Early and late complications of nasal fractures in the pediatric population

This statistic reflects the high incidence of nasal trauma compared to other facial
fractures. Nasal injuries can also be associated with head injuries, and can often lead to nasal
obstruction as well as various nasal deformities. Post-traumatic early and late complications
can occur. The aim was to show the importance of traumatic injuries to the nasal pyramid and
analyze it with part of our experience
In this retrospective study, we present 100 patients with history of nasal fracture who
required hospitalization. In all patient complete history and clinical examination were
performed. External inspection and palpation as well as internal examination were requered.
CBS analysis and Neurosurgical investigations on all patient have been done. CT scan of the
nose and PNS were also performed.
More than 37 patients or 37% have fractures with dislocation that occurred around 7
days during which a closed reposition with an elevator was realized. The remain 63 patient had
history of previous nasal injury that developed septal deviation. So most septal deviation
happends in 53 patient or 88%, 16% or 10 patients in patient develop subluxation. Of these, 7
cases septal hematoma formation (5%) and 2 cases subperichondrial abscess (1%).
It is essential to know: the severity of the fracture, the direction of the impact and the
physical type of the fracture line are of great importance for the predisposition to what kind of
nose defect can develop. In order to ensure a better quality of life by improving the functionality
and the aesthetic component of traumatic injuries to the nose, it is necessary to know the
seriousness of the injury and its possible complications.
Keywords: complications, nasal fracture, treatment, development, side effects.