FRACTURED NOSE CAUSES, COMPLICATIONS AND DIAGNOSTIC TESTS
FRACTURED NOSE CAUSES, COMPLICATIONS AND DIAGNOSTIC TESTS Author: Dr Izharul Hasan
A fractured nose is the most common facial fracture. It usually results from blunt injury and is commonly associated with other facial fractures. The severity of the fracture depends on the direction, force, and type of the blow. A severe comminuted fracture may cause extreme swelling or bleeding that may jeopardize the airwayand require a tracheotomy during early treatment.
Causes
Fractures of the nasal bones usually result from direct trauma. The causative injury can be relatively minor such as a fall, or more severe such as a motor vehicleaccident.
Complications
Nasal fractures can cause septal deviation and bone displacement, resulting in an airway obstruction. These complications can be permanent if treatment is inadequate or delayed. The patient may also develop septal hematoma, leading to abscess formation and avascular and septic necrosis. Other possible complications include cerebrospinal fluid (CSF) leakage and intracranial air penetration, which may lead to meningitis.
Assessment findings
The patient's history reveals a direct blow to the nose. He usually reports the immediate onset of pain, a nosebleed (ranging from minimal trickling to hemorrhage),and soft-tissue swelling. If his nasal passages are obstructed, he may breathe noisily.If you perform inspection soon after the injury, you may note a swollen nose with bleeding and deformity or displacement of the nose from the midline. A fracture maynot be obvious, however, because swelling can obscure the break.Inspection performed several hours after the injury may reveal periorbital ecchymoses (raccoon's eyes), nasal displacement, and deformity.You may be able to identify the fracture on palpation.
Diagnostic tests
X-rays help to confirm the diagnosis and determine the extent of injury.
Treatment
The patient may not need treatment unless he has suffered bone displacement, septal deviation, or a cosmetic deformity.When necessary, prompt treatment restores normal facial appearance and reestablishes bilateral nasal passages after swelling subsides. Reduction of the fracture(restoring the displaced bone fragments to their normal positions) corrects alignment; immobilization (intranasal packing and an external splint shaped to the nose andtaped) maintains it. Nasal fractures should be reduced within the first 24 hours if possible, using local anesthesia for an adult and general anesthesia for a child. Severe swelling may delay treatment for several days to per week, making reduction more difficult. In this case, the patient may need general anesthesia.If CSF leakage occurs, the patient needs close observation and antibiotic therapy. Septal hematoma requires incision and drainage to prevent necrosis.
Describe focusing
Enlarged submandibular gland in toddler
Carrie from mythbusters fhm photoshop
Pain in right abdominal area after eating with diarrhea
2nd grade writing assignments
Russian sex vedio
Nims 100 final exam
Vocabulary answers level c unit 2
Mum and son sex free videos
Lumps in the roof of your mouth
Thick white raised patches in the mouth
Assured shorthold tenancy termination letter template
How to give a taper fade straight hair
1980 honda xl250s pictures
Order free weed seeds without buying
Msn name designs
Gianna michels
Glands on neck up and sore to breathe
Hot to tell if gold is real
Edgy hairstyles for women
Harriet carter promo code
Pain in the side of the face close to ear
Cock and ball hard core electric stimulation
Crime scene photos of famous murders
Diablo ii runeword finder
Funny cooking sayings
Cane furniture repair supplies
Cute writing fonts
Yellow diamonds, cost
Siyatha tv on youtube
Should your groin ache during the first trimester
Height conversions centimeters
Love quotes
Sore joints and muscles
Closed syllable open r-controlled vowel diagraphs diphthongs worksheet
Candy bar poems for students
Driver detective serial
Nausea+weakness in legs and lower back
Harman oakwood reviews
Severe stomach cramps at night
Cheat for bloxors
Free crocheted christmas slipper pattern
Short story, second grade
Teks narrative with moral value
Lia sophia cross necklace
Choose-your-own adventure, army games
Bionicle glatorian arena originale (fun zone)
Flush face and neck with swollon throat
Brown colored sputum with blood
Pastors retirement poetry
Famous onomatopoeia poems
Scaly patch on eye lid
The world hardest game hacked
Free photoshop cs authorization code
Baked white oak hardwood flooring
