By: Meriam Ibanez Barrios BSN III
A nose fracture is a break in the bone or cartilage over the bridge, in the sidewall, or septum (line dividing the nostrils) of the nose.
The nasal septum is the central partition in the nose made of bone and a rubbery substance (called cartilage) which separates the two nostrils. It is rarely situated absolutely in the middle but in most people it is straight and fairly centrally placed.
However, in some people the septum is either bent or deviated in some way. This can be very mild or, in some cases, so bad that one nostril is completely blocked.
This report aims to; Discussed of what the disease is all about. Discussed the pathophysiology of the
disease. Enumerate the etiology of the disease. Enumerate the signs and symptoms of the
disease. Give proper nursing assessment about the
disease. Enumerate some diagnostic test. Enumerate medical and nursing
management of the disease. Give the prognosis of the disease
Unilateral fracture involves only one side of the nose. It causes little displacement and deformity.
Bilateral fractures are more common, with the depression or displacement of both nasal bones to one side. The nose appears flattened or deviated with an S and C configuration.
Complex fractures may also involve the septum, ascending process of the maxilla and frontal bones of the face.
The septal cartilage bulges or deviates to one side partially or totally obstructing the nares.
Sports injury Trauma related to violence or motor
vehicle crashes. Child birth injury
Blood coming from the nose
ecchymosis Difficulty
breathing through the nose
crepitus
Deformity or displacement to one side
Pain Swelling
Health history; nature and circumstances of the injury: pain: ability to breath trough the nose.
Physical examination: evident trauma; ecchymosis, deformity of the nose, VS, ease; gently palpate nose and facial bones for crepitus; inspect oropharynx for drainage; test nasal discharge for glucose.
Head and facial X-rays Intranasal cavity examination CT scan
Nasal fracture Deviated septum
Control bleeding Reduce edema Antibiotics Analgesics agents Decongestant nasal
spray Rhinoplasty
Removed the obstructionTreat chronic infection Treat allergiesFlonaseSingulairAntibioticsAntihistamineSubmucosal resectionSeptoplasty
Nasal fracture Deviated septum
Apply ice and keep head elevated
Instruct the patient to apply ice packs 20 min. 4x daily to decrease swelling
Packing inserted to stop bleeding
Rinse the mouth to keep moisten
Avoid sports activities for 6 weeks
Keep head of the bed elevated
Encourage to do frequent oral hygiene
Instruct client to avoid blowing the nose with force
Discussed to the client the S/S of bleeding ,infection and when to contact the physician.
Nondisplaced nasal fractures have an excellent prognosis, usually healing with no cosmetic or functional deformity. Displaced fractures, even after closed reduction, often have residual cosmetic deformity and septal deviation, often necessitating rhinoplasty and/or septoplasty.
Textbook of medical medical-surgical nursing 7th edition by; Suzzanne C. Smeltzer et. Al; page 606-607
Copyright © 2008 by Lippincott Williams & Wilkins, a Wolters Kluwer business.
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