Division of Plastic Surgery, Department of Otolaryngology-Head and Neck Surgery, Seattle Childrens Hospital, Craniofacial Center; Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Washington.
Division of Plastic Surgery, Department of Otolaryngology-Head and Neck Surgery, Seattle Childrens Hospital, Craniofacial Center; Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle Children's Hospital.
Oral Maxillofac Surg Clin North Am. 2023 Nov;35(4):577-584. doi: 10.1016/j.coms.2023.04.005. Epub 2023 Jun 9.
Pediatric nasal bone and septal fractures represent a large number of craniofacial injuries in children each year. Due to their differences in anatomy and potential for growth and development, the management of these injuries varies slightly from that of the adult population. As with most pediatric fractures, there is a bias toward less-invasive management to limit disruption to future growth. Often this includes closed reduction and splinting in the acute setting followed by open septorhinoplasty at skeletal maturity as needed. The overall goal of treatment is to restore the nose to its preinjury shape, structure, and function.
小儿鼻骨和鼻中隔骨折是儿童每年发生的大量颅面损伤之一。由于解剖结构的不同以及生长发育的潜力，这些损伤的处理与成人人群略有不同。与大多数儿科骨折一样，倾向于采用微创管理以限制对未来生长的干扰。通常包括在急性情况下进行闭合复位和夹板固定，然后根据需要在骨骼成熟时进行开放式鼻中隔成形术。治疗的总体目标是将鼻子恢复到受伤前的形状、结构和功能。
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