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NASAL BONE FRACTURE
NUR HANISAH
BINTI ZAINOREN
TRAUMA TO THE FACE
LOWER THIRD
Mandible and
lower teeth
MIDDLE THIRD
Between the
supraorbital
ridge and the
upper teeth
UP...
TRAUMA TO THE FACE
LOWER THIRD
Mandible and
lower teeth
MIDDLE THIRD
Between the
supraorbital
ridge and the
upper teeth
UP...
TRAUMA TO THE FACE
LOWER THIRD
Mandible and
lower teeth
MIDDLE THIRD
Between the
supraorbital
ridge and the
upper teeth
UP...
Fractures of nasal bones are the most
common trauma to the face because of
the projection of nose on the face
Traumatic fo...
Types of
Nasal Fractures
depressed angulated
 Due to frontal blow
 Lower part of nasal bones
(thinner), easily gives way
 Severe frontal blow will cause
“open-book ...
ANGULAT
EDDue to lateral blow
May cause:
 Unilateral depression of
nasal bone on the same
side
 Fracture both nasal bone...
CLINICAL
FEATURES
Swelling
of nose
Periorbital
ecchymosis
Tenderness
Nasal
deformity
Crepitus
Epistaxis
Nasal
obstruc-
tio...
DIAGNOSIS
• Best made on physical
examination
• Xray:
– may or may not show
fracture
– Patient should not be
dismissed as ...
TREATMENT
• Simple fracture with no displacement  NO
TREATMENT
• Closed reduction
– Interfered by presence of oedema
– Be...
REFERENCES
• Diseases of Ear, Nose and Throat & Head and
Neck Surgery, 6th Edition, PL Dhingra, Elsevier
• https://www2.ao...
THANK YOU
NASAL BONE FRACTURE
NASAL BONE FRACTURE
NASAL BONE FRACTURE
NASAL BONE FRACTURE
NASAL BONE FRACTURE
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NASAL BONE FRACTURE

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NASAL BONE FRACTURE

  1. 1. NASAL BONE FRACTURE NUR HANISAH BINTI ZAINOREN
  2. 2. TRAUMA TO THE FACE LOWER THIRD Mandible and lower teeth MIDDLE THIRD Between the supraorbital ridge and the upper teeth UPPER THIRD Above the level of supraorbital ridge
  3. 3. TRAUMA TO THE FACE LOWER THIRD Mandible and lower teeth MIDDLE THIRD Between the supraorbital ridge and the upper teeth UPPER THIRD Above the level of supraorbital ridge
  4. 4. TRAUMA TO THE FACE LOWER THIRD Mandible and lower teeth MIDDLE THIRD Between the supraorbital ridge and the upper teeth UPPER THIRD Above the level of supraorbital ridge
  5. 5. Fractures of nasal bones are the most common trauma to the face because of the projection of nose on the face Traumatic force may act from the front or side Magnitude of force will determine the depth of injury
  6. 6. Types of Nasal Fractures depressed angulated
  7. 7.  Due to frontal blow  Lower part of nasal bones (thinner), easily gives way  Severe frontal blow will cause “open-book fracture”  nasal septum is collapsed and nasal bones splayed out  Greater force  comminution of nasal bones and even the frontal process of maxillae with flattening and widening of nasal dorsum DEPRES
  8. 8. ANGULAT EDDue to lateral blow May cause:  Unilateral depression of nasal bone on the same side  Fracture both nasal bones & septum with deviation of nasal bridge nasal fractures are often accompanied by injuries of nasal septum (buckled, dislocated, or comminuted)
  9. 9. CLINICAL FEATURES Swelling of nose Periorbital ecchymosis Tenderness Nasal deformity Crepitus Epistaxis Nasal obstruc- tion Lacerations of nasal skin
  10. 10. DIAGNOSIS • Best made on physical examination • Xray: – may or may not show fracture – Patient should not be dismissed as having no fracture because xrays did not reveal it – Should include Water’s view, right & left lateral view and occlusal view
  11. 11. TREATMENT • Simple fracture with no displacement  NO TREATMENT • Closed reduction – Interfered by presence of oedema – Best time is before the appearance of oedema, or after it has subsided (usually 5-7 days) – Difficult after 2 weeks because it heals by that time • Open reduction (rare)
  12. 12. REFERENCES • Diseases of Ear, Nose and Throat & Head and Neck Surgery, 6th Edition, PL Dhingra, Elsevier • https://www2.aofoundation.org/wps/portal/!ut/ p/a0/04_Sj9CPykssy0xPLMnMz0vMAfGjzOKN_A0 M3D2DDbz9_UMMDRyDXQ3dw9wMDAzMjfULsh 0VAbWjLW0!/?bone=CMF&classification=92- Nasal%2FNOE%2C%20Nasal%20bone&segment= Midface&showPage=diagnosis&teaserTitle=&con tentUrl=/srg/92/01-Diagnosis/nasal.jsp
  13. 13. THANK YOU

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