复旦大学：《耳鼻咽喉科学》课程教学资源（PPT课件讲稿，英文版）Fracture of nasal bone

Fracture of nasal bone Etiology Traffic accident Physical combat Sports injury Nasal bone Upper end: thick Lower end: thin

Fracture of nasal bone Etiology Traffic accident Physical combat. Sports injury Nasal bone--- Upper end: thick Lower end: thin

Symptoms signs: Pain, epistaxis nasal deformity or deviation, bruising Diagnosis: X-ray in lateral view. Septal hematoma?- p uncture Treatment: Hemostasia, cleaning suturing wound, restoring alignment

Symptoms & Signs：Pain, epistaxis, nasal deformity or deviation, bruising. Diagnosis：X-ray in lateral view. Septal hematoma?——puncture Treatment：Hemostasia, cleaning & suturing wound, restoring alignment

Reduction of nasal bone Before soft tissue edema 5-7 days after injury e Wanshan forceps .Nasal packing for 2-3d A

Reduction of nasal bone •Before soft tissue edema •5—7 days after injury •Walshan forceps •Nasal packing for 2-3d

Deal with septal hematoma abscess Septal hemotoma drainage as early as possible L” Incision on septum Postoperative nasal packing Adequate antibiotics

Deal with septal hematoma & abscess •Septal hemotoma drainage as early as possible. •“L” incision on septum. • Postoperative nasal packing. • Adequate antibiotics

Fracture of frontal bone Pathology: Often combine with fracture of naso-fronto-ethmoido-orbital complex Front wal front back wall

Fracture of frontal bone Pathology：Often combine with fracture of naso-fronto- ethmoido-orbital complex. Front wall Front & back wall

Base fracture(frontonasal fracture) Stringy, sunken and smashed fracture Symptoms signs: Epistaxis. edema or sunken front

Base fracture (frontonasal fracture) Stringy, sunken and smashed fracture Symptoms & Signs： Epistaxis, edema or sunken front

Diagnosis: Frontal palpation, X-ray, CT scans front wall fracture front back wall fracture ( sunken fracture陷型)( smashed fracture粉碎型)

front wall fracture front & back wall fracture (sunken fracture凹陷型) (smashed fracture 粉碎型) Diagnosis：Frontal palpation, X-ray, CT scans

Treatment: According to the situation l、 stringy fracture 2、 sunken fracture 3、 smashed fracture 4 front back wall fracture 5 base fracture(frontonasal fracture):restore the function of frontal sinus Principle: To isolate the communication between frontal sinus and cranial cavity to prevent rhinogenic complications, to keep the frontal part from deformation

Treatment：According to the situation: 1、 stringy fracture 2、 sunken fracture 3、 smashed fracture 4、 front & back wall fracture 5、base fracture (frontonasal fracture): restore the function of frontal sinus. Principle：To isolate the communication between frontal sinus and cranial cavity, to prevent rhinogenic complications, to keep the frontal part from deformation

Fracture of ethmoidal bone Pathology: Often combine with fracture of naso-fronto-ethmoido-orbital complex ◇ 口c Fracture of naso-fronto- ethmoido-orbital complex

Fracture of naso-fronto- ethmoido-orbital complex Fracture of ethmoidal bone Pathology：Often combine with fracture of naso-fronto- ethmoido-orbital complex

Symptoms signs: Edema of eyelid or nasal root, increase in the intercanthal distance sunken front vision disorder Diagnosis X-ray film CT Scan 厘

Symptoms & Signs： Edema of eyelid or nasal root, increase in the intercanthal distance. sunken front ， vision disorder, Diagnosis： X-ray film, CT scan