Manifestations of Nasal Trauma

  • Fracture nasal bone
  • Septal injury
    • Displacement
    • Hematoma
    • Perforation
    • Synechia
  • CSF rhinorrhea
  • Epistaxis

Fracture Nasal Bone

Physical Examination

Radiology

  • Usually not necessary because treatment depends on clinical findings.
  • #Z

Management of Fractured Nasal Bone

Depends upon the presence or the absence of nasal deformity (for proper assessment of the “shape” of the nose you may wait “few” days for the edema to subside)

  • No deformity: No treatment.
  • Deformity:
    • Reduction if presented early.
    • Rhinoplasty if presented late.

Reduction

Rhinoplasty

  • To correct “old” fractures.