation is often partially corrected, and then nasal septum reduction or nasal septum correction is performed. It should be noted that the nasal septum should be in the middle when filling. Open wounds should be treated synchronously with debridement, suture and reduction.
the fractureofnasalbone can occur alone or simultaneously with other jaw fractures. The external nose protrudes from the face and is easily damaged by impact, falling, bullets and explosive shrapnel. External nasal trauma accounts for 5% of nasal trauma, among which laceration and nasal bone fracture are more common. The type of fracture is related to the direction and size of violence. External nasal trauma is often accompanied by nasal septum trauma, including cartilage dislocation, bending, fracture, mucosal tear and nasal septum perforation.
The most common symptoms are local pain, nosebleed, collapse or deflection of the upper part of the bridge of the nose and subcutaneous blood stasis. After a few hours, the soft tissue of the nose swells, and after blowing the nose, subcutaneous emphysema can appear, which makes you feel twisted, and the deformity is covered up, but the tenderness is obvious. The cartilage of nasal septum deviates from the midline, and the front edge protrudes to one side of nasal cavity. If there is a hematoma under the mucosa, the nasal septum bulges to one side or both sides. If the infection is secondary, it will cause abscess of nasal septum, and cartilage necrosis can cause saddle nose deformity.