Nasal fracture - Revision history

Rossdonaldson1: /* Background */

2024-04-10T19:50:25Z

Background

← Revisión anterior		Revisión del 19:50 10 abr 2024
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	==Background==		==Background==
			[[File:F2.png\|thumb\|Normal anatomy of the nasal sinuses.]]
	*Always assess for associated head, face, and neck injuries		*Always assess for associated head, face, and neck injuries

2019-09-30T21:20:10Z

← Revisión anterior		Revisión del 21:20 30 sep 2019
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	[[File:BrokenNose.jpg\|thumb\|Displaced nasal fracture with epistaxis.]]		[[File:BrokenNose.jpg\|thumb\|Displaced nasal fracture with epistaxis.]]
	*Nasal deformity, bony crepitus		*Nasal deformity, bony crepitus
	*Profuse epistaxis		*Profuse [[epistaxis]]
	*Periorbital ecchymosis in the absence of other findings of orbital injury		*Periorbital ecchymosis in the absence of other findings of orbital injury

	==Pediatric Considerations==		==Pediatric Considerations==
	* More cartilage present		* More cartilage present
	* Septal ~~hematomas~~ are more common, as nasal septum is more at risk of injury		* [[Septal hematoma]]s are more common, as nasal septum is more at risk of injury
	* Injuries heal more quickly, requiring followup in 7-10 days, whereas adults should seek specialist care in 2 weeks.		* Injuries heal more quickly, requiring followup in 7-10 days, whereas adults should seek specialist care in 2 weeks.

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	#*Anesthesia		#*Anesthesia
	#**Place [[lidocaine]] soaked cotton pledgets for 5 minutes		#**Place [[lidocaine]] soaked cotton pledgets for 5 minutes
	#**Inject local ~~anesthetic~~		#**Inject [[local anesthetics]]
	#**Perform [[Nerve Block: Infraorbital\|infraorbital]] and [[Nerve Block: supraorbital\|supraorbital]] nerve block if needed		#**Perform [[Nerve Block: Infraorbital\|infraorbital]] and [[Nerve Block: supraorbital\|supraorbital]] nerve block if needed
	#*Reduction		#*Reduction

2019-05-10T05:50:35Z

Clinical Features

← Revisión anterior		Revisión del 05:50 10 may 2019
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	==Clinical Features==		==Clinical Features==
			[[File:BrokenNose.jpg\|thumb\|Displaced nasal fracture with epistaxis.]]
	*Nasal deformity, bony crepitus		*Nasal deformity, bony crepitus
	*Profuse epistaxis		*Profuse epistaxis
	*Periorbital ecchymosis in the absence of other findings of orbital injury		*Periorbital ecchymosis in the absence of other findings of orbital injury

	==Pediatric Considerations==		==Pediatric Considerations==
	* More cartilage present		* More cartilage present

2017-09-19T14:19:20Z

Management

← Revisión anterior		Revisión del 14:19 19 sep 2017
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	#Consider ED reduction (only if patient presents before significant swelling has occurred)		#Consider ED reduction (only if patient presents before significant swelling has occurred)
	#*Anesthesia		#*Anesthesia
	#**Place l[[~~idocaine~~]] soaked cotton pledgets for 5 minutes		#**Place [[lidocaine]] soaked cotton pledgets for 5 minutes
	#**Inject local anesthetic		#**Inject local anesthetic
	#**Perform [[Nerve Block: Infraorbital\|infraorbital]] and [[Nerve Block: supraorbital\|supraorbital]] nerve block if needed		#**Perform [[Nerve Block: Infraorbital\|infraorbital]] and [[Nerve Block: supraorbital\|supraorbital]] nerve block if needed

2017-08-08T21:58:05Z

← Revisión anterior		Revisión del 21:58 8 ago 2017
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	*Profuse epistaxis		*Profuse epistaxis
	*Periorbital ecchymosis in the absence of other findings of orbital injury		*Periorbital ecchymosis in the absence of other findings of orbital injury
			==Pediatric Considerations==
			* More cartilage present
			* Septal hematomas are more common, as nasal septum is more at risk of injury
			* Injuries heal more quickly, requiring followup in 7-10 days, whereas adults should seek specialist care in 2 weeks.

	==Differential Diagnosis==		==Differential Diagnosis==

2017-07-24T01:13:24Z

Text replacement - "==References== " to "==References== <references/> "

2016-07-24T03:16:15Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Revisión anterior		Revisión del 03:16 24 jul 2016
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	{{Maxillofacial trauma DDX}}		{{Maxillofacial trauma DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*Clinical diagnosis (imaging rarely needed)		*Clinical diagnosis (imaging rarely needed)

2016-07-09T07:36:22Z

Text replacement - "==Treatment==" to "==Management=="

← Revisión anterior		Revisión del 07:36 9 jul 2016
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	*Clinical diagnosis (imaging rarely needed)		*Clinical diagnosis (imaging rarely needed)

	==~~Treatment~~==		==Management==
	''Most nasal fractures do not require immediate intervention''		''Most nasal fractures do not require immediate intervention''
	#Exclude other associated traumatic injuries		#Exclude other associated traumatic injuries

2015-12-03T18:17:40Z

Disposition

← Revisión anterior		Revisión del 18:17 3 dic 2015
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	==Disposition==		==Disposition==
	*Outpatient		*Outpatient
	**Refer to ENT within 6-~~10d~~ regardless of whether perform reduction or not		**Refer to ENT within 6-10 days regardless of whether perform reduction or not
	**No nose blowing		**No nose blowing

2015-12-03T18:17:12Z

Treatment

← Revisión anterior		Revisión del 18:17 3 dic 2015
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	==Treatment==		==Treatment==
	''Most nasal fractures do not require immediate intervention''		''Most nasal fractures do not require immediate intervention''

	#Exclude other associated traumatic injuries		#Exclude other associated traumatic injuries
	#Treat septal hematoma if present		#Treat [[septal hematoma]] if present
	#*Immediately incise and drain		#*Immediately incise and drain
	#Consider ED reduction (only if patient presents before significant swelling has occurred)		#Consider ED reduction (only if patient presents before significant swelling has occurred)
	#*Anesthesia		#*Anesthesia
	#**Place ~~lidocaine~~ soaked cotton pledgets for ~~5min~~		#**Place l[[idocaine]] soaked cotton pledgets for 5 minutes
	#**Inject local anesthetic		#**Inject local anesthetic
	#**Perform [[Nerve Block: Infraorbital\|infraorbital]] and [[Nerve Block: supraorbital\|supraorbital]] nerve block if needed		#**Perform [[Nerve Block: Infraorbital\|infraorbital]] and [[Nerve Block: supraorbital\|supraorbital]] nerve block if needed