Fractured nasal bones

2021 ◽  
pp. 815-816
Author(s):  
A. Nicholas Brown
Keyword(s):  
Facial Trauma ◽  
Accurate Assessment ◽  
Nasal Bones ◽  
Appropriate Treatment ◽  
Nasal Fractures

Nasal fractures are a common sequelae of facial trauma. The anatomy of the nose is important to appreciate in allowing accurate assessment and appropriate treatment. The classification and management of nasal fractures are described in this chapter.

scholarly journals A Study on 3D Deep Learning-Based Automatic Diagnosis of Nasal Fractures

Sensors ◽  
2022 ◽  
Vol 22 (2) ◽  
pp. 506
Author(s):  
Yu-Jin Seol ◽  
Young-Jae Kim ◽  
Yoon-Sang Kim ◽  
Young-Woo Cheon ◽  
Kwang-Gi Kim
Keyword(s):  
Deep Learning ◽  
Binary Classification ◽  
Characteristic Curve ◽  
Nasal Bone ◽  
Facial Trauma ◽  
Future Research ◽  
Automatic Diagnosis ◽  
3 Dimensional ◽  
Computed Tomography Images ◽  
Nasal Fractures

This paper reported a study on the 3-dimensional deep-learning-based automatic diagnosis of nasal fractures. (1) Background: The nasal bone is the most protuberant feature of the face; therefore, it is highly vulnerable to facial trauma and its fractures are known as the most common facial fractures worldwide. In addition, its adhesion causes rapid deformation, so a clear diagnosis is needed early after fracture onset. (2) Methods: The collected computed tomography images were reconstructed to isotropic voxel data including the whole region of the nasal bone, which are represented in a fixed cubic volume. The configured 3-dimensional input data were then automatically classified by the deep learning of residual neural networks (3D-ResNet34 and ResNet50) with the spatial context information using a single network, whose performance was evaluated by 5-fold cross-validation. (3) Results: The classification of nasal fractures with simple 3D-ResNet34 and ResNet50 networks achieved areas under the receiver operating characteristic curve of 94.5% and 93.4% for binary classification, respectively, both indicating unprecedented high performance in the task. (4) Conclusions: In this paper, it is presented the possibility of automatic nasal bone fracture diagnosis using a 3-dimensional Resnet-based single classification network and it will improve the diagnostic environment with future research.

scholarly journals External Fixation of Unstable, “Flail” Nasal Fractures

2012 ◽  
Vol 5 (2) ◽  
pp. 99-105 ◽  
Author(s):  
George E. Anastassov ◽  
Ali Payami ◽  
Zain Manji
Keyword(s):  
External Fixation ◽  
Closed Reduction ◽  
Nasal Septum ◽  
Bone Fractures ◽  
Nasal Bone ◽  
Facial Fractures ◽  
Kirschner Wires ◽  
Nasal Bones ◽  
External Stabilization ◽  
Nasal Fractures

Nasal bone fractures are the most common among facial fractures. Usually these are adequately treated with closed reduction and internal and/or external stabilization with splints. However, there are clinical situations where the nasal bones are severely displaced, the nasal septum fractured and displaced, or there are external drape lacerations which preclude the use of nasal splints. If the nasal bones are reducible but unstable we consider them “flail” and in this case transmucosal, endonasal Kirschner wires are used for dorsal support until sufficient healing occurs. The technique is simple, quick, and predictable and causes minimal discomfort to the patients.

scholarly journals Pearls of plastics in ENT practice that Conceals & Camouflages the Camber, Contour & Cosmesis in Facial Trauma

2022 ◽  
Vol 4 (1) ◽  
pp. 01-04
Author(s):  
Sphoorthi Basavannaiah
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Injuries ◽  
Facial Trauma ◽  
Facial Bones ◽  
Facial Injuries ◽  
Eye Symptoms ◽  
Tissue Injuries ◽  
Type Of Injury ◽  
Nasal Fractures

Facial trauma can involve soft tissue injuries such as burns, lacerations, bruises and even fractures of the facial bones such as nasal fractures and fractures of the jaw as well as injury to the eye. Symptoms are specific to the type of injury that can be either signs of inflammation or changes in facial definition. Facial injuries have the potential to cause temporary deviations in facial delineation to permanent disfigurement of facial structures.

scholarly journals Tratamento de fratura nasal pediátrica: relato de caso clínico

2019 ◽  
Vol 7 (12) ◽  
Author(s):  
Júlio Leite de Araújo-Júnior ◽  
Elma Mariana Verçosa de Melo-Silva ◽  
Anderson Maikon de Souza-Santos ◽  
Tiburtino José de Lima-Neto ◽  
Murilo Quintão dos Santos ◽  
...  
Keyword(s):  
Bone Fracture ◽  
Closed Reduction ◽  
Motor Vehicle ◽  
Nasal Bone ◽  
Facial Trauma ◽  
Motor Vehicle Collisions ◽  
Bone Deformity ◽  
Vehicle Collisions ◽  
Nasal Fractures ◽  
Zygomatic Fractures

