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Management of nasal fractures
1Department of Otolaryngology-Head and Neck Surgery, University of California, Davis, Sacramento Medical Center, 95817, USA.
Archives of Family Medicine
|August 6, 2000
Summary
Nasal fractures are common injuries. Proper diagnosis via history and physical exam, followed by delayed treatment after swelling subsides, prevents deformities.
Area of Science:
- Otolaryngology
- Facial Trauma Surgery
- Orthopedic Surgery
Background:
- Nasal bone fractures are the most frequent bone injuries globally.
- Mismanagement can result in significant aesthetic and functional deficits.
- Timely and accurate intervention is crucial for optimal outcomes.
Purpose of the Study:
- To review the anatomy, pathophysiology, diagnosis, and treatment of nasal fractures.
- To discuss common controversies in managing these injuries.
- To emphasize the importance of appropriate timing for definitive treatment.
Main Methods:
- Clinical diagnosis relies on thorough patient history and physical examination.
- Radiographic imaging (X-rays) is generally not recommended for diagnosing nasal fractures.
- Treatment timing is critical, often requiring a delay of 3-10 days post-injury.
Main Results:
- Most nasal fractures can be diagnosed without imaging.
- Delayed treatment after edema resolution improves reduction accuracy.
- Exceptions for immediate intervention include open fractures, displaced fractures, and septal hematomas.
Conclusions:
- Accurate diagnosis and appropriate, timely surgical intervention are paramount for nasal fracture management.
- Conservative management with delayed definitive treatment is often preferred.
- Understanding nasal anatomy and fracture patterns is essential for surgeons.