Nasal Fracture Overview

Injury to the cribriform plate is suspected.

No intervention is necessary if there is no deformity; reassurance and review are suggested.

Manipulation should be performed within 10 to 14 days to prevent the fractures from becoming 'sticky'.

<p>Complete bilateral nasal obstruction and potentially associated complications like cartilage necrosis.</p> Signup and view all the answers

<p>They are not required for diagnosis and primarily serve medicolegal purposes.</p> Signup and view all the answers

<p>Open reduction is required to elevate and support depressed nasal bones.</p> Signup and view all the answers

<p>It may lead to a septal abscess, cartilage necrosis, or a saddle nose deformity.</p> Signup and view all the answers

<p>Antibiotics are used to reduce the risk of local and systemic infections.</p> Signup and view all the answers

<p>Trauma from accidental personal assaults, sports injuries, road traffic accidents, and falls.</p> Signup and view all the answers

<p>Class 1 fractures usually result from frontal or frontolateral trauma causing a vertical septal fracture.</p> Signup and view all the answers

<p>Class 2 fractures are caused by lateral trauma affecting the septum while Class 3 fractures involve high-velocity trauma extending to the ethmoid labyrinth.</p> Signup and view all the answers

<p>Laterally applied forces account for over 66% of nasal fractures, as they require relatively little force to cause injury.</p> Signup and view all the answers

<p>Symptoms include the mechanism of trauma, presence of epistaxis, changes in nasal appearance, and functional breathing impairment.</p> Signup and view all the answers

<p>A Class 3 fracture may present with a collapsed bridge, upturned nasal tip, and widening of the inter-ocular space.</p> Signup and view all the answers

<p>Epistaxis may indicate the severity of the nasal injury and potential involvement of blood vessels.</p> Signup and view all the answers

<p>Falls are common causes of nasal fractures due to loss of balance or syncope, especially in these age groups.</p> Signup and view all the answers

<p>Plane X-ray imaging is often controversial.</p> Signup and view all the answers

<p>Anosmia or loss of smell indicates possible injury to the cribriform plate.</p> Signup and view all the answers

<p>Reassure the patient and review later if no deformity is present.</p> Signup and view all the answers

<p>It suggests the presence of a hematoma.</p> Signup and view all the answers

<p>Aspiration may suffice if the haematoma is small.</p> Signup and view all the answers

<p>Open reduction is necessary for a Class 3 nasal fracture.</p> Signup and view all the answers

<p>Nasal saddle deformity may ensue from untreated septal haematoma.</p> Signup and view all the answers

<p>Antibiotics should be administered to reduce infection risk.</p> Signup and view all the answers

<p>Nasal fractures commonly result from accidental personal assaults, sports injuries, and road traffic accidents.</p> Signup and view all the answers

<p>A Class 1 nasal fracture is characterized by frontal or frontolateral trauma, resulting in a vertical septal fracture and a depressed or displaced distal part of the nasal bones.</p> Signup and view all the answers

<p>The force's direction and the nature of the striking object greatly influence the severity of the nasal fractures, with laterally applied forces being more damaging.</p> Signup and view all the answers

<p>A key clinical presentation to assess after nasal trauma includes the presence of swelling and any functional impairment in breathing.</p> Signup and view all the answers

<p>Common signs associated with a Class 3 nasal fracture include a bridge collapse, upturned nasal tip, and widened inter-ocular space.</p> Signup and view all the answers

<p>Children and the elderly are particularly at risk for nasal fractures due to falls.</p> Signup and view all the answers

<p>A Class 2 nasal fracture typically presents with horizontal or C-shaped septal fractures and may include a fracture of the frontal process of the maxilla.</p> Signup and view all the answers

<p>One important factor to consider is the mechanism of trauma, including the direction of the force applied.</p> Signup and view all the answers

<p>Findings may include nasal obstruction, ecchymosis, and obvious nasal deformity.</p> Signup and view all the answers

<p>Reassurance and review are appropriate, with no immediate intervention required if there's no deformity.</p> Signup and view all the answers

<p>Delaying manipulation may lead to fractures becoming 'sticky' and fixed, making reduction difficult or impossible.</p> Signup and view all the answers

<p>The approach involves open reduction, elevating the depressed nasal bones and intranasally reducing the septum.</p> Signup and view all the answers

<p>Complete bilateral nasal obstruction is a concerning symptom indicative of septal hematoma.</p> Signup and view all the answers

<p>Early aspiration may resolve a small hematoma, preventing the need for more invasive procedures.</p> Signup and view all the answers

<p>Plane X-rays are considered controversial and are not required for diagnosing nasal fractures.</p> Signup and view all the answers

<p>Untreated septal hematoma may lead to nasal saddle deformity and cartilage necrosis.</p> Signup and view all the answers

<p>Over 66%</p> Signup and view all the answers

<p>A Class 2 nasal fracture typically results from lateral trauma, causing horizontal or C-shaped septal fractures.</p> Signup and view all the answers

<p>Falls are a common reason for nasal fractures in children.</p> Signup and view all the answers

<p>The patient should be asked which nostril is impaired and any changes in nasal appearance should be evaluated.</p> Signup and view all the answers

<p>High velocity trauma is associated with Class 3 nasal fractures.</p> Signup and view all the answers

<p>A depressed nasal bone can be identified by the bridge collapse and upturned nasal tip revealing the nostrils.</p> Signup and view all the answers

<p>A history of previous facial trauma can indicate potential complications and the severity of the current injury.</p> Signup and view all the answers

<p>Common sports injuries can arise from collisions, falls, or being struck by objects.</p> Signup and view all the answers