scholarly journals Lateral nasal wall abscess following manipulation of fractured nasal bones

2019 ◽  
Vol 12 (11) ◽  
pp. e232089
Author(s):  
Simon Morris ◽  
Heikki Whittet ◽  
Ali Salamat
Keyword(s):  
Nasal Bone ◽  
Purulent Discharge ◽  
Lateral Nasal Wall ◽  
Optimal Management ◽  
Facial Fractures ◽  
Nasal Bones ◽  
Nasal Fracture ◽  
Bone Fragments ◽  
Wall Mass ◽  
Nose And Throat

Nasal fracture accounts for over 50% of facial fractures and is a frequent presentation to ear, nose and throat emergency clinics. Optimal management of nasal injuries with deformity is by manipulation under anaesthetic and should be offered when appropriate. A healthy 27-year-old woman presented with a lateral nasal wall mass with purulent discharge 1 month following manipulation. CT imaging revealed a mass arising from fragments of the nasal bone, consistent with an abscess. Bone fragments and purulent material were initially debrided, with a subsequent formal excision of a persistent granuloma performed with an excellent cosmetic outcome. This appears to be the first description of a granuloma resulting from a closed reduction—manipulation of a nasal fracture.

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.

Ultrasound screening and catamnesis of euploid fetuses with nasal bones aplasia/hypoplasia

2017 ◽  
Author(s):  
N.P. Veropotvelyan, A.A. Bondarenko
Keyword(s):  
Chromosomal Abnormalities ◽  
Nasal Bone ◽  
Normal Karyotype ◽  
Psychomotor Development ◽  
Ultrasound Screening ◽  
Normal Height ◽  
Term Infants ◽  
Nasal Bones ◽  
Postnatal Outcome ◽  
Selection Of

Objective. To evaluate the pre- and postnatal outcomes of euploid fetuses with aplasia/hypoplasia of the nasal bones (NB). Methods. We have made the catamnestic monitoring of children with a normal karyotype, who had been prenatally detected NB aplasia or hypoplasia (less than 5 perentile) at 11–24 weeks of gestation at ultrasound screening in the period between 2006–2015 years. Our study included a selection of 242 fetuses with NB aplasia or hypoplasia, in 128 (52.8 %) of them the NB was not visualized or appeared as an echogenic dot only. Results. Among all 63 fetuses with NB aplasia (absence or looks as an echogenic dot) in the 1st trimester in 24 (38 %) cases chromosomal abnormalities (CA) were found (including T21 — 15 (62.5 %) cases). Other 39 (61.9 %) fetuses had a normal karyotype. Among 65 fetuses with NB aplasia, examined in the 2nd trimester of gestation 12 (18.4 %) cases of CA were detected (one fetus with T21 had the only one ultrasound marker – isolated NB aplasia), 53 (81.5 %) fetuses had a normal karyotype. 62 mothers of the euploid fetuses with NB aplasia had been surveyed. We have received and analyzed 31 (50 %) responses. In 16 cases of euploid fetuses with NB, aplasia pregnancy outcome was adverse or relatively unfavorable, only 5 (31.2 %) fetuses of them had isolated NB aplasia. In other cases healthy full-term infants were born, who showed normal height and weight indexes, physical and psychomotor development observed in age from 0 to 10. Conclusion. In 51.6 % fetuses and children prenatally had aplasia of the nasal bone was marked by unfavorable pre- or postnatal outcome, according to the survey of their mothers.

Association of Fetal Nasal Bone Length And Gestational Age Between 14-28 Weeks of Pregnancy

2020 ◽  
pp. 4-11
Author(s):  
OJS Admin
Keyword(s):  
Neural Crest ◽  
Gestational Age ◽  
Nasal Bone ◽  
Neural Crest Cells ◽  
Nasal Bones ◽  
Bone Length ◽  
Fetal Nasal Bone ◽  
Nasal Bone Length ◽  
Significant Structure

Nasal bone (NB) is a significant structure to be assessed during pregnancy in 1st and 2nd trimesters. Nasal bones that start to grow as neural crest cells (NCCs) collections, can histologically be confirmed when length of fetal crown–ump is 42mm (10.9 weeks).

