最新 Fracture of nasal bone 课件医学课件.ppt

Fracture of nasal bone Etiology Traffic accident Physical combat. Sports injury Nasal bone--- Upper end: thickLower end: thin ;Symptoms Signs：Pain, epistaxis, nasal deformity or deviation, bruising. Diagnosis：X-ray in lateral view. Septal hematoma?——puncture Treatment：Hemostasia, cleaning suturing wound, restoring alignment;Reduction of nasal bone Before soft tissue edema 5—7 days after injury Walshan forceps Nasal packing for 2-3d;Deal with septal hematoma abscess Septal hemotoma drainage as early as possible. “L” incision on septum. Postoperative nasal packing. Adequate antibiotics.;Fracture of frontal bone Pathology：Often combine with fracture of naso-fronto- ethmoido-orbital complex. Front wall Front back wall ;Base fracture (frontonasal fracture) Stringy, sunken and smashed fracture ;front wall fracture front back wall fracture (sunken fracture凹陷型) (smashed fracture 粉碎型);Treatment：According to the situation: 1、 stringy fracture 2、 sunken fracture 3、 smashed fracture 4、 front back wall fracture 5、base fracture (frontonasal fracture): restore the function of frontal sinus. Principle：To isolate the communication between frontal sinus and cranial cavity, to prevent rhinogenic complications, to keep the frontal part from deformation.;Fracture of naso-fronto- ethmoido-orbital complex;Symptoms Signs： Edema of eyelid or nasal root, increase in the intercanthal distance. sunken front ， vision disorder, Diagnosis： X-ray film, CT scan;9、 人的价值，在招收诱惑的一瞬间被决定。*** 10、低头要有勇气，抬头要有低气。**** 11、人总是珍惜为得到。***** 12、人乱于心，不宽余请。**** 13、生气是拿别人做错的事来惩罚自己。***** 14、抱最大的希望，作最大的努力。**** 15、一个人炫耀什么，说明他内心缺少什么。。***** 16、业余生活要有意义，不要越轨。*** 17、一个人即使已登上顶峰，也仍要自强不息。****;Treatment： Vision disorder——depression of optic canal Nosebleed——nasal pack or arterial ligation (ligation of ethmoidal artery) Cerebrospinal fluid rhinorrhea (CSF) ——surgical reparation ;Blow-out fracture Symptoms Sign： Swelling and bruising involving all eyelids, lid and i