Higuera Stephen, Lee Edward I, Cole Patrick, Hollier Larry H, Stal Samuel
Houston, Texas From Baylor College of Medicine and Department of Plastic Surgery.
Plast Reconstr Surg. 2007 Dec;120(7 Suppl 2):64S-75S. doi: 10.1097/01.prs.0000260722.91183.50.
As the most prominent facial feature, the nose carries an increased risk of traumatic injury. Nasal fracture is the most common bone injury of the adult face and frequently results from motor vehicle accidents, sports-related injuries, and altercations. Although often initially considered minor, nasal fracture may eventually result in significant cosmetic or functional defects. Optimal management of nasal trauma in the acute setting is critical in minimizing secondary nasal deformities. In recent years, numerous guidelines have been described to refine and optimize acute nasal trauma management. However, restoration of pretraumatic form and function remains a challenge. Commonly the product of a poorly addressed underlying structural injury, posttraumatic nasal deformity requiring subsequent rhinoplasty or septorhinoplasty remains in as many as 50 percent of cases. In this article, the authors review the anatomic, diagnostic, and management considerations as well as discuss their own experience in approaching nasal trauma and the deviated nose.
作为最突出的面部特征，鼻子遭受创伤性损伤的风险增加。鼻骨骨折是成人面部最常见的骨损伤，常由机动车事故、运动相关损伤及争吵引起。尽管鼻骨骨折最初常被认为是轻伤，但最终可能导致明显的美容或功能缺陷。在急性情况下对鼻外伤进行最佳处理对于将继发性鼻畸形降至最低至关重要。近年来，已有众多指南被描述以完善和优化急性鼻外伤的处理。然而，恢复伤前的形态和功能仍然是一项挑战。创伤后鼻畸形通常是潜在结构损伤处理不当的结果，多达50%的病例需要后续的鼻整形术或鼻中隔鼻整形术。在本文中，作者回顾了解剖、诊断和处理方面的注意事项，并讨论了他们自己处理鼻外伤和鼻中隔偏曲的经验。