A rare case of nasal gout

2020 ◽  
Vol 13 (10) ◽  
pp. e234788
Author(s):  
Emma Richards ◽  
Emma Watts ◽  
Lisha McClelland
Keyword(s):  
Disease Progression ◽  
Metabolic Disorder ◽  
Rare Case ◽  
Unusual Case ◽  
Metatarsophalangeal Joint ◽  
First Metatarsophalangeal Joint ◽  
Nasal Bones ◽  
Acute Attacks ◽  
Work Up ◽  
Nose And Throat

Gout is an increasingly common metabolic disorder worldwide. Classical presentation is with acute attacks of arthritis affecting the first metatarsophalangeal joint. With disease progression, tophi may also appear. We present an unusual case of nasal gout in a 55-year-old man who was referred to the Ear, Nose and Throat department with irregularity over the nasal bones and episodic pain. We discuss the work up, diagnosis and management of this case and review the limited literature on this topic.

scholarly journals Subcutaneous Lobular Capillary Hemangioma Presenting as a Facial Mass

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Charles Saadeh ◽  
Seckin O. Ulualp ◽  
Dinesh Rakheja
Keyword(s):  
Color Change ◽  
Benign Lesion ◽  
Excisional Biopsy ◽  
Capillary Hemangioma ◽  
Lateral Nasal Wall ◽  
Lobular Capillary Hemangioma ◽  
Mucous Membranes ◽  
Histologic Evaluation ◽  
Wall Mass ◽  
Surface Changes

Lobular capillary hemangioma is a benign lesion of the skin and mucous membranes. Subcutaneous lobular capillary hemangioma presents as a deeper nodule. Lack of the characteristic surface changes of this subtype of lobular capillary hemangioma makes the clinical diagnosis challenging. We describe clinical, radiologic, and histological features of a subcutaneous lobular capillary hemangioma tissue presenting as a facial mass in a 12-year-old male. The mass was a firm, nontender, immobile, subcutaneous nodule, with no color change of the overlying skin. CT imaging documented a hyperdense and nonlipomatous mass involving soft tissue of the left lateral nasal wall. An excisional biopsy was performed. Histologic evaluation showed subcutaneous lobular capillary hemangioma. Subcutaneous lobular capillary hemangioma, although uncommon, should be considered in the differential diagnosis of lateral nasal wall mass in children.

Changes in nasal aesthetics following nasal bone manipulation

2007 ◽  
Vol 122 (1) ◽  
pp. 38-41
Author(s):  
S C L Leong ◽  
M Abdelkader ◽  
P S White
Keyword(s):  
Bone Fractures ◽  
Nasal Bone ◽  
Post Treatment ◽  
Facial Injury ◽  
Nasal Fracture ◽  
Initial Injury ◽  
Nasal Trauma ◽  
The Aesthetic

AbstractNasal bone fractures are the commonest type of bony facial injury causing aesthetic deformity. The aim of this study was to identify the effect of nasal trauma and fracture manipulation on the aesthetic proportions of the nose, by comparing pre- and post-treatment nasal aesthetics. Thirty-two patients (26 men and 6 women) underwent aesthetic assessment prior to treatment of the injury by closed nasal manipulation, 7 to 10 days after the initial injury. Standard facial aesthetic photographic assessments were performed prior to and following manipulation. Assessment involved measurement of standard nasal aesthetic parameters. In the nasal trauma cohort, the main anomalies in nasal aesthetics were nasal deviation and differences in the nasal aesthetic profile. Nasal fracture manipulation successfully reduced deviation from an average of 35° pre-manipulation to an average of 9° post-manipulation.

scholarly journals Correction of bony deviation in rhinoplasty

2020 ◽  
Vol 47 (6) ◽  
pp. 516-521
Author(s):  
Kook Hyun Kim
Keyword(s):  
Side Effects ◽  
Nasal Bone ◽  
Functional Results ◽  
Review Article ◽  
Anatomical Structures ◽  
Patients Satisfaction ◽  
Deviated Nose ◽  
Nasal Bones ◽  
Precise Understanding ◽  
And Cartilage

In rhinoplasty, osteotomy is becoming more and more frequent as a way to achieve aesthetically pleasing and functional results, as well as patient satisfaction. In procedures to correct a deviated nose, osteotomy to correct the bone plays an essential role in addition to correction of the septum and cartilage, and osteotomy can reduce the wide nose bridge and give a slightly higher appearance in Asian rhinoplasty. However, osteotomy is relatively invasive, and the nasal bones of Asians are often low and thick, so bleeding or swelling during surgery can be somewhat more severe, and a stuffy nose can occur after surgery if osteotomy is performed incorrectly. Since side effects are possible, it is necessary to have a precise understanding of the relevant anatomy and technique. Several articles have described nasal bone osteotomy in rhinoplasty, and this review article introduces the methods presented in various articles, describes indications and limitations, and reviews the relevant anatomical structures and techniques in an accurate manner. We introduce a method that can increase patients’ satisfaction and the completeness of surgery through accurate osteotomy, as well as reducing the risk of side effects.

scholarly journals Sports-Related Pediatric Facial Trauma: Analysis of Facial Fracture Pattern and Concomitant Injuries

2019 ◽  
Vol 05 (04) ◽  
pp. e146-e149 ◽  
Author(s):  
Andrew A. Dobitsch ◽  
Nicholas C. Oleck ◽  
Farrah C. Liu ◽  
Jordan N. Halsey ◽  
Ian C. Hoppe ◽  
...  
Keyword(s):  
Pediatric Population ◽  
Skull Fracture ◽  
Management Strategies ◽  
Nasal Bone ◽  
Fracture Pattern ◽  
University Hospital ◽  
Facial Trauma ◽  
Facial Fractures ◽  
Facial Skeleton ◽  
Concomitant Injuries

