Olsen K D, Carpenter R J, Kern E B
Arch Otolaryngol. 1980 Jun;106(6):317-20. doi: 10.1001/archotol.1980.00790300005002.
Although nasal injury is common-place in childhood, nasal septal trauma often is neglected and frequently goes undiagnosed until complications ensue. Only a complete intranasal examination in all cases of nasal trauma will detect intranasal fractures, dislocations, lacerations, hematomas, and abscess formation. Untreated, these septal and associated injuries can lead to considerable functional (nasal respiratory) and cosmetic (external) abnormalities. We report a case to illustrate the destructive sequelae of a "minor" nasal injury. Treatment may require formal surgical exploration with hematoma evacuation, reconstruction of the septal skeletal structures, and repair of lacerations of the intranasal mucosa. We review the management of cartilage resorption secondary to hematoma or abscess formation. A technique for replacing the caudal end of the septum is discussed and illustrated.
尽管鼻部损伤在儿童时期很常见，但鼻中隔创伤往往被忽视，常常在出现并发症之前未被诊断出来。只有对所有鼻部创伤病例进行全面的鼻内检查，才能发现鼻内骨折、脱位、撕裂伤、血肿和脓肿形成。如果不进行治疗，这些鼻中隔及相关损伤会导致相当严重的功能（鼻呼吸）和外观（外部）异常。我们报告一例以说明“轻微”鼻部损伤的破坏性后果。治疗可能需要进行正式的手术探查，包括血肿清除、鼻中隔骨骼结构重建以及鼻内黏膜撕裂伤修复。我们回顾了血肿或脓肿形成继发的软骨吸收的处理方法。并讨论和展示了一种替换鼻中隔尾端的技术。
