Reductionof nasalbone·Before soft tissue edema?5—7 days after injuryo.Walsham forceps orAsche's forcepsNasal packing for 2-3d
Reduction of nasal bone •Before soft tissue edema •5—7 days after injury •Walsham forceps or Asche’s forceps •Nasal packing for 2-3d
Treatment of fracture of nasal bone2. Opened nasal bone fracture reduction:Under local anesthesia or generalanesthesia, remove some foreign bodies andmake the wound clean. reduct the fracturebone to right position, sew up skin,stabilization splint is used in 4-7 days.Sufficiency antibiotics ant TAT (tetanusantitoxin) should be use after surgury
Treatment of fracture of nasal bone 2. Opened nasal bone fracture reduction: Under local anesthesia or general anesthesia, remove some foreign bodies and make the wound clean, reduct the fracture bone to right position, sew up skin, stabilization splint is used in 4-7 days. Sufficiency antibiotics ant TAT （tetanus antitoxin） should be use after surgury
Deal with septalhematoma & abscess?Septal hemotoma drainage as early aspossible.."L"" incision on septum? Postoperative nasal packing: Adequate antibiotics
Deal with septal hematoma & abscess •Septal hemotoma drainage as early as possible. •“L” incision on septum. • Postoperative nasal packing. • Adequate antibiotics
Treatment: According to the situation:1、 stringy fracture2、 sunken fracture3、smashed fracture4、front & back wall fracture5、 base fracture (frontonasal fracture): restorethe function of frontal sinus.Principle: To isolate the communicationbetween frontal sinus and cranial cavityto prevent rhinogenic complications.to keep the frontal part from deformation
Treatment：According to the situation: 1、 stringy fracture 2、 sunken fracture 3、 smashed fracture 4、 front & back wall fracture 5、base fracture (frontonasal fracture): restore the function of frontal sinus. Principle：To isolate the communication between frontal sinus and cranial cavity, to prevent rhinogenic complications, to keep the frontal part from deformation
2.Fracture of frontal sinus Always have fracture of nose-frontal-ethmoidal-orbital-complexsimultaneouslyFracture of frontal sinus can beclassificased into three types :anterior wallfractue, posterior wall fracture andnasofrontal duct fracture
2.Fracture of frontal sinus ◼ Always have fracture of nose-frontalethmoidal-orbital-complex simultaneously. ◼ Fracture of frontal sinus can be classificased into three types :anterior wall fractue, posterior wall fracture and nasofrontal duct fracture