Abstract Objective Sports-related injuries, such as facial fractures, are potentially debilitating and may lead to long-term functional and aesthetic deficits in a pediatric patient. In this study, we analyze sports-related facial fractures in the urban pediatric population in an effort to characterize patterns of injury and improve management strategies and outcomes. Methods Retrospective chart review was performed for all facial fractures resulting from sports injuries in the pediatric population at a level-1 trauma center (University Hospital, Newark, NJ). Results Seventeen pediatric patients were identified as having sustained a fracture of the facial skeleton due to sports injury. Mean age was 13.9 years old. A total of 29 fractures were identified. Most common fracture sites included the orbit (n = 12), mandible (n = 5), nasal bone (n = 5), and zygomaticomaxillary complex (n = 3). The most common concomitant injuries included skull fracture (n = 3), intracranial hemorrhage (n = 4), and traumatic brain injury (n = 4). One patient was intubated upon arrival to the emergency department. Hospital admission was required in 13 patients, 4 of which were admitted to an intensive care setting. Nine patients required operative intervention. Mean length of hospital stay was 2.4 days. No patients were expired. Conclusions Sports-related facial fractures are potentially debilitating injuries in the pediatric population. Analysis of fracture pattern and concomitant injuries is imperative to develop effective management strategies and prevention techniques.

Facial Injuries Due to Criminal Violence: A Retrospective Study of Hospital Attenders

1992 ◽  
Vol 32 (4) ◽  
pp. 345-353 ◽  
Author(s):  
C Ström ◽  
G Johanson ◽  
Å Nordenram
Keyword(s):  
Women Victims ◽  
Oral Surgery ◽  
Nasal Bone ◽  
Fracture Site ◽  
University Hospital ◽  
Patient Records ◽  
Criminal Violence ◽  
Assault Victims ◽  
The University ◽  
Nose And Throat

The material comprised 222 assault victims whose injuries required attention at the Departments of Oral Surgery and Ear, Nose, and Throat diseases, the Central Hospital in Falun or corresponding departments at the Karolinska Institutet, Stockholm or the University Hospital in Huddinge. Information was obtained from patient records. One hundred and thirty-eight patients had fractures and the remainder had flesh-wounds, haematomas or swellings. The most frequent fracture site was the nasal bone followed by the jaws. Forty-one per cent of the patients in Falun and 28 per cent in Stockholm reported the assaults to the police: in Falun the proportion of women victims who reported the assault was significantly higher than those who did not. The willingness to notify the police of the violence was not influenced by the use of drugs or the seriousness of the injuries. The study showed that violence in suburban Stockholm was aggravated: one-third of the patients in the study required hospitalization compared to a quarter in a rural area.

scholarly journals Postoperative Cephazolin Usage is Sufficient for Preventing Infection after Septoplasty Procedure

2011 ◽  
Vol 2 (2) ◽  
pp. ar.2011.3.0013 ◽  
Author(s):  
Evren Erkul ◽  
Mustafa Babayigit ◽  
Ozan Kuduban
Keyword(s):  
Outpatient Service ◽  
Inferior Turbinate ◽  
Nasal Endoscopy ◽  
Purulent Discharge ◽  
Lower Margin ◽  
Significant Difference ◽  
Scale Scores ◽  
Amoxicillin Clavulanate ◽  
Effective Use ◽  
Nose And Throat

The use of antibiotics in septoplasty is a common practice among most ear, nose, and throat doctors; however, there are few studies proving the efficacy, which is considered as unnecessary by some authors. The aim of this pilot study was to evaluate the effect of two different kinds of antimicrobial agent on efficacy and safety after septoplasty surgery and to show that use of cephazolin, 1.0 g, postoperatively, might be sufficient for preventing infection after septoplasty procedure. Patients were randomly divided into two groups with a simple randomization method. The first group of 80 patients received cephazolin, 1.0 g i.v., once postoperatively and the second group of 80 patients received amoxicillin–clavulanate orally for 7 days postoperatively (1000 mg). An early and late postoperative questionnaire and nasal endoscopy evaluation was performed and patients were followed up in the outpatient service to investigate the presence of complications. There was no significant difference in postoperative pain between groups A and B, using visual analog scale scores at the 1st postoperative day. There were no differences related to the amount of purulent discharge found at the lower margin of the inferior turbinate through nasal endoscopy performed on the 14th day postoperatively. There were no statistical significances among groups for complications rates and postoperative endoscopic evaluation. Septoplasties are considered potentially contaminated surgeries, and cephazolin, 1.0 g i.v., given once postoperatively is enough to prevent potential complications with its easy and effective use.

Sign in / Sign up

Export Citation Format

Share Document