Wright Richard J, Murakami Craig S, Ambro Bryan T
Department of Otorhinolaryngology-Head and Neck Surgery, University of Maryland Medical Center, Baltimore, Maryland 21201, USA.
Facial Plast Surg. 2011 Oct;27(5):483-90. doi: 10.1055/s-0031-1288931. Epub 2011 Oct 25.
Although serious trauma injuries are uncommon in the pediatric population, nasal injuries are a more common problem. In this population, many physicians are uncomfortable managing these injuries. The evaluation and treatment of nasal trauma differ considerably in children compared with adult nasal fractures. Poor patient cooperation during the physical exam coupled with significant anatomic differences can present the nasal surgeon with a difficult diagnostic dilemma. The surgical management of pediatric nasoseptal injuries is not without controversy, as disturbing the nasal growth centers can have significant effect on future nasal and midfacial development. This article reviews the diagnostic and therapeutic challenges presented by these injuries for children and provides recommendations to successfully manage nasal injuries in this population.
尽管严重创伤性损伤在儿科人群中并不常见，但鼻部损伤却是一个更为常见的问题。在这一人群中，许多医生对处理这些损伤感到不自在。与成人鼻骨骨折相比，儿童鼻外伤的评估和治疗有很大差异。体格检查时患者配合不佳，再加上显著的解剖差异，会给鼻外科医生带来诊断难题。小儿鼻中隔损伤的外科治疗并非没有争议，因为干扰鼻生长中心会对未来的鼻和中面部发育产生重大影响。本文回顾了这些损伤给儿童带来的诊断和治疗挑战，并提供了成功处理该人群鼻外伤的建议。
