Resident Manual of Trauma to the Face, Head and Neck

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

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