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In contact sports & fights Depressed or deviated NB Nonaccidental injury Simple or Compound 1
| Date post: | 24-Dec-2015 |
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In contact sports & fightsDepressed or deviated NBNonaccidental injurySimple or Compound
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Deformity, Obstruction& bleeding
The deformity is obviousCareful palpationNasal cavity examinationRadiography
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Reduction of NFDisimpacted bony fragmentsSwinging, reduces the fractureDepressed NB is liftedExternal cast
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Complicationsof Nasal Trauma
– Septal deviation– Septal hematoma– Septal abscess– Causes of cosmetic defects: • poor initial management • secondary infection
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Perichondrium injuryHematoma necrosis abscess int. sepsis [”saddle nose”]
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Examination:Thin, firm& swollen septumFluctuant swellingNasal obstructionUrgent drainageFirm N packing
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DS : “Springiness”
Elective or acutely septoplasty
Difficult 2ndprocedures
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Common
Blunt violent injury
Tripod fracture
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Inspection: Globe levelPalpation: Orbital rimParasthesia OR NumbnessJaw& Eye movements
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No TreatmentReduction: OE,DF,ION damageElevation OR Open reduction
&wiring
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