Cosmetic Concerns Related to the Posttraumatic Nose without Nasal Obstruction

Abstract

Because of its prominent position on the facial skeleton, the nose is commonly injured. Though significant trauma can result in nasal obstruction, there is also considerable concern for potential cosmetic deformity. Repairing traumatic deformities is complex and can involve all aspects of the nose, including the bony and cartilaginous framework as well as the soft tissue envelope. Trauma can result in deflection, asymmetry, and deformity of the bony nasal dorsum, midvault, and nasal tip. Any serious nasal trauma places patients at risk for complications that may include nasal septal hematoma, septal perforation, and possible cerebral spinal fluid leak. Unrecognized or untreated septal hematomas can result in cartilaginous septal necrosis followed by saddle nose deformity. Though damage to structural scaffolding is often the cause of cosmetic deformity following nasal trauma, the nasal soft tissue envelope is also commonly affected. This can result in lacerations, avulsions, and traumatic tattooing. The following will discuss the evaluation, diagnