Nose Fracture – Diagnosis and Treatment

The nose has important functional and aesthetic functions. Aesthetically, it has a well-recognized feature on the face. Functionally, it is important for normal breathing, air humidification, speech production and sensations associated with smell.

The main causes of nasal bone fracture are sports activities, physical aggressions, falls and motorcycle and automobile accidents.

Treatment

Surgical management in cases of nasal fractures will depend on several factors. The time of the fracture, the type of anesthesia, the extent of the fracture and details of the surgical approach should be considered.

It is recommended that nasal fractures be addressed as soon as possible, usually within the first week of the fracture occurring. Sometimes this will not be possible due to the formation of post-traumatic edema. However, it should be borne in mind that procedures postponed for more than 1 week may be more difficult to be treated with closed reduction only . Early treatment facilitates the healing process, limits the patient’s disability and reduces the period during which the patient will be away from their activities.

Some surgeons choose to perform surgical treatment under local anesthesia and sedation. However, this approach may increase the risk of bleeding around the airways. For this reason, depending on the condition of the patient and the surgeon / hospital, general anesthesia should be indicated.

Open Treatment Of Serious Nasal Injuries

Complex nasal fractures that require open reduction are usually associated with fractures in other regions, such as the frontal, ethmoid and orbital bones. In such cases, an existing laceration can be used as an incision on the site, or a bicoronal access can be performed.

 

Post-Traumatic Deformity

Some patients who suffer a nasal fracture may, in a second surgical procedure, benefit from secondary rhinoplasty and / or septoplasty to treat residual deformities after performing closed reduction techniques. In such cases, it is usually expected to take about 6 months or more for healing and remodeling to, after that, proceed to secondary surgeries.

Complications – Septum Hematoma

The septum hematoma is a rare complication of nasal trauma, which can present with nasal obstruction, pain or fever, when infected. It should be treated quickly to avoid necrosis of the septal cartilage. Treatment includes incision, drainage, nasal packing to prevent the formation of a new hematoma and antibiotic therapy . In these cases, the nasal packing should be maintained for 3 days, changing it daily .

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Rhinoplasty: Solution After Sports Injuries

The rhinoplasty not only aims to improve the aesthetic appearance of the imperfections of the nose. Past sports injuries are one of the reasons why both men and women undergo this cosmetic nose surgery.

Why Is It Essential To Treat Trauma To The Nose?

Beyond contracted muscles and fractures, the nose is often affected by sports injuries. However, many men and women find that nasal damage can be treated later.

Whether you had a nose injury last week, last year, or decades ago, rhinoplasty or rhinoseptoplasty (which is a combination of cosmetic nose surgery with septoplasty), can treat all functional issues. persistent and improve visible signs of trauma, such as a distorted appearance or changes in symmetry.

How Is Cosmetic Nose Surgery Performed?

Photographs are taken and 3D imaging can be used to illustrate potential results after rhinoplasty surgery .

Your plastic surgeon will also explain the details of the operation to you. Cosmetic nose surgery can be an open rhinoplasty that requires a small incision under the nostrils, or a closed rhinoplasty where the incisions are placed only in the nose. Functional nose surgery after a sports injury can be more complex than purely cosmetic rhinoplasty, as the structures needed to breathe well often have to be reconstructed as in the case of septoplasty for example, and the ideal approach depends on the extent the correction needed as well as the desired results.

The rhinoplasty is performed under local anesthesia with intravenous sedation or general anesthesia. The procedure generally lasts between one and three hours. Although patients can be operated on in the morning and returned home in the afternoon, healing takes time. Most patients go home with a splint, and their wrapper may stay in the nostrils for up to five days. The bruising and swelling can last for a week or more, and the shape of the nose continues to improve for a year.

It is imperative to refrain from activities that could injure the nose until your surgeon gives the green light. Once you have the green light to return to sports and other vigorous exercise, you need to protect your new, improved nose.

It’s never too late to treat a nose injury caused by sports, and rhinoplasty offers the potential to improve functional issues as well as the overall appearance of your face.…

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Cosmetic Surgery To Treat Sports Injuries

What do sports and cosmetic surgery have in common? At first glance, you might think that they have nothing in common, but you might be surprised to know that many athletes, professional and non-professional alike, can benefit from plastic surgery to correct the defects caused by sports injuries. Many athletes suffer from injuries that can be treated in an emergency room or hospital, but the immediate treatment of these injuries usually does not take cosmetic considerations into account. Get into cosmetic surgery – there are a number of situations in which athletes can benefit from cosmetic surgery.

Rhinoplasty

While there are a number of procedures that can benefit athletes who have suffered a sports-related injury, one of the most common is rhinoplasty , commonly referred to as nose surgery. Rhinoplasty for athletes is typically used to repair a broken nose and may include the correction of a deviated septum suffered during the injury. Rhinoplasty is ideal for correcting a nose that has become disfigured or out of alignment due to a sports injury and, in some cases, can correct airflow problems resulting from the injury that have affected normal breathing. Corrective nose surgeries not only aim to restore the appearance of the nose, but they can also improve the ability to breathe.

Oral And Maxillofacial Repair And Reconstruction

Many athletes also undergo other facial and mouth surgeries of varying severity. Such injuries can only be stabilized in an emergency or hospital setting, requiring additional treatment and surgeries in the future. Such injuries may require oral or maxillofacial reconstruction. For example, fractured or broken teeth can be replaced with dental implants, which not only work like natural teeth, but also restore an aesthetically natural smile. Some athletes may also require surgery to repair facial fractures or a damaged jaw.

Prevent Sport Injuries Before It Happens

Of course, the best thing you can do with sports injuries is to prevent them. While no amount of protective equipment will prevent all sports injuries, wearing and using the right equipment can certainly reduce the risk of many types of injuries. Make sure you understand the specific risks of playing your sport and invest in the related equipment.

Wear the appropriate helmet, goggles or sports goggles, face shields or shields, mouth guards, and padding. Your equipment should at least meet the minimum guidelines for your sport. Avoid substituting for your activity equipment intended for another sport. Although biking and skateboarding both require helmets, the activities present different injury risks and therefore helmets for each specific safety feature related to the individual activity. The same goes for goggles – racquetball goggles are not a substitute for basketball goggles and vice versa.

In any sport that has the slightest potential for physical contact, wear a mouthguard, even if you don’t think you will be punched in the mouth. While an elbow in your mouth can certainly cause significant damage, including broken or broken teeth, it is also possible to damage your jaw and teeth without coming into contact with another player. For example, you can do a spectacular basketball layup to fall with another player in your path. Instead of landing on your feet, you stumble, land on your hands and chest, and in doing so you may have hit your chin on the ground causing your upper and lower jaws to crash, fracturing a tooth. When in doubt, wear or use safety equipment.

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