Nasal bone fracture

Case contributed by Dr Tom O'Graphy

Presentation

Elderly woman has fallen. Trauma to the face with nasal deformity and brief epistaxis.

Patient Data

Age: 80
Gender: Female
X-ray

Non displaced nasal bone fracture with nasal deformity visible on the soft parts on X-ray. 

Case Discussion

Treatment was conservative with proposition of ENT consultation a few days later (not sure if the patient has seen the specialist).

Facial trauma in the elderly people is not simple to evaluate. Fractures can be missed, some deformities are old, fractures or osteoarthritis sequelae. Positioning on the X-ray plates is not always simple.

Often it's easier to do a CT-scan with brain and facial slices (sometimes cervical too) because they often are under anticoagulants or antiplatelet therapies.

In this case, the mechanism was simple and no cranial trauma was suspected.

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Case information

rID: 36877
Case created: 14th May 2015
Last edited: 9th Mar 2016
System: Head & Neck
Inclusion in quiz mode: Included

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