EARLY AND LATE COMPLICATIONS OF NASAL FRACTURES IN THE PEDIATRIC POPULATION

Gabriela Kopacheva Barsova; Igor Kamshikoski; Marija Dokoska; Ana Pejkovska; Vesna Petreska Dukovska; Aleksandar Mitevski; Vlatko Cvetanovski; Blagoj Kocev

Gabriela Kopacheva Barsova Clinic for ear, nose and throat, University Campus “Ss Mother Theresa”, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
Igor Kamshikoski Clinic for ear, nose and throat, University Campus “Ss Mother Theresa”, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
Marija Dokoska Clinic for ear, nose and throat, University Campus “Ss Mother Theresa”, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
Ana Pejkovska Clinic for ear, nose and throat, University Campus “Ss Mother Theresa”, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
Vesna Petreska Dukovska Re-Medika General Hospital-Skopje, North Macedonia
Aleksandar Mitevski Re-Medika General Hospital-Skopje, North Macedonia
Vlatko Cvetanovski Re-Medika General Hospital-Skopje, North Macedonia
Blagoj Kocev Public Health Institution ,,Health Center Radovish”, North Macedonia

Abstract

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 preformed. 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 preformed. 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 remaing 63 patient had history of previous nasal injury that developed septal deviation. So mosty septal deviation happends in 53 patient or 88%, 16% or 10 patient 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.

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