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Injuries and curvatures of a nose

Injuries of a nasal partition – mechanical damages of the bone and cartilaginous plate dividing a nose cavity into two parts. Changes of a nasal partition and bones of a nose and nose bruises meet more often. Are shown by difficulty of nasal breath, bleeding from a nose, pain, hypostasis. Consequences of injuries are nasal bleedings, formation of hematomas and abscesses, a curvature of a nasal partition, deformation of a nose, chronic inflammatory processes in a nose cavity.

Injuries and curvatures of a nose

Injuries of a nasal partition – mechanical damages of the bone and cartilaginous plate dividing a nose cavity into two parts. Changes of a nasal partition and bones of a nose and nose bruises meet more often. Are shown by difficulty of nasal breath, bleeding from a nose, pain, hypostasis. Consequences of injuries are nasal bleedings, formation of hematomas and abscesses, a curvature of a nasal partition, deformation of a nose, chronic inflammatory processes in a nose cavity.

The main reasons for injuries of nose – falling, a fight, sports injuries and road accidents. More often boys of school age and young men suffer from injuries of a nose.

Classification of injuries of nose

Firm "framework" of a nose consists of three pair cartilages located on each side a nose and one unpaired quadrangular cartilage – a nasal partition. In the top part of a nose cartilages connect to the pair nasal stones forming a nose back. On each side nasal stones are adjoined by the frontal shoots of the top jaw forming the verkhnebokovy surfaces of a nose. In depth the nasal partition connects to a perpendicular plate of a trellised bone. From above cartilages and bones of a nose are covered with skin and soft fabrics.

Allocate the following types of injuries of nose:

All types of damages can be closed (without violation of integrity of integuments) and opened (with violation of integrity of skin). Open injuries (wounds) of a nose can be getting and not getting into a nose cavity.

Injuries of a nose are quite often combined with a craniocereberal trauma. Concussion of a brain is followed by nausea, dizziness and a headache.

Symptoms of injuries of nose

Any injury of a nose is followed by hypostasis of soft fabrics which can complicate diagnostics. At damage of soft tissues of nose nasal bleeding develops not always. Symptoms of a fracture of bones of a nose and a nasal partition are:

  • Nasal bleeding.

It is necessary to consider that degree of expressiveness of nasal bleeding not always reflects weight of injuries of a nose. Intensive nasal bleedings can be observed at patients with the accompanying hypertension, dysfunction of a liver and diseases of blood.

  • The expressed hypostasis and hyperaemia of a nose.

At a fracture of bones and cartilages of a nose blood follows in soft fabrics from the place of damage, forming a hematoma. Without treatment the hematoma can suppurate. Suppuration of a hematoma is followed by sharp pain in a nose, a headache and temperature increase.

In case blood accumulates under a mucous membrane of a partition of a nose, the hematoma of a nasal partition closing a gleam of the nasal courses and complicating nasal breath is formed. If not to empty a hematoma of a nasal partition in the surgical way, it can become a cause of destruction of a cartilage and deformation of a nasal partition.

  • Change of a shape of a nose.

Depending on a type of damage (a fracture of bones of a nose, damage of a nasal partition) the shift of a nose or zapadeny its backs can be observed.

  • Difficulty of nasal breath.
  • Sharp pain at palpation of a nose.

The fracture of bones of a nose and nasal partition can be combined with damage of the next bodies and deep bone structures. Plentiful bleeding can signal about the accompanying injury of bones. Dacryagogue arises at the accompanying trauma of slezovyvodyashchy ways and eye-sockets. At a fracture of a trellised bone the expiration of cerebrospinal fluid is observed.

It is difficult for nonspecialist to distinguish cerebrospinal fluid from tears therefore in all cases of the injuries of nose which are followed by release of transparent liquid it is necessary to ask immediately for the help the otolaryngologist or the traumatologist.

Diagnosis of injuries of nose

To patients with injuries of a nose conduct an otolaringoskopichesky research. At suspicion of a fracture of bones of a nose carry out a X-ray analysis of bones of a nose, at symptoms of concussion and combined injury of a nose – a skull X-ray analysis. Patients with symptoms of concussion of a brain are examined by the neurologist.

Treatment of injuries of nose

At the closed damages of soft tissues of nose special treatment is not required. To the place of damage put cold. At plentiful bleeding carry out a nose tamponada. Open injuries of a nose always constitute a certain danger. The wound can be infected and suppurate. At suppuration of the getting wounds of a nose the infection extends to bones and cartilages of a nose. It is independently difficult to estimate a damage rate and depth of a wound therefore at any open injuries of a nose it is necessary to see a doctor.

At damages of a nasal partition and a fracture of bones of a nose with shift the repozition is carried out. If from the moment of a trauma there passed no more than ten days, otlomk put into place without operation. The procedure is carried out under local anesthesia.

Old fractures of bones of a nose (more than ten days from the moment of a change) and difficult damages are the indication for expeditious treatment – rhinoplasty. If the fracture of bones of a nose is combined with damage of a nasal partition, the septoplastika is in addition carried out.

Curvature of a nasal partition

The curvature of a nasal partition becomes frequent an outcome of injuries of nose, especially – if treatment was not carried out or carried out in insufficient volume. Other possible reason of a curvature of a nasal partition – the wrong development of a facial skeleton.

About a curvature of a nasal partition the following symptoms can signal:

  • Violation of nasal breath.

Perhaps weak, moderated or expressed violation of nasal breath. At a unilateral curvature of a nasal partition nasal breath is broken on the one hand, and can remain unnoticed for the patient.

At a curvature of a nasal partition favorable conditions for emergence of infectious processes in a nasal cavity and a cavity of additional bosoms are created. Nasal breath is complicated therefore cavities are badly ventilated and cleared. The nasal cavity is connected to additional bosoms clever moves. The mechanical obstacle (the bent partition) closes the courses, becomes the cause and the persistent course of inflammatory processes in additional bosoms.

The brightest symptom of a curvature of a nasal partition is violation of symmetry of a nose (shift to the left or to the right), Besides, patients are often disturbed by dryness in a nose cavity. Because of violation of nasal breath snore develops.

At poorly expressed symptomatology or lack of symptoms patients with a curvature of a nasal partition, as a rule, insufficiently seriously treat the disease and prefer not to ask for medical assistance. Meanwhile, violation of normal nasal breath leads to adverse changes from various bodies and systems. Immunity, cardiovascular system, system of blood and the sexual sphere suffers. Patients with a curvature of a nasal partition catch a cold more often and longer have catarrhal diseases.

Treatment of a curvature of a nasal partition

Correction of a nasal partition is carried out in the surgical way. Operations on a nasal partition can be performed under local anesthesia or the general anesthesia. The classical technique – operation on Killian's method is used. In recent years modern, less traumatic techniques with use of the endoscopic equipment are widely applied.

Injuries and curvatures of a nose - treatment should be carried out only under the supervision of a doctor. Self-treatment is unacceptable!!!

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