The pink pony mackinaw island, michigan
Text messaging chains letters
How to make bracelets with string
Flower stem template
Esl predictions "plan to" "intend to" going to will
Does zyrtec cause rapid heartbeat
Headache, sore throat, deep cough, weakness, and tiredness are symptoms of
Sudden stomach pain and headache
Abeka scope and sequence pre-k
What is wrong with your glands when you have a puffy face, fatigue, and bruised arms
Can my sinuses cause neck pain
Rash on face and arms
Almond chicken restaurant style recipee
Online link itunes redeem code
Irving penn
Letter not attend meeting
Contoh karya tulis ilmiah
Drama cerita rakyat
Nagra key
Examples of ode poems
Sex com vn
Alphabet bubble letters game
Automobile batteries cranking amps
Asbestos cement radiator heat shield
Dizziness, fever and bleedy nose
Blood orange pomegranite martini recipe
Cerita sex jilbab
Good morning quotes
Free tecumseh spark plug cross reference
Olypum washingron famous foods
Key visio 2007
How to break up phlem
Xpornotube.com
Letters to say happy birthday to my friend
Wwe free games online
How to find the relay switch on a water pump
Sore throat brown mucus runny nose
Clue scroll help
Play marble blast gold
Tai phim sex mien phi
Microsoft xp home confirmation id generator
What is the proper format for bib cards
Aching arms
Make string bracelets
What temperature do tropical fish need to live in
Posters for classroom doors
Headache, stiff neck and jaw, sore lymph node
Metric stainless bolt torque table
Alpha gay galleries
Free wooden clock making plans
Temp of water in san diego
Jaw pain following a viral infection
Deutsch alphabet flashcards
Poems about being second best
Types of mucus during pregnancy
Men on men fucking in the ass
Ears ringing chest tight ness and head dizzy
Cute simple quick hairstyles for everyday
Pokemon platinum pokedex
Yellow stool and vomiting
Free basketball game ststs sheet
Bob hairstyles back view
Free cinderella monologues
Sore/swollen throat, chills, muscle aches, face rash and chest rash
Where to make free gaia profiles
Words to describe a good student
Shoulder pain and dehydraytion
Httpwww.google.com.mx
Cute quotes for facebook
Game hack online yoville
Usac midget for sale
Paretologic data recovery keygen
How to set up a warrior tank bar
Cut and paste r blend worksheets
Preschool printouts
Shoulders hurt, arms numb, chest hurts
Xp tablet activation
Hibiscus coloring pages
Whole foods williamsport pa
How does cigarette injector machine work?
Written names in graffiti
Acrostic poems for justice
Free printable cross stitch patterns of wolves
Large numbers to print
Nausea, vomiting, diarrhea, no fever, light headed
Teething rash on face
Free cross stich pattern of hello kitty
Horse print backpack
Pet examination exercises
Walther pps laser
Out of breath sweating easily
My back hurts on one the left side?
Full time mother on resume
Skeleton label me worksheets
Bionicle glatorian arena 2 unlock codes
Animal adaptation worksheets
Bm 59 folding stock
Ordering buffet food from sainsburys
Recount text sad story
Authentication key free
Headaches body tremors chills
Hearse sales texas
Stihl ms 310 parts
Vw.trikes
Wedding psd magacine
Artis ida ayu kadek devi
What would cause pain when biting after a white filling
Hesi practice reading test
Short stories ideas for grade 7
What do you feel like after implantation
Second hand ledge gypsy caravan
Meeting invitation sample
Alliterations example
Making faces with keyboard keys
Paragraph proof of pythagorean theorem
Free rock band coloring pages
Sample of journal article
Toshiba cddvdw ts-l633a
Druid tank defense cap
Dizzy, nauseaus, insomnea
Man knit beret hat pattern
Two tone gray bedrooms
Bathroom sink height
Deshi chuda chudi photo chodachudi bangla choti
Peranan fomca
Quileute legends the cold one
Temperture red throat cough
Excessive thirst and urination in adults
Alfabeto en manuscrita
Contoh pidato bahasa arab
Mythical aegean sea creature
Paw print polar fleece by the yard
Foot skeletal diagram
Twelfth night couplets
Yahtzee score card
Laci peterson autopsy photos
Naruto.com free games
Sample birthday message to boyfriend
Bella roca resort marinduque
Private space tv
Create a pokemon character
Sunburst quilt/ block
Motivation letter phd
Klucz windows xp sp2
Diamond foxx
Birthday craft idea
Leggings porn
Rebar per ton
Diseases caused by protists
Free burning crusade key code
Bejeweled blitz serial
Birthday bible verse
Tingling in lips
Crochet fashion doll shoe
Mothers day skits
Cell drawing with labels
Visiting haunted houses in myrtle beach?
