Fraktur Nasal

Pembimbing :
dr. Saktrio D Subarno, Sp.BP-RE
 IDENTITY

• Name : Mr. W
• Age : 21 years old
• Address : Kendari
• Occupation : Student
• Admission : November, 23th 2021
• Doctor in Charge : dr. Saktrio. D. Subarno., Sp.BP-RE
DIAGNOSIS
POST OP REPAIR NASAL
TINDAKAN
• Rawat luka
LITERATURE REVIEW
Nasal trauma can occur due to:
• The age of the patient greatly affects the
flexibility of the tissue in reducing the
energy of the blow
• The magnitude of the force of the blow
• The direction of the blow
The pattern of nasal fractures is
distinguished according to the
direction of trauma, including:
• Lateral trauma
• Sagittal trauma
• Inferior trauma
Medical History (Anamnese)
Questions to ask a patient suspected of a nasal fracture:
• Is there any change in the appearance of the nose shape after trauma?
• How long has it been since the trauma?
• How did the trauma to your nose occur?
• Has there been a history of previous nasal damage?
• Have you had nose surgery before? Is there a blockage in the nose after trauma?
• Is there a history of nasal allergies or sinusitis?
• Are there any photos of yourself before the trauma?
Physical Examination
• Inspection from the outside and inside, whether there is a change in shape, shift
(deviation) or an abnormal shape. The presence of hematomas, lacerations and mucosal
tears strongly suggests a fracture. Eyelid oedema, periorbital ecchymosis, scleral
ecchymosis, and subconjunctival hemorrhage, lacrimal trauma are additional clinical
signs.
• Intranasally there is mucosal decongestion and the presence of blood clots that need to
be removed carefully. cerebrospinal fluid leakage, deviation or protrusion of the nasal
septum.
• Palpation is done systematically to assess the presence of pain and impaired stability.
The presence of depression of the nasal bones, changes in bone position (displacement),
false movement of bones (false movement), crepitus, can be diagnosed with a nasal
fracture.
Radiology Examination
• The radiographic examinations chosen were lateral nasal photos (using dental
occlusion film), frontal, and Water's. Lateral photographs are used to view separation
and depression. The frontal view can show problems with the alignment of the bony
septum and the shape of the piriform rim. Water's radiographs may show symmetrical
or asymmetrical facial bones, displacement of the maxillary frontal processes,
displacement of the septal cartilage, and orbital fractures.
• IVFD
• Antibiotics
• Analgetic
• H2RA
• Operation : Open Reduction Internal Fixation Nasal