Nasal bones are the most susceptible bones of the facial framework. Studies have shown a 2:1 ratio of male predominance. Children are also commonly affected. The primary symptoms include swelling, deformity, nasal obstruction, nosebleeds, bony crepitus, and bruising around the eyes. There are several types of nasal fractures, which can be classified as: (a) unilateral, (b) bilateral, (c) comminuted, (d) open-book (splayed), (e) impacted, and (g) greenstick. The presence of septal injury may also suggest a nasal fracture. If the fracture is nondisplaced and without defects, observation alone may be sufficient. Simple injuries may require closed nasal reduction, while more severe cases may necessitate an open approach for a satisfactory result. Ideally, intervention should be carried out within the first 10 days following the injury. However, it is also suggested that intervention could be performed up to 3 weeks after the injury. Furthermore, if an immediate reduction is not carried out, it is recommended to allow the swelling to decrease and reassess the integrity of the nasal bone and the need for intervention after the first 2 or 3 days. While a nasal injury typically does not require significant interventions, the undertreatment of a displaced fracture can lead to both cosmetic and functional issues, such as external nose deformity, nasal obstruction, septal perforation, and severe growth retardation in children.

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Nasal Fracture

  • Paraskevi Karamitsou,
  • Alexandros Poutoglidis

摘要

Nasal bones are the most susceptible bones of the facial framework. Studies have shown a 2:1 ratio of male predominance. Children are also commonly affected. The primary symptoms include swelling, deformity, nasal obstruction, nosebleeds, bony crepitus, and bruising around the eyes. There are several types of nasal fractures, which can be classified as: (a) unilateral, (b) bilateral, (c) comminuted, (d) open-book (splayed), (e) impacted, and (g) greenstick. The presence of septal injury may also suggest a nasal fracture. If the fracture is nondisplaced and without defects, observation alone may be sufficient. Simple injuries may require closed nasal reduction, while more severe cases may necessitate an open approach for a satisfactory result. Ideally, intervention should be carried out within the first 10 days following the injury. However, it is also suggested that intervention could be performed up to 3 weeks after the injury. Furthermore, if an immediate reduction is not carried out, it is recommended to allow the swelling to decrease and reassess the integrity of the nasal bone and the need for intervention after the first 2 or 3 days. While a nasal injury typically does not require significant interventions, the undertreatment of a displaced fracture can lead to both cosmetic and functional issues, such as external nose deformity, nasal obstruction, septal perforation, and severe growth retardation in children.