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A nasal fracture, commonly referred to as a broken nose, is a fracture of one of the bones of the nose. [3] Symptoms may include bleeding, swelling, bruising, and an inability to breathe through the nose. [1] [3] They may be complicated by other facial fractures or a septal hematoma. [1]
A history of trauma to the nose is often present including trauma from the process of birth or microfractures. [7] A medical professional, such as an otorhinolaryngologist (ears, nose, and throat doctor), typically makes the diagnosis after taking a thorough history from the affected person and performing a physical examination. [ 7 ]
It is typically caused by a basilar skull fracture, which presents complications such as infection. It may be diagnosed using brain scans (prompted based on initial symptoms), and by testing to see if discharge from the nose is cerebrospinal fluid. Treatment may be conservative (as many cases resolve spontaneously), but usually involves ...
A basilar skull fracture typically requires a significant degree of trauma to occur. [1] It is defined as a fracture of one or more of the temporal, occipital, sphenoid, frontal or ethmoid bone. [1] Basilar skull fractures are divided into anterior fossa, middle fossa and posterior fossa fractures. [1] Facial fractures often also occur. [1]
The danger triangle of the face consists of the area from the corners of the mouth to the bridge of the nose, including the nose and maxilla. [1] [2]: 345–346 Due to the special nature of the blood supply to the human nose and surrounding area, it is possible for retrograde infection from the nasal area to spread to the brain, causing cavernous sinus thrombosis, meningitis, or brain abscess.
For example, fractures of the orbital floor or medial orbital wall of the eye can entrap the medial rectus or inferior rectus muscles. [29] In facial wounds, tear ducts and nerves of the face may be damaged. [3] Fractures of the frontal bone can interfere with the drainage of the frontal sinus and can cause sinusitis. [30]
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Treatment for a nasal septal abscess is similar to that of other bacterial infections. Aggressive broad spectrum antibiotics may be used after the infected area has been drained of fluids. References