Give causes of nasal fracture clinical features ,management and complications?
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Nov 29, 2023
Causes of Nasal Fracture: 1. Trauma: The most common cause of nasal fractures is trauma to the face, such as from a sports injury, motor vehicle accident, or physical altercation. 2. Falls: Falling and landing on the face can also cause nasal fractures. 3. Assault: Physical assault or violence can result in nasal fractures. 4. Accidents: Accidents involving bicycles, skateboards, or other activities can lead to nasal fractures.
Clinical Features of Nasal Fracture: 1. Nasal deformity: The nose may appear crooked or misaligned. 2. Swelling and bruising: The area around the nose may become swollen and bruised. 3. Pain and tenderness: The nose may be painful to touch or move. 4. Difficulty breathing: Nasal congestion or obstruction may occur due to the fracture. 5. Epistaxis: Nosebleeds can be a common symptom of nasal fractures. 6. Crepitus: A crunching or crackling sound may be felt or heard when touching the nose.
Management of Nasal Fracture: 1. Medical evaluation: A healthcare professional will assess the severity of the fracture and any associated injuries. 2. Reduction: If the fracture is displaced, a reduction procedure may be performed to realign the bones. 3. Nasal packing: Gauze or nasal splints may be placed inside the nose to control bleeding and support the nasal structures. 4. Pain management: Over-the-counter pain relievers or prescription medications may be recommended to manage pain. 5. Cold compress: Applying a cold compress to the nose can help reduce swelling and bruising. 6. Follow-up care: Regular follow-up visits may be necessary to monitor healing and ensure proper alignment.
Complications of Nasal Fracture: 1. Nasal deformity: If the fracture is not properly managed, it can result in a permanent deformity of the nose. 2. Nasal obstruction: The fracture may cause a deviated septum or other structural abnormalities, leading to chronic nasal congestion or difficulty breathing. 3. Sinusitis: Nasal fractures can increase the risk of developing sinus infections. 4. Epistaxis: Recurrent nosebleeds may occur as a result of the fracture. 5. Septal hematoma: Blood can accumulate between the cartilage and the lining of the septum, requiring drainage to prevent complications. 6. Infection: If the fracture is not properly managed or if there is an open wound, infection can occur.