Marston Alexander P, O'Brien Erin K, Hamilton Grant S
Department of Otorhinolaryngology, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA.
Department of Otorhinolaryngology, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA.
Clin Sports Med. 2017 Apr;36(2):337-353. doi: 10.1016/j.csm.2016.11.004.
Nasal trauma is a common consequence of athletic competition. The nasal bones are the most commonly fractured facial bone and are particularly at risk during sports participation. Acute management of trauma to the nose includes thorough evaluation of all injuries and may require immediate management for repair of facial lacerations, epistaxis control, or septal hematoma drainage. Nasal fractures can often be addressed with closed reduction techniques; however, in the setting of complex nasal trauma, an open approach may be indicated. Using appropriate treatment techniques, posttraumatic nasal sequelae can be minimized; most patients report satisfactory long-term nasal form and function.
鼻外伤是体育比赛中常见的后果。鼻骨是面部最常发生骨折的骨骼,在参与运动时尤其容易受伤。鼻部创伤的急性处理包括对所有损伤进行全面评估,可能需要立即处理面部撕裂伤修复、鼻出血控制或鼻中隔血肿引流。鼻骨骨折通常可用闭合复位技术处理;然而,在复杂鼻外伤的情况下,可能需要采用开放手术方法。采用适当的治疗技术,可以将创伤后鼻后遗症降至最低;大多数患者报告长期的鼻外形和功能令人满意。