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For nasal fractures where the nose has been deformed, manual alignment (ie, closed reduction) may be attempted, usually with good results. Manually alignment should be performed in adults within 10 days of injury (prior to the bone healing in the misaligned state).
When a bone fractures, the fragments lose their alignment in the form of displacement or angulation. For the fractured bone to heal without any deformity the bony fragments must be re-aligned to their normal anatomical position. Orthopedic surgery attempts to recreate the normal anatomy of the fractured bone by reduction of the displacement.
A nasal-lining defect 5–15 mm in diameter can be closed with a random transposition flap harvested from a nasal area that remains protected, either by the nasal bones or by the upper lateral cartilages; and the flap donor-site can be healed by secondary intention, re-epithelialisation. For a mucosa defect greater than 15 mm in diameter, the ...
Lateral nasal defects are usually closed with an ipsilateral paramedian forehead flap. Central nasal defects can be reconstructed using either a right- or left-sided forehead flap. The ipsilateral pedicle is closer to the defect than the contralateral pedicle, therefore the flap can be made shorter when using the ipsilateral side.
Nasal surgery is a specialty including the removal of nasal obstruction that cannot be achieved by medication and nasal reconstruction. Currently, it comprises four approaches, namely rhinoplasty, septoplasty, sinus surgery, and turbinoplasty, targeted at different sections of the nasal cavity in the order of their external to internal positions.
The Le Fort II fracture (pyramidal fracture) includes a fracture line from one of the lateral vertical buttresses across the maxillary bone, extending into the inferior orbital rim and crossing the midline (either through the nasal root or nasal bones). [5] The defining feature of this fracture pattern is involvement of the inferior orbital rim ...
The major symptoms of ENS include a sensation of suffocation, nasal dryness, nasal burning, nasal crusting, and an impaired sense of airflow through the nose in patients who have had surgery or injury to nasal turbinates. [13] ENS can greatly reduce a patient's quality of life and many patients struggle to complete activities of daily living.
Septoplasty (Latin: saeptum, "septum" + Ancient Greek: πλάσσειν, romanized: plassein, "to shape"), or alternatively submucous septal resection and septal reconstruction, [1] is a corrective surgical procedure done to straighten a deviated nasal septum – the nasal septum being the partition between the two nasal cavities. [2]