Investigating diagnosis and treatment of nasal fracture
Cracking of nasal bone or cartilage is called nasal fracture Of nose surgery Fractures usually occur on the nasal bridge or septum. Falling, contact sports and accidents are the most common causes of broken nose.
Causes of nasal fractures
Symptoms of a broken nose include the following:
• Pain in or around the nose
Twisting and tilting of the nose
• Swelling in or around the nose
• nose bleeding
• Congestion and runny nose, which can be a sign of blocked nostrils.
Bruising around the nose and under the eyes
• A grinding sound or sensation when you blow your nose.
Symptoms of a broken nose that require immediate treatment
If you have suffered a broken nose and have the following symptoms, seek medical treatment immediately:
• Heavy bleeding that does not stop.
• Clear fluid coming out of the nose
• Difficulty breathing
• Crooked nose
If you suspect a head or neck injury, avoid moving to prevent further injury.
People prone to broken nose
Accidents can happen to anyone; Therefore, anyone can experience a broken nose during their lifetime. However, certain activities can increase the risk of nasal fracture. People who participate in contact sports such as combat sports, football, or basketball are at a higher risk of nasal fractures.. There is also a risk of nasal fracture in children; Because their nose bone is not strong enough and they are also more prone to fall.
3-5 days after a broken nose, that is, when the swelling and bruising disappear, the person should see an ENT doctor or maxillofacial surgeon. Initial care should not last more than 5 days
A doctor can usually diagnose a broken nose by performing a physical examination. The examination includes seeing and touching the nose and face. If there is a lot of pain, the doctor may use a local anesthetic to numb the nose before the exam.. When the swelling decreases, it is easier to examine and diagnose a broken nose; Therefore, the doctor may ask you to return for examination in two or three days. If the nose injury is severe or accompanied by other facial injuries, the doctor will order a photo and scan.. These images can help determine the extent of damage to the nose and face.
How to treat a broken nose
If you don't have symptoms that require immediate medical treatment, there are a few things you can do at home before going to the doctor.:
• If your nose is bleeding, sit and lean forward. In this way, blood does not enter the throat.
• If you are not bleeding, tilt your head back to ease the throbbing pain.
• To reduce swelling, use a cold compress for 15 minutes and 3-4 times a day.
• Use acetaminophen or ibuprofen for pain relief.
It is better to go to the doctor as soon as possible to determine the extent of damage to the face and nose; Because the treatment of broken nose is easier for the first 1-2 weeks. A broken nose may also cause blood to collect in the nasal septum and require immediate treatment.
Medical treatment of broken nose
Not all nasal fractures require extensive treatment. Depending on the severity of the nose injury, the doctor may do one of the following:
• Placing gauze in the nostrils and putting a splint on the nose
• Prescribing painkillers and possibly antibiotics
• Performing a limited closed surgery that puts the broken bones in the right place by numbing the nose..
• Performing nose surgery
• Septorhinoplasty in case of damage to the nasal septum
Nasal fracture can lead to nasal deviation, nasal septum hematoma, or cartilage fracture, which in any case requires special treatments..
Septal hematoma or blood accumulation in the nasal septum
A broken nose can cause blood to build up in the nasal septum. If the septum of the nose is not treated, it can become infected and cause a septal abscess.. Also, the accumulation of blood in the nasal septum causes permanent damage or necrosis of the cartilage of the nasal septum, which will cause breathing disorders and changes in the shape of the nose; Therefore, nasal septum hematoma surgery is very important as soon as possible. A doctor can diagnose nasal septum hematoma by clinical examination.
In case of blood accumulation in the nasal septum, in addition to pain, swelling and bruising, there is a soft bump in one or both nasal cavities.. Nasal hematoma surgery is an outpatient procedure that is performed in the doctor's office using local anesthesia.. For this purpose, an incision is made on the nasal septum and the blood clot is drained. Then the tampon is placed in the nose to prevent bleeding and re-accumulation of blood by applying pressure on the wall of the nasal septum.. After two to three days, the tampon is removed from the nose.
Nasal deviation surgery or septorhinoplasty after nasal fracture
The nasal septum normally divides the nasal cavity into two almost equal parts. When the nose is hit and broken, there is a possibility of deviation of the nasal septum. In this case, one of the nasal cavities is narrow or blocked and the person's breathing is disturbed. For nasal deviation surgery, the surgeon makes an incision to access the nasal septum. Then he removes the membrane on the blade and places the blade in a smooth path. If there is extra cartilage or bone, it removes them. Finally, they put a tampon inside the nose and a splint on the nose.
If the impact on the nose causes damage to the cartilages of the nose and deformity of the nose in addition to the deviation of the nose, then septorhinoplasty is performed on the person so that in addition to correcting the deviation of the nose and improving breathing, cosmetic surgery is also performed..
Surgery of old nasal fractures
If you do not see a doctor at the time of a broken nose, there may be defects in both the function and the appearance of the nose over time.. Crooked nose, crooked nose and hump on the bridge of the nose can be the appearance defects caused by broken nose.. By choosing a suitable surgeon and performing nose surgery, these defects will be removed and the person's face will be more proportionate. If you want your rhinoplasty surgery to be done exactly according to your taste, you can use 3D scanning technology to see the result of the operation before surgery and control molds in rhinoplasty surgery..
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