Engelhardt D, Sommer F, Lindemann J, Theodoraki M N, Scheithauer M
HNO-Klinik, Kopf-Hals-Chirurgie, Universitätsklinikum Ulm, Frauensteige 12, 89075, Ulm, Deutschland.
HNO. 2022 Oct;70(10):751-755. doi: 10.1007/s00106-022-01220-7. Epub 2022 Sep 21.
Isolated nasal bone fractures are the most common injuries of the central midface. They can be divided into different fracture types, depending on the exposure and orientation of violence. It is essential to ensure that there is no septal hematoma or abscess, which would require an emergency surgical intervention. A closed reposition can be offered if misalignment of the nose can still be observed after the edema swelling has gone down. In case of insufficient aesthetic and functional results, rhinoplasty/septal reconstruction can be performed 6 to 12 months after the trauma at the earliest. In children the, the decision for repositioning should be taken carefully in order to protect the nasal growing zone.
孤立性鼻骨骨折是面中部最常见的损伤。根据暴力的暴露情况和方向，可将其分为不同的骨折类型。必须确保不存在鼻中隔血肿或脓肿，否则需要进行紧急手术干预。如果在水肿消退后仍可观察到鼻骨错位，则可进行闭合复位。如果美学和功能效果不佳，最早可在创伤后6至12个月进行鼻整形术/鼻中隔重建术。对于儿童，应谨慎做出复位决定，以保护鼻部生长区域。
