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- Title
Nasal fractures.
- Authors
Rhee, Jess; Belisle, Sheena; Strychowsky, Julie
- Abstract
This article from the Canadian Medical Association Journal (CMAJ) discusses the evaluation and management of nasal fractures. It emphasizes that nasal bone radiographs have low sensitivity and specificity in identifying nasal fractures and do not change clinical management. Physical examination is considered the gold standard for diagnosis. Computed tomography (CT) should only be used if multiple facial bone fractures are suspected or if there is a high velocity mechanism of trauma. The decision to perform nasal fracture reduction is based on clinical assessment, including evaluation for nasal deformity or malposition. Assessment for associated septal hematoma is essential, as untreated hematomas can lead to complications. Nasal fracture reduction should ideally occur within 2 weeks of injury to prevent long-term complications.
- Subjects
NASAL bone; SOFT tissue injuries
- Publication
Canadian Medical Association Journal (CMAJ), 2024, Vol 196, Issue 2, pE51
- Publication type
Article
- DOI
10.1503/cmaj.231013