Intern 呂佾欣. Abstract Introduction Anatomy Nasal bone.

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Presentation transcript:

Intern 呂佾欣

Abstract

Introduction

Anatomy

Nasal bone

Cartilage 1 Nasal Bone 1 Nasal Bone 2 Nasal Cartilage 2 Nasal Cartilage 3 Lateral Crus of the Greater Alar Cartilage 3 Lateral Crus of the Greater Alar Cartilage 4 Medial Crus of Greater Alar Cartilage 4 Medial Crus of Greater Alar Cartilage 5 Septal Cartilage 5 Septal Cartilage 6 Lesser Alar Cartilage 6 Lesser Alar Cartilage 7 Nasal maxillary Suture 7 Nasal maxillary Suture

Septum 2-3mm 2-3mm

1. Septal cartilage 2. Perpendicular plate of the ethmoid bone 3. Vomer 4. Palatine bone 5. Palatine process of the maxilla

Pathogenesis “Open book “ type fracture “Open book “ type fracture

Undeviated fracture Undeviated fracture

Displacement Displacement

Septal fracture Septal fracture

Clinical assesment 1st step : 1st step :

2nd step : 2nd step : 1.Degree of bony deformity 2.Soft tissue injury 3.Cartilage deformity

X-ray : X-ray : Nasal endoscopy :

Treatment Immediate or delay ? Immediate or delay ?

Open or Close reduction ? Open or Close reduction ?

Tools : Tools :

Septoplasty : Septoplasty :

Stabilize : Stabilize :

Conclusion