ClinicalFeaturesAlthough these injuries do not often appear to besevere, the mistake of undertreating nasal traumacan lead to significant long-term problems. Externaldeformity, nasal obstruction, septal perforation andother complications (e.g., chronic sinusitis) oftenpersist and sometimes worsen months or years afterthe original insult. Thoughtful assessment andproper management of nasal injuries can reduce therisk of these sequelae, thereby reducing the needfor delayed corrective septorhinoplasty
◼ Although these injuries do not often appear to be severe, the mistake of undertreating nasal trauma can lead to significant long-term problems. External deformity, nasal obstruction, septal perforation and other complications (e.g., chronic sinusitis) often persist and sometimes worsen months or years after the original insult. Thoughtful assessment and proper management of nasal injuries can reduce the risk of these sequelae, thereby reducing the need for delayed corrective septorhinoplasty. Clinical Features
DiagnosisDiagnosis is best made on physicalexamination. X-ray may or may not showfracture. Patient should not be dismissed ashaving no fracture because X-rays did notreveal it.X-rays should include Waters' view, right andleft lateral views and occlusal view. We cansee fracture line and sclerotin sag
Diagnosis Diagnosis is best made on physical examination. X-ray may or may not show fracture. Patient should not be dismissed as having no fracture because X-rays did not reveal it. X-rays should include Waters’ view, right and left lateral views and occlusal view. We can see fracture line and sclerotin sag
Diagnosis: Frontal palpation, X-ray, CT scansfront wall fracturefront & back wall fracture(sunkenfracture凹陷型）(smashedfracture粉碎型）
front wall fracture front & back wall fracture (sunken fracture凹陷型) (smashed fracture 粉碎型) Diagnosis：Frontal palpation, X-ray, CT scans
Tang Wan You M/038YLIFFORDHOSPITALPID:52233CT01 OCOACC:151796Apps305.4_H3.1M42008-06-1710:07:2893.800003SER:102IMA.99FracturedNasal boneKVP:120mA.260SNUM
Fractured Nasal bone
TangManYou M/038YCLIEFORB-HOSPITATCA522TASTOLCMA8C1417960i)LightSpeedApps305r41H32tM42008-06-1710g7.28.3cmBORE102/0SER:145IMA.4Fracturednasalbone0.2/kv120203120nA22600./5:17c.6sp-22.0SNM20AMIP2816411
Fractured nasal bone