Ultrasurf disconnect
A poem for daddy thats passed
Look up a serial on a gun
Bloody urine & pelvic pain
Mujeres bonitas cojiendo
Indoor hydroponic growing guide led
Reading test for second grade
Free polar fleece sock pattern
Best way to preserve chives
Code for cursive writing for myspace
Short peace sign myspace layouts
Sample letter of introduction to embassy
How to set up electrolysis method to extract gold
Fever, skin red , warm ,hot & pain to touch
Swissclick laminate flooring
Short easter bunny story
Free online deer and moose hunting games
German anniversary dome clocks
Hairy chest
The history of mexican rap
Rash fever nausea rhinitis
Kos irani
Sore joints and light headed
Cheat engine sorority life myspace
Sexy clothes ripping catfight
What are some landforms in botswana
Reference letter from a clinical supervisor
Globcast-keys
Sample workshop outline format
Play pet society online for free
Burnout paradise pc addon download
White bumps around anus
What things can i do to change my eye color
"lego tank instructions"
Shel silverstein narrative poems
Lower right quadrant abdominal pain on palpation
Peta jakarta
Formal letter example
Wedding countdown online
Lisa left eye lopes autopsy pictures
Engagement newspaper announcements samples
Author dence frecille
Videos de natalia villaveces desnuda
All free instruction for a hair cut yorkie dog
Minnie mouse template stencil
Police suvs games
Hospital plumbing fixture .dwg
Critical value calculator t test
Purses for concealing gun
Dog birthday cake south australia
Www.invitation letter for visa uk.com
Bypasschool
Hong nhung phim
Paretologic data recovery serial
Red, itchy rash that later turns purple
Opacified air cells in the left petrous apex
Foto-foto ngentot,sex,oral sex dan kissing
Commedia dell arte workshops in london
The letter y in graffiti
Traditional irish wedding costume groom
How can i make pictures like photo wow at home
Excelsior talisman twin 1958 for sale
Burnout paradise ultimate box registration code
Poppy print sheets
Altomp3 gold serial
Example of reply letter
The wave by todd strasser lesson plans
Haunted indra regent
Free rag rug instructions
Cost of sterling
Mood words
Red chapped patch of skin on face
Lump on dog s rear ankle
Value dollar verus english pound
Vaginal rash, cuts, itching and discharge
Blade runner quotes
Fotos actores mexicanos desnudos
Cut and paste worksheets
Ene mal sex for woman
Cargo trailer wiring light interior
How to draw a pentagon step by step
Good job application motivation examples
How many ltd 1985 goldwing were made
Southern electrical retirement fund
Find missing angle worksheet
Pakistan urdu sexy storay
Fucking my sister in law stories
Frog guts virtual dissection
Facebook who has visited your site
Picture of jesus eating with disciples on the beach
White or red patches that appear in the mouth as a result of using spit tobacco
Persistent cough, muscle aches, and tired
Free pc monopoly crack
Teens sex tube
Printable english questions
Graffiti bubble letters alphabet
Fatigue, muscle ache
Softball symbol for myspace name
Free santa hat pattern
Mario kart coloring pages peach
Raisin in the sun original script
Quad registry cleaner clave activar key
Lpn resume templets
The crystal stair langston hughes
Apple redeem gift card
Acme trailer eze-tow car dolly
Peyote/ brick beading instructions
Class d permit practice test ma
Contoh narrative teks
Growing watermelon kentucky
Free teens raglan cardigan pattern
Severe pain right si
Chart of bones of upper body
Lau xanh.us
Buyer agent termination letter
Mc escher interactive worksheet
Professional fonts for fundraising letters
