Related Experiment Video
Updated: May 21, 2026
10:35
Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
Avoiding and correcting complications in perinasal trauma.
1Geisinger Cosmetic Surgery Center, Danville, PA 17822, USA. jfrodelmd@aol.com
Facial Plastic Surgery : FPS
|June 23, 2012
Summary
Nasal and perinasal injuries require careful diagnosis to avoid complications. Proper initial management of facial fractures, including orbital and midface injuries, prevents secondary deformities.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Maxillofacial Surgery
Background:
- Nasal and perinasal region injuries are frequent.
- While nasal fractures are often managed correctly, adjacent structures like the orbit, medial canthus, and midface skeleton can be overlooked.
Observation:
- Missed or misdiagnosed injuries to the orbit, medial canthus, and midface skeleton can lead to improper primary treatment.
- This can result in significant secondary deformities requiring complex reconstructive surgery.
Findings:
- This discussion covers three common injury patterns: nasomaxillary fractures, limited naso-orbital-ethmoid fractures, and severe central facial injuries.
- Case examples illustrate the consequences of inadequate primary diagnosis versus the benefits of proper initial management.
Implications:
- Accurate and timely diagnosis of all facial injuries is crucial for optimal patient outcomes.
- Early and correct management of nasomaxillary, orbital, and midface fractures prevents long-term functional and aesthetic issues.
More Related Videos
Related Concept Videos
01:30Epistaxis
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
01:29Suctioning the Nasopharyngeal Airway
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
01:26Flail Chest-II
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:16Tracheostomy Care I: Pre-procedural Steps
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes: