Nose SOS signals

What if this happened to you or your child?

Expert - otolaryngologist, MD, Ph.D., head of advisory and diagnostic department of the Moscow Institute of Pediatrics and Pediatric Surgery Vladimir Belov .

Consider that the nose on one side can move down only in boxers and fans waved their fists - a big mistake. After this injury is often domestic in nature.

Information

Noses are broken not only in the fist demolition, but also during normal game in which one person to another can accidentally lit in the face with his elbow, the ball or puck. This injury often results in a bad fall, for example, a ladder, roller skates or bike. In winter directly into the child's nose can be "imprinted" sled comrades who could not wait to ride a roller coaster after another. Also, breaking noses and had children who were listening to bad and Safety teacher too close to swinging the swing. Hyperactive kids and careless adults who do not look at his feet are at risk of slipping and hitting the most prominent place on the face of the curb or rock, and at home - on the rim bath or sink. In general, none of the kids and adults are not guaranteed by such troubles.

Time is precious

When your loved one yelling obscenities good, and from his nose bleeding, no need to disassemble, whether it's a bruise or a fracture. But we must seize the victim in his arms and rush to the doctor. The most important thing at this injury - to gain as much as possible. Especially quickly need to do if your nose hurt a child or teenager - the fact that young people tissue healing is very fast, so a week later to collect "puzzle" of the broken bones will be too late - they were by that time had themselves grow together (and Naturally, wrong). In adults, and especially older people, this process takes a long time, but still delay the visit to the doctor anyway should not be.

Many people with broken noses go straight to the emergency room, but would be better if they were immediately sent to the emergency room first aid and hospital. Better - where there lorotdeleniya. It is important to do this as soon as possible - ideally, in the first hours after the injury, because the earlier operation has been made, the faster and better healing will occur. Moreover, if the turn was a deviated septum, then put it in place can be only a few hours after injury. 2-3 days to do it will not succeed. So, if you need to correct the nasal septum, then have to do a special operation called "septoplasty".

On the way to the hospital to keep the broken nose of the victim an ice pack. Chill need to at the fracture site did not develop edema because otherwise carry out the operation (reposition the broken bones of the nose) will be impossible, because the surgeon is not able to carry out a visual inspection of the scene. The patient on the road to keep in reclining position, half-sitting. Stop bleeding from the nose to help sterile cotton swabs, and if not, you can simply tilt the person's head and gently press the nostril to the nasal septum. No other measures taken should not be - to do no harm.

If the face has an open wound, and there is a risk of infection in the hospital the victim may make an injection against tetanus.

Assemble again

The hospital ENT carefully examine and feel the nose of the victim, then under local anesthesia hold him rhino- or endoscopy (instrumental examinations of the nasal cavity). And will make an X-ray of the nasal bones. Based on these studies, it will diagnose and outline a strategy for the operation, if that proves necessary.

If swelling of the nose has not had time to evolve, the operation is best carried out immediately. If there is edema, the victim sent home, and if he has a concussion symptoms (nausea, dizziness) to leave for a few days in the hospital to receive medical treatment. After 5-7 days, when the swelling subsides, you can do the operation.

Reposition the bone fragments can be carried out under local or general anesthesia. The choice of anesthesia is different: depending on the age and the psyche of the patient, as well as the volume of transactions. The fact is that every crisis - is unique and to lay down the stone as it was, the surgeon sometimes just a few minutes, but when comminuted fractures usually have to tinker longer.

Teenagers and adults usually "darn" nose under local anesthesia. Injection anesthesia is not used - or fluid administration will break your nose and make the job a surgeon - so often held applicator anesthesia. During surgery, the surgeon using special tools (elevators, similar to the narrow blade) and own fingers collects the broken nose again. Then fix it from the inside with special tampons and outside - gypsum or contemporary material - thermoplastic, which is first lowered into the hot water, which softens, and then placed on the back of the nose, where tightly freezes.

Tampons are removed after 1-2 days, the plaster is removed in about a week. Within a month after the operation is necessary to protect the nose from re-injury as if there a new fracture, nose to collect a second time will be much harder. Therefore, the first time a person with a newly assembled nose will not be able to play sports and play outdoor games.

It should also be wary of infections, and sleep better, not utykayas pillow. Specific recommendations for the care of victims of the doctor gives in each case individually.

Life can not turn back

If the injury was more than 10 days to carry out repositioning will be too late. But this does not mean that now a person a lifetime to live with crooked nose. However, in this case the need is much more serious surgery - rhinoplasty. And it is not done under local and general anesthesia. To correct the shape of the nose, at the time of the intervention the doctor gets re-injured patient and only then assembles his new, straight nose. As a rule, the stronger sex rarely go on this operation only for the sake of beauty. Basically, they are pushing for this nasal breathing problems caused as a result of the injury once. Normally breathe through the nose prevents the partition curve. In this case, when rhinoplasty is performed, and an operation to correct the septum - septoplasty.

Source

Industry News

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