Penguin pony bead pattern
Yumatu-support
Free keyword and phrases fro performance evaluations
Content of tourist invitation letter
Identifying the main idea worksheet
Humam biologic clock
Essay test for maniac magee
Aikita german sheperd cross dog
Acrostic poem example halloween
Www.mature sex in pasadena nd
Ayu ashari
Yellow discharge progesterone after ovulation
Nod32 antivirus 4 serial
Microsoft windows xp telephone algorithm
Indian punjabi girls boobs
Newspaper articles on car accidents
Pattern for a beaded tennis bracelet
Sample good luck letters
Tatet hindi chudai story
Left pain in head and feeling light head and tired
Naskah pidato singkat
New sand falling game with zombies and wind
Naskah drama humor indonesia
Dielectric coupling
Image
Still i rise tone
Diet from birmingham,al caridac unit
1st grade pronoun worksheets
Police interceptors for sale
9th grade health syllabus
Friend dating
Gang member names
Numeracy games dont spill the beans
Printable coloring xigua
Kabihasnan ng africa
Valvoline filter guide
Itchy pustuals on palms
Design a fake credit card
X24xx.com
Private sales receipt template
Free felt flower pattern
Myspace codes to write your name
Cross section of volcano
Respiratory system body diagram
Simple and compound sentence worksheets
Swollen throat bloody mucus
Aim buddy graphic for myspace
Unlabeled bones of the arm
Graffitti samples glitter
Color a bmx bike online
Decorative food tins
Gyno-fetisch-dreams
Adobe dreamweaver cs4 serial
Non-fiction activities
Colt firearms parts m 32
Stories for kindergarten
Example of friendly letter
Adobe illustrator cs 4 serial
Lean to roof slope
Fullness under ribs
Sharp pain in my neck, i fell on it
Used shotguns for sale
Silver bullion distributors
Fasebook porn
Free printable backing papers
How to install a plug in in ableton
"gary guyton"
Adjectives starting with y
Wooden play barn plans
Urdu astrology about leo star
Diagram of the globe theater
Treatment lower sudden back pain groin pain
Kawasaki jet ski engines asembly
Buttonhole scarf pattern
Create you own bubble writing online
On line grammar games irregular past tense verbs
What can i do to get rid of a crusty patch of skin on my face
How to make yourself vomit
Sample appendix on web design letter
Sherm porter
Words of comfort and sympathy loved one
Sexy paki phone call
Reconditioning
Wpt-q sample
Marine corps .60 cal
Customize your own bmx bikes
Installing roof on mobile home
Example of personal biography
Fancy script tattoo lettering
Free build your own empire whit out register
Example leave of absence letter to employee
Is-800.b test answers
Discuss the principles of expository speeches
Scroll down word boxes codes
Myspace friend tags
First grade noun worksheets free
Animated paw prints
Jewellery weight conversion into grams
Feeling of pressure in upper abdomen right side
Bootear en yazak
Dissecting a frog game
Medical root words prefixes suffixes
Peyote bracelet patterns
Nba highest scorer all time
I have strep throat can i give it to my boyfriend
New meri chut chudai story
Sample acknowledgement for a group project
Food handlers permit bellingham wa
Sharon osborne hairstyle
Graffiti pitchers web page
How to cook methylamphetamine drug
Gold spin ring jesus
Carfaxdealerlogin
Alcohol and joint pain
Ways to release trapped gas
Bangla sex golpo
Online pre algebra test
Gift cards for itunes codes
Free itunes gift card codes without download
Poems using figurative language
Pictures made out of numbers and letters
Ball foot dining chairs
Increasing recipes measurements conversions
Lawn mower carburettor adjustment
Headaches across forehead and in temples
