Management Of Nasal Trauma Research Articles

Management of Nasal Trauma.

Facial trauma can have long-lasting physical and mental consequences. Trauma to the nose is commonly seen in the emergency department. Nasal lacerations account for 7% of all facial lacerations. Thorough examination and documentation including photographs is important for documentation and creating a reconstruction plan. Underlying damage to cartilage or bone must be reconstructed initially or in a delayed fashion to recreate the pretrauma anatomy and function. There are several options for soft tissue nasal reconstruction, including local flaps, skin grafts, pedicle flaps, and free flaps. At present there is no standard of care for postoperative facial trauma wound care.

Improving the quality of assessment and management of nasal trauma in a major trauma centre (MTC): Queen Elizabeth Hospital, Birmingham

BackgroundNasal fractures present in 39% of patients with facial trauma. These patients are assessed in the emergency department followed by outpatient review in the senior house officer-led emergency ear, nose...

A review of nasal trauma

The authors have undertaken a review of the diagnosis and management of nasal trauma. It deals with the normal anatomy of the nose, injury patterns to the nose, treatment of nasal trauma and some of the complications of nasal trauma.

Management of nasal trauma.

Nasal bones are the most commonly fractured bones in the face and the third most commonly fractured bones in the body [5]. The nose, the most projected feature of the face, is the leading structure encountered in a traumatic event [5,20]. It is estimated there are, on average, 51,200 nasal fractures per year in the United States [11]. However, there are probably more incidences, as many patients with nasal fractures do not seek treatment [19] or treatment may go unreported. In a severely traumatized patient with life-threatening injuries, it is not unusual for a nasal fracture to be unrecognized [7]. Additionally, nasal fractures may not be specifically diagnosed when it occurs in conjunction with other fractures of the face [7]. Infant or childhood nasal trauma is notorious for being overlooked, leading to adolescent and adult nasal deviation [10] and/or airway obstruction [5,7]. Commonly, the patient who is seeking cosmetic or functional rhinoplasty has experienced a previously unnoticed or forgotten traumatic event in which the nasal bones or cartilages were damaged. Unfortunately, even when a nasal fracture is diagnosed, the mechanism of injury is often not well understood, leading to an inadequate treatment plan. This results in a less than ideal reduction and an unsatisfactory outcome. Possibilities of complications may ensue including the difficult to correct twisted nose deformity.

Management of nasal trauma--widespread misuse of radiographs.

To assess the reasons behind the widespread use of X-ray in the management of nasal trauma despite the fact that it has no useful purpose, comparing the responses of doctors in Accident and Emergency (A&E) departments between the District General Hospitals (DGH) and the Teaching Hospitals. A multiple-choice questionnaire was sent to all doctors in Accidents and Emergency departments in the North-West Region of England. 212 questionnaires were sent out and 159 were returned. Amongst the 92 (57.9 per cent) doctors who use nasal radiographs, the overall most common reason is medico-legal in 48 (52.1 per cent). A high proportion of DGH doctors use radiographs for diagnostic purposes and 35 (28.9 per cent) will refer patients based on X-ray demonstration of nasal bone fracture. Other stated reasons included detection of unsuspected facial fracture, diagnosis of compound nasal fracture and foreign body detection. Doctors need to be better informed that nasal radiography has no useful value. A clear clinical guideline should be set up nationwide to protect patients from unnecessary exposure to radiation. This will also save the time of the doctors, radiographers and patients. It will prevent inappropriate referrals. Money and other resources will therefore be better utilized.

Erratum

This article has been withdrawn as it was published elsewhere and accidentally duplicated. The original article can be seen here: 10.1108/14664100010343872. When citing the article, please cite: A.F. Oluwasanmi, A.L. Pinto, (2000), “Management of nasal trauma – widespread misuse of radiographs”,British Journal of Clinical Governance, Vol. 5 Iss: 2, pp. 83 - 85.

Management of nasal trauma in children

Management of nasal trauma in children

Management of nasal trauma in children.

The management of nasal trauma in children differs considerably from that in adults. In children, the evaluation is decidedly more difficult because of lack of patient cooperation and different anatomical features. The controversy regarding surgical manipulation of the pediatric nose has resulted in confusion as to the proper management of nasal trauma in this age group. On the basis of our experience with these problems, we have developed a philosophy of management; its principles and techniques are described herein.