鼻部外傷與鼻骨折之處理
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(核心)【台灣顏面整形重建外科醫學會】鼻部外傷與鼻骨折之處理 (劉紹正講師)
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2026-10-27 ~
課程長度 1 小時 0 分鐘
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本課程含課程影片與課後題目，給予【核心基礎課程】 1 小時之認證
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--課程簡介：鼻部外傷與鼻骨折之處理
Nasal trauma is the most common facial injury worldwide. Bony fractures of the nose may involve one or both nasal bones, the frontal process of the maxilla, the bony septum, and in severe trauma the nasal-orbital-ethmoid complex.
Treatment of these fractures range from closed reduction and support to open reduction and miniplate osteosynthesis. Purpose of this article is to describe a technique of managing nasal bone fractures associated with midface fractures.
In this talk, we outlines current methods in the evaluation and management of nasal fractures including clinical workup, imaging, and treatment. Traditionally, open reduction with rhinoplasty for nasal bone fracture is only considered after an unsatisfactory outcome from initial closed reduction. However, better surgical outcomes may be achieved if rhinoplasty is performed at the same time as the nasal bone fracture reduction. Prompt assessment allows for recognition of injuries requiring surgical intervention in the form of nasal bone manipulation.
In general, manipulation under local anesthesia is an effective first-line treatment for simple nasal fractures after five to seven days and should become a standard practice, but any associated septal injury can be responsible for postoperative nasal deformity and obstruction so other options may need to be considered. It is essential to categorize fracture patterns. Complicated cases require open reduction in general anaesthesia. Later revision of the deviated nose may become necessary in patients suffering from complications such as persistent nasal stenosis and/or deformity.
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