2nd grade standarized practice test
Pretty cursive lettering
Paste your pictures into cartoon
Songs using present simple or present continuous
Confirmation job interview e-mail reply
What to do when stomach feels heavy after eating
Vacuum seal food
Graffiti letter wildstyle
Cooking dash dinertown studios unlocked
Music quotes for tattoos
Adomanal bloating, gas, irregualar bleeding
Provide information on skin age sports
Friends for sale facebook hack cheats
Avantgarde bk bt bold
Cute things to send to your boyfriend online
Exponents quiz printables
Ow vowel diphthong worksheets
Naked possy and naked penis
Phim sex loan luan
Knitted scalloped scarf, patterns
Telugu sex storys
Flashing text generator for msn
Choral speaking scripts
Fingers painful tingling burning sensation
Skin rash with flu
Bantam campers
Cause of great depression after ww1
Silent night chords (flute)
Virus/blood blisters on the arm
Cerita rakyat nusantara dalam bahasa inggris
Box and whisker plot worksheets
How to work middle upper pec at home
Sample letter confirming interview
Fact/opinion in newspaper articles worksheets
Personification powerpoint
Steinitz fractal breakout
Contoh naskah pidato singkat indonesia
Hotmail sing in
Aching arms and legs
Feeling dizzy and sinuses feel blcked
Video of a hot girl taking her clothes off slowly
Change order respond letter
Muscle aches and drooping mouth
Format for abab poem
Toy car plans rubber band
How to treat stiff neck and shoulder
Coordinate points that make pictures
Kindergarten volume worksheet
Ifeelmyself username and password
Project glory oblivion
Nude beach port burwell
Key windows xp student release
Outdoor stage structure manufacturers
Paper plate dog and cat masks
Urdu sexy noval
Free sms za laku noc
Pre school minibeast activities
Naratif texs english
Free lesson plans for toddlers and infants
Dark pink phlegm
Vidioporno
Oxford metals clocks
Beer substitute in recipes
Nicka per msn shqip
Free block letter stencils
Free sample pediatric nursing resumes
Gambar memek indonesia asli lagi ngewe
Ebcf-127-120v-lpf
Labelled anterior view of muscular system
Sympathy quotes loss pet
Text narative
Oblivion gay sex mod
Lotus notes sametime emoticons
Template for beauty masks
Interesting facts about paul revere
Karangan bahasa inggris tentang sekolah
Symbols for strength
Argumentative speeches
Skeleton label quiz
Proxy to open blocked sites
Metal doors for sale online
Pole building open shed
Headache fatigue nausea cramping
Face numbness throat swelling ear infection
Sonic heroes download full version
Play game voice city
Solid block letters
Karangan bahasa inggris jenaka
Third grade reading center contracts
Detailed diagram on how to build a catapult
I need a registration key code for the game empire total war
Slow heart rate more condition_symptoms
Sheet music for bellas lullaby
Wow damage hack
Fsx acceleration activation key
Contoh teks pidato bahasa inggris yang bertema ilmu
Free rock and roll needlepoint patterns
Letras grafiti
Sample invitation for china visa
Chest jaw and neck ache
The oldest nfl offensive player
Aa route finder nz
Headache and clogged feeling in ear and sore jaw
Adam young owl city biography
Free unblock proxy
Interactive addition up to 4 digits
"security conop" template
Dawn of war 2 cheat mod install
Literary criticism about a rose for emily
Low fever,throat and soreness
V247 nguyen ngoc ngan
Motorcycle tent campers
Encyclopedia of crafts ebook
Pictures of nymphs
Vintage rc aircraft kits
Dawn of war 2 serial
Product key rising
Lightning mcqueen online games
Indonsex
Rash under breast and arms
Need free baptist church baptismal certificates.
