In contact sports & fightsDepressed or deviated NBNonaccidental injurySimple or Compound

1

Deformity, Obstruction& bleeding

The deformity is obviousCareful palpationNasal cavity examinationRadiography

2

Reduction of NFDisimpacted bony fragmentsSwinging, reduces the fractureDepressed NB is liftedExternal cast

3

4

5

6

7

8

9

Complicationsof Nasal Trauma

– Septal deviation– Septal hematoma– Septal abscess– Causes of cosmetic defects: • poor initial management • secondary infection

10

11

12

Perichondrium injuryHematoma necrosis abscess int. sepsis [”saddle nose”]

13

Examination:Thin, firm& swollen septumFluctuant swellingNasal obstructionUrgent drainageFirm N packing

14

DS : “Springiness”

Elective or acutely septoplasty

Difficult 2ndprocedures

15

16

Common

Blunt violent injury

Tripod fracture

17

Inspection: Globe levelPalpation: Orbital rimParasthesia OR NumbnessJaw& Eye movements

18

No TreatmentReduction: OE,DF,ION damageElevation OR Open reduction

&wiring

19