7 / 242
www.entnet.org
5
B. Review of Anatomy...........................................................................91
1. Bony: Paired Nasal Bones.........................................................91
2. Cartilaginous...............................................................................91
3. Neurovascular............................................................................92
4. Conformational..........................................................................92
5. Orientational Terminology......................................................92
C. Evaluation and Diagnosis..............................................................93
1. History of Trauma. ....................................................................93
2. Nasal Deformity, Causally Related to Occasion
of Trauma......................................................................................... 93
3. Simple Lateral Deviation.........................................................93
4. Complex Deviation (“Twisted Nose”)..................................93
5. Splaying/Widening of Nose...................................................94
6. Widening of Nasal Root, or Telecanthus.............................94
7. Nasal Function Alteration, Causally Related to
Occasion of Trauma..................................................................94
8. Examination................................................................................94
9. Radiographic Studies, Including CT......................................94
10. Photography...............................................................................95
D. Management....................................................................................95
1. Closed Reduction......................................................................95
2. Open Reduction.........................................................................96
E. General Considerations.................................................................97
1. Internal Fixation ........................................................................97
2. Nasal Packing ............................................................................97
3. Lacerations of the Nasal Skin ................................................97
4. Septal Hematomas ..................................................................97
5. Lacerations of the Nasal Lining .............................................97
6. Perioperative Antibiotics ........................................................97
7. Splints ..........................................................................................97
8. Rest, Elevation, Ice, and Anodynes.......................................98
9. Postreduction Photos...............................................................98
F. Complications..................................................................................98
G. Summary...........................................................................................99
III. References
................................................................................................99
Chapter 5: Mandibular Trauma
I.
Mandibular Bone, Muscle, and TMJ Anatomy
...........................100
A. Mandibular Bone............................................................................100
B. Mandibular Muscle........................................................................100
C. Temporomandibular Joint.............................................................101