Italian ice push cart
Planes of the body diagram
List of songs in 2009
Throat pain when swallowing ear pain and chest pain
Sex invites
Free printable full circle protractor
Excessive coughing when lying down
Download lee evans live o2 free
How is data collected in mass communication
Free audio clips wav dog bark
Printable worksheets reading rods
Free hallelujah from shrek piano music
Label the heart game
Sweet short funny romantic story
Digital live audio scanner
A poison tree by willam blake analysis
Autocad truck turning radius
Types of clock escapement
Invitation to visit a place
English declamation piece
Cause of deep yellow-colored phlegm from left sinus
Klebold harris autopsy
Ed hardy online outlet
Red raised bump on face
Cuddling swivel lounge chair
Who is looking at my facebook profile
Old mom fucking withe son
Free printable progress reports for head of departments
Contoh teks narasi bahasa indonesia
Legend of zealda free rpg cd rom download
Makalah bahasa indonesia tentang paragraf
Tamil actress trisha bath video
Games were you can make your own character
Free printable stencils smiling skull crossbones
Illinois policy for nurse practitioner scope of practice
Pain behind the lower ear
How to tie a necklace knot
Office 2003 rapidshare
She had the world sheet music
In loving memory poems for dads
Pain in joints and bones, headaches, fatigue
Dk dps rotation macro
Gratis house music lama
Excel format string
Past tense verb worksheet
Colt 45 pistol phillipines
Free knitting patterns boys hats
Female monologue from a street car named desire by tennessee williams
Car auto clock
Water slides for docks canada
Pain in the buttocks and left side of the stomach and throat
Free trial vpn
Ben 10 sex comic
A j. wright application
How to restore black car leather
Germany vw used car for sale
1 cylinder lister-petter diesel engine
Display name symbols and letters in cursive
Best wedding dates for 2010
Gambar jorok
Hand painted wine bottles
Show the human stomach inside
Tightness in the jaw neck and arms
Xbox gold live codes
Tokyo stock exchange historical data
Shrimp n parmesan steak recipe applebees
Game of modifing cars
Woolite oxy deep rug stick coupon
Cerita rakyat indonesia dengan bahasa inggris
Pussyvideo
How to write an invitation letter to an embassy
Oj simpson crime scene photos
Adjectives(motivation)
Pictures of abiotic factors of the ocean
Medication log sheet
Tip of nose itching with redness and oily
Can you grow weed inside after it was outside
Swollen gum gland painful swallow chew
Hermosas chicas cojiendo
Pipes fittings valves schematic diagrams
Empty pot activities
Hi5 how to hack
Pregnant with severe upper abdominal pain
Prefix and suffix lesson plans
Froguts game cut up frog online
Kindergarten lessons on mammals
Examples of letters to show interest in a job position
Virtual villagers 3 full free
Soft key digi tv
Tired upon waking
Redhub
Top club songs 2009
Dreaming about breaking teeth
Free cedar strip canoe plans
Something is missing poems
Hip hop moves that you can print for teens
Immigration essay
Sample letters to invite guest of honor
Gaba food sources
Key premiere nagra,viaces,polsat
Symptoms of weak, sore throat, cough, sneezing, headache
Bad gay boys pics
Dell base system device
Backwards e symbols for myspace
Sainsburys buffet service
Read twilight book
Http: www.google.com.ph
Coors field bring in food drinks
Irregular shapes worksheet
Free renter letter of reference
Printable bar graphs
Wholesale gold semi mounts
List of words to describe a person
Danube women wrestling
Gravity lesson plans for elementary
Cold heart symbols
Yeast infection under breasts
Short haircuts with rear view
Itunes gift card keygen crack
Total eclipse detox drink
Rs private server duping methods
House md kal penn dead?
Repossed trucks international
Sore sinus eyes watering earache headache
Bloated finger next to nail
Hindi love quotes with english translation
Gr lyon sculpture
Mohawk designs for black people
Different styles of writing
Vw trike designs
Historia de la enfermeria en mexico
Classifying triangles test
How to view private twitter accounts if not friends
Quotes about love and the beach
Newly posted classifieds ads in germany and italy
Headache with bodily rash, sneezing
Edgy mens hairstyles 2010
Cool myspace symbols for display name
Knitting pattern for hooded cable sweater
Regcure free cd key
Achy arm and hand
Metric conversion ladder method chart
Sample acknowledgment of electronic projects
Blue ridge parkway rv resorts n.c.
Change font and color in message status on myspace