Fracture nasal bone corection or repair

Fractures of nose from accidental trauma are very common. The untreated fractures of nasal bones could lead to loss of structural integrity and the soft tissue changes that eventually lead to both unfavorable appearance and function. The management of nasal fractures is based purely on the clinical assessment of appearance and the function. Elevation of the head and use of cold compresses in the periorbital and nasal region can be helpful while waiting for edema to subside. A nasal deformity may be obvious even in the presence of significant edema. In a patient with no apparent abnormality at the initial visit, reassessment of the nose after the edema subsides may reveal findings necessary to repair. Patients with fractures involving nose will have intense bleeding from nose making assessment a little difficult. Bleeding must first be controlled by nasal packing. No clear recommendation exists regarding the type of surgical approach or the timing of surgery in patients with nasal fractures.

Septal abscess and drainage

The nose is the most frequently injured facial structure. Hematoma formation may occur in nose due to trauma to the anterior nasal septum. Early diagnosis and treatment of hematoma is important to prevent abscess formation. Successful management of nasal septal abscess depends on immediate incision and drainage, in conjunction with antibiotic therapy. Antibiotic therapy alone is not sufficient. If a septal abscess is suspected, needle aspiration under topical anesthesia can be performed. To drain the hematoma, the mucosal part over the area is incised without incising cartilage. Bilateral staggered incisions should be made for bilateral hematomas. Suction out the clot; then irrigate with sterile normal saline. A small section of the mucoperichondrium should be excised to prevent premature closure of the incision.

Septum spur correction

The presence of a septal bony spur in the nose can account for a large variety of migraine-type headaches. The septoplasty of nose is a beneficial procedure for individuals suffering from these debilitating disorders with multiple etiologies. In this procedure, a small incision is made inside the nostril, and the mucous membrane is elevated off of the septum. The septal spur is removed to relieve the pressure point and the septum is straightened so the contact point that creates the headache is eliminated. Intranasal surgery can potentially eliminate headaches.


Ethmoidectomy describes a surgical procedure in which the ethmoid sinus cells are opened to treat infection or sinus obstruction that causes chronic sinus problems. Ethmoidectomy removes the partitions between the ethmoid sinuses or infected tissues from the ethmoid sinus cavity in order to create larger sinus cavities. This procedure treats sinus infections and sinus obstructions that have been the cause of chronic sinus problems. The procedure may also involve the removal of nasal polyps present in the ethmoids. Ethmoidectomy is often carried out in conjunction with other ENT procedures, such as sub-mucosal resections, maxillary anastrostomies, and nasal septal deviation repair. The surgeon views your ethmoid sinuses with an endoscope, a thin flexible tube with a very small camera and light at the end of it.
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