Introdução: Os ossos nasais são os mais proeminentes do esqueleto facial, tornando esses os mais frequentes nas fraturas faciais, sendo o terceiro osso mais comumente fraturado do esqueleto humano. Objetivo: Apresentar um relato de caso de fratura nasal em um paciente pediatrico tratado com redução incruenta. Método: Estudo descritivo com um paciente que apresentou diagnóstico clínico/imaginológico de fratura nasal. Conclusão: O tratamento através de redução incluenta mostrou-se adequado em pacientes pediatricos. A ocorrência de traumatismos e lesões associadas a fraturas nasais reforça a importância de uma abordagem multidisciplinar.Descritores: Fraturas Ósseas; Osso Nasal; Traumatismos Faciais.ReferênciasMa L, Shen SH, Hu P, Wu ZQ. The observation of curative effect on closed reduction of nasal bone fracture under ultrasound guidance: report of 38 cases. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017;52(12):933-35.Schoinohoriti O, Igoumenakis D, Rallis G. Fractures of the nasal bones: is external splinting really warranted? J Craniofac Surg. 2017;28(8):e760-e63.Kang CM, Han DG. Correlation between Operation Result and Patient Satisfaction of Nasal Bone Fracture. Arch Craniofac Surg. 2017;18(1):25-9.Kyung H, Choi JI, Song SH, Oh SH, Kang N. Comparison of postoperative outcomes between monitored anesthesia care and general anesthesia in closed reduction of nasal fracture. J Craniofac Surg. 2018;29(2):286-88.Nishioka H, Kondoh S, Yuzuriha S. Convex bone deformity after closed reduction of nasal bone fracture. J Plast Reconstr Aesthet Surg. 2018;71(1):85-9.Lu GN, Humphrey CD, Kriet JD. Correction of Nasal Fractures. Facial Plast Surg Clin North Am. 2017;25(4):537-546.Kim SW, Park B, Lee TG, Kim JY. Olfactory Dysfunction in Nasal Bone Fracture. Arch Craniofac Surg. 2017;18(2):92-6.Davidson J, Nickerson D, Nickerson B. Zygomatic fractures: comparison of methods of internal fixation. Plast Reconstr Surg. 1990;86(1):25-32.Yabe T, Tsuda T, Hirose S, Ozawa T. Comparison of pediatric and adult nasal fractures. J Craniofac Surg. 2012;23(5):1364-6.Murphy RX Jr, Birmingham KL, Okunski WJ, Wasser TE. Influence of restraining devices on patterns of pediatric facial trauma in motor vehicle collisions. Plast Reconstr Surg. 2001;107(1):34-7.

Orbital Fractures

2021 ◽  
Vol 35 (04) ◽  
pp. 269-273
Author(s):  
Peiran Zhou ◽  
Christopher B. Chambers
Keyword(s):  
Clinical Evaluation ◽  
Treatment Options ◽  
Diagnostic Evaluation ◽  
Surgical Approaches ◽  
Facial Trauma ◽  
Orbital Fracture ◽  
Acute Management ◽  
Indications For Surgery ◽  
Orbital Fractures ◽  
Appropriate Treatment

AbstractOrbital fractures are common in facial trauma and can be a challenge to treat. Understanding anatomy of the orbit, the clinical evaluation, indications for surgery, surgical approaches, complications, and postoperative are essential in providing appropriate treatment for patients who have sustained orbital fractures. In this article, the authors review the diagnostic evaluation, acute management, treatment options, and common complications of orbital fractures, as well as recent advancements in orbital fracture repairs.

scholarly journals A Review of Mandibular Angle Fractures

2011 ◽  
Vol 4 (2) ◽  
pp. 69-72 ◽  
Author(s):  
Ramiro Perez ◽  
John C. Oeltjen ◽  
Seth R. Thaller
Keyword(s):  
Motor Vehicle ◽  
Treatment Plan ◽  
Neck Region ◽  
Facial Trauma ◽  
Mandibular Fractures ◽  
Mandibular Angle ◽  
Vehicle Accidents ◽  
Appropriate Treatment ◽  
Common Causes ◽  
Angle Fractures

After studying this article, the reader will be able to: (1) review the incidence and etiology of mandibular angle fractures; (2) gain an understanding of patient evaluation and general management principles; and (3) discuss indications and available techniques for management of mandibular angle fractures. Angle fractures represent the highest percentage of mandibular fractures. Two of the most common causes of mandibular angle fractures are motor vehicle accidents and assaults or altercations. With any patient who has sustained facial trauma, a thorough history and comprehensive physical examination centering on the head and neck region as well as proper radiological assessment are essential. These elements are fundamental in establishing a diagnosis and developing an appropriate treatment plan for any mandibular fracture.

scholarly journals Nasal Fractures: The Role of Primary Reduction and Secondary Revision

2019 ◽  
Vol 35 (06) ◽  
pp. 590-601 ◽  
Author(s):  
Weitao Wang ◽  
Thomas Lee ◽  
Scott Kohlert ◽  
Sameep Kadakia ◽  
Yadranko Ducic
Keyword(s):  
Rigid Fixation ◽  
Open Rhinoplasty ◽  
Facial Skeleton ◽  
Acute Setting ◽  
Nasal Bones ◽  
Secondary Deformity ◽  
Primary Reduction ◽  
Nasal Trauma ◽  
Nasal Fractures

AbstractThe nasal bones are among the most commonly fractured bones in the facial skeleton. Proper management of nasal trauma acutely is important in minimizing secondary deformities and impaired function with nasal airway obstruction. Septal hematoma, if present, should be drained right away. Acutely closed nasal reduction and limited septoplasty can be performed. Unrecognized septal fracture may play a role in the failure of closed nasal reduction of fractured nasal bones. Complex nasoorbitoethmoid fractures are approached openly and treated with rigid fixation. Primary use of open rhinoplasty in an acute setting is debated, and there are no clearly accepted indications for timing, patient selection, and surgical technique. However, open septorhinoplasty is more commonly used in a delayed fashion to provide definitive correction of any residual cosmetic or functional problems. Recent algorithms provide a systematic approach to nasal trauma and may improve secondary deformity rates following closed reduction.

scholarly journals A Study of External Nasal Splints used in Nasal Bone Fractures and Rhinoplasties

2011 ◽  
Vol 4 (1) ◽  
pp. 9-14 ◽  
Author(s):  
Sudhir Naik ◽  
Sudhir M Naik
Keyword(s):  
Retrospective Study ◽  
Head And Neck ◽  
Bone Fractures ◽  
Nasal Bone ◽  
Neck Surgery ◽  
Hospital Department ◽  
Plaster Of Paris ◽  
Medical College ◽  
Nasal Bones ◽  
Nasal Fractures

ABSTRACT Background/Objectives Plaster of Paris (POP), thermoplastic splints and self-adhesive padded aluminium splints are the most common splinting methods used after reduction of fractured nasal bones and rhinoplasty. All these methods have their proponents but may have one or more disadvantages in the way of being cumbersome, time-consuming, bulky, conspicuous and expensive. Design A retrospective study at KVG Medical College and Hospital, department of ENT and head and neck surgery. Intervention 94 cases of splinting done for nasal bone fractures and rhinoplasties were included in our study. POP and adhesive aluminium splints were used to stabilize the nasal framework. Results Eleven cases of nondislocated nasal fractures and 10 cases of internal augmentation rhinoplasties were stabilized by aluminium nasal splints. 69 cases of displaced nasal fractures and 4 cases of external rhinoplasties were stabilized by POP splints. Conclusions POP splints give the best stabilization for nasal bone fractures as well as for rhinoplasties but are bulky and conspicuous. Aluminium nasal splints are not bulky and conspicuous but cannot be used for fractures with lacerations and external rhinoplasties.

scholarly journals Evaluation of the epidemiological profile and oral rehabilitation of patients with buccomaxillofacial trauma

2018 ◽  
Vol 21 (2) ◽  
pp. 177
Author(s):  
Ana de Lourdes Sá De Lira ◽  
João Marques Mendes Neto ◽  
Italo José Zacarias Portela
Keyword(s):  
Traffic Accidents ◽  
Mouth Opening ◽  
Facial Trauma ◽  
Oral Rehabilitation ◽  
Nasal Bones ◽  
Stomatognathic System ◽  
Hospital Emergency Service ◽  
Before And After ◽  
Epidemiological Profile ◽  
Mandible Fractures

<p><strong>Objective</strong>: To obtain the epidemiological profile and follow the rehabilitation of patients with buccomaxillofacial trauma attended at a hospital emergency service. <strong>Material and Methods:</strong> The study consisted of the analysis of medical charts, evaluation and follow-up of adult patients, over 18 years of age, in the preoperative and postoperative period from August 2015 to July 2016. Of the 114 charts examined, all had their epidemiological profile evaluated, but only 45 patients underwent a maxillofacial surgical procedure. During the clinical evaluation, post-trauma conditions were recorded before treatment (T1) and 48 hours after surgical treatment (T2). <strong>Results</strong>: The age group most affected by buccomaxillofacial trauma was between 20 and 31 years, especially in the male gender. The mandible and nasal bones were the most affected by trauma. The limitation of mouth opening was the main consequence and the levels of buccal opening before and after treatment of mandible fractures were significantly different. <strong>Conclusions</strong>: The profile of patients with facial trauma was composed of men, aged between 21 and 30 years, motorcycle traffic accidents and physical aggression being the predominant causal factors. The facial bones most affected by the trauma were the jaw and the nasal bones. The limitation of mouth opening was a consequence of the trauma of the mandibular region. Immediate treatment of fractures that affected the mandible provided the restoration of the maximum opening, occlusion and homeostasis of the stomatognathic system in the postoperative patients.<br />KEYWORDS<br /> Trauma of head; Traumatology; Fracture fixation.</p><pre> </pre>

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