Surikov E V, Ivanets I V
Vestn Otorinolaringol. 2009(5):30-2.
A fracture of nasal bones is becoming a very common injury due to the increasingly greater number of car accidents and aggravated criminal situation. A total of 500 cases of nasal fracture associated with external deformities were included in the present study. The following kinds of deformities were identified: unilateral retraction, lateral displacement of the entire dorsum of the nose, and depressed comminuted fracture. Rhinoscopy revealed in addition such abnormalities associated with septal fracture as submucous hemorrhage, pathological mobility of the pyramid, deflection of the nasal septum at an acute angle. All in all, four types of nasal septum fractures were distinguished depending on the shape and localization of the fracture line. Two of them resulted in marked impairment of nasal breathing while two others required surgical intervention in the acute period after the injury.
由于交通事故数量日益增多以及犯罪形势加剧，鼻骨骨折正成为一种非常常见的损伤。本研究共纳入500例伴有外部畸形的鼻骨骨折病例。识别出以下几种畸形：单侧回缩、鼻背整体侧方移位以及凹陷粉碎性骨折。鼻镜检查还发现了与鼻中隔骨折相关的其他异常，如黏膜下出血、鼻锥体病理性活动、鼻中隔锐角偏曲。总之，根据骨折线的形状和位置区分出四种鼻中隔骨折类型。其中两种导致明显的鼻呼吸障碍，另外两种在受伤后的急性期需要手术干预。
