nose fracture and deviated septum

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Text of nose fracture and deviated septum

By: Meriam Ibanez Barrios BSN III

A nose fracture is a break in the bone or cartilage over the bridge, in the sidewall, or septum (line dividing the nostrils) of the nose. The nasal septum is the central partition in the nose made of bone and a rubbery substance (called cartilage) which separates the two nostrils. It is rarely situated absolutely in the middle but in most people it is straight and fairly centrally placed.

However,

in some people the septum is either bent or deviated in some way. This can be very mild or, in some cases, so bad that one nostril is completely blocked.

This report aims to; Discussed of what the disease is all about. Discussed the pathophysiology of the disease. Enumerate the etiology of the disease. Enumerate the signs and symptoms of the disease. Give proper nursing assessment about the disease. Enumerate some diagnostic test. Enumerate medical and nursing management of the disease. Give the prognosis of the disease

Unilateral

fracture involves only one side of the nose. It causes little displacement and deformity. Bilateral fractures are more common, with the depression or displacement of both nasal bones to one side. The nose appears flattened or deviated with an S and C configuration.

Complex

fractures may also involve the septum, ascending process of the maxilla and frontal bones of the face. The septal cartilage bulges or deviates to one side partially or totally obstructing the nares.

Sports

injury Trauma related to violence or motor vehicle crashes. Child birth injury

Blood coming from the nose ecchymosis Difficulty breathing through the nose crepitus

Deformity

or displacement to one side Pain Swelling

Health

history; nature and circumstances of the injury: pain: ability to breath trough the nose. Physical examination: evident trauma; ecchymosis, deformity of the nose, VS, ease; gently palpate nose and facial bones for crepitus; inspect oropharynx for drainage; test nasal discharge for glucose.

Head

and facial X-rays Intranasal cavity examination CT scan

Nasal fracture

Deviated septum

Control bleeding Reduce edema Antibiotics Analgesics agents Decongestant nasal spray Rhinoplasty

Removed the obstruction Treat chronic infection Treat allergies Flonase Singulair Antibiotics Antihistamine Submucosal resection Septoplasty

Nasal fracture

Deviated septum

Apply ice and keep head Keep head of the bed elevated elevated Encourage to do frequent Instruct the patient to apply ice packs 20 min. oral hygiene 4x daily to decrease Instruct client to avoid swelling blowing the nose with Packing inserted to stop force bleeding Discussed to the client Rinse the mouth to keep the S/S of bleeding moisten Avoid sports activities for ,infection and when to contact the physician. 6 weeks

Nondisplaced

nasal fractures have an excellent prognosis, usually healing with no cosmetic or functional deformity. Displaced fractures, even after closed reduction, often have residual cosmetic deformity and septal deviation, often necessitating rhinoplasty and/or septoplasty.

Textbook

of medical medical-surgical nursing 7th edition by; Suzzanne C. Smeltzer et. Al; page 606-607 Copyright 2008 by Lippincott Williams & Wilkins, a Wolters Kluwer business. www.wikipedia.com www.google.com www.mdguidelines.com