Injury of the nose and its paranasal sinuses

Injuries of the nose and its paranasal sinuses . There are open and closed injuries. The nature of the damage depends on the strength and direction of the impact. Blunt injuries are accompanied by a closed fracture of the bones of the nose, and sometimes the walls of the paranasal sinuses. When rupture of the mucosa after blowing, subcutaneous emphysema appears. Severe nose injuries are often accompanied by loss of consciousness and shock. Often observed nasal bleeding, hematoma of the nasal septum.

Symptoms, course. Swelling of soft tissues, deformation of the nose, bruising and hemorrhages, often extending to the area of ​​the upper and lower eyelid. When palpation is determined crepitation fragments. The place of a fracture of the bones of the nose can be determined by radiographic examination.

Treatment. After anesthesia, fractures of the bones of the nose are corrected. The lateral displacement of the dorsum of the nose is eliminated by pressing the displaced parts of the nasal skeleton with the fingers of both hands. In a number of cases, when the fragments fall, they should be raised with a narrow elevator inserted into the nose. After repositioning, sterile tampons moistened with vaseline oil are injected into the nose. Nasal bleeding is stopped by tamponade.