DISEASES OF THE NOSE, THROAT AND NASOPHARYNX : TRAUMA OF THE NOSE AND PARANASAL SINUSES - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
The nature of damage to the skeleton of the nose depends on the strength and direction of the impact; the line of fracture may be horizontal, the displacement of the lower segment can be thrust into the upper; the nasal vault may be flattened due to the separation of the joints between the nasal bones; the offset can be side; the fracture can be multiple with sequestration. In fractures of the vault of the nose involved in the process and perpendicular plate of the ethmoid bone.
Symptoms. Bruising, disfigurement (temporary liposcience) persons. Rupture of the skin at the site of impact with an open fracture, nasal congestion, pain in paranoia, sometimes subcutaneous emphysema, increasing when blowing your nose, nosebleed, hematoma with subsequent abscess of the nasal septum; sometimes anosmia; in a later period of deformation of the nose.
Recognition is not difficult, is confirmed by x-rays.
To stop the bleeding, to reduce a displaced part, to keep them oiled sterile liquid paraffin swabs and bandage; peace; when damage to the soft tissues of the external nose - stitches, ice outside; abscess of the nasal septum - the incision at both sides of the septum, but not symmetric. Prophylactic - penicillin therapy, sulfonmethane. With significant blood loss - blood transfusion.