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Updated: Nov 3, 2025
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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
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Management of Nasal Trauma
John M Nathan1, Kyle S Ettinger2
1Division of Oral & Maxillofacial Surgery, Department of Surgery, Mayo Clinic, Mail Code: ro_ma_12_03E-OS, 200 First Street Southwest, Rochester, MN 55905, USA.
Summary
Facial trauma, especially nasal lacerations, requires careful examination and reconstruction planning. Current care lacks a standard for healing soft tissue nasal injuries after trauma.
Area of Science:
- Reconstructive surgery
- Trauma surgery
- Plastic surgery
Background:
- Facial trauma, particularly nasal injuries, presents frequently in emergency settings.
- Nasal lacerations constitute a significant portion (7%) of all facial lacerations.
- These injuries can lead to enduring physical and psychological effects.
Purpose of the Study:
- To highlight the importance of thorough examination and documentation for nasal trauma.
- To outline surgical considerations for nasal reconstruction, including cartilage and bone repair.
- To review available techniques for soft tissue nasal reconstruction.
Main Methods:
- Review of common diagnostic and documentation practices for facial trauma.
- Discussion of initial and delayed surgical strategies for structural nasal repair.
- Overview of soft tissue reconstruction modalities: local flaps, skin grafts, pedicle flaps, and free flaps.
Main Results:
- Comprehensive evaluation and photographic documentation are crucial for treatment planning.
- Reconstruction of underlying cartilage or bone is essential for restoring pre-trauma anatomy and function.
- Multiple surgical options exist for soft tissue reconstruction of the nose.
Conclusions:
- Effective management of nasal trauma involves meticulous assessment and tailored reconstruction.
- There is currently no universally accepted standard of care for postoperative wound management in facial trauma.
- Further research is needed to establish best practices for facial trauma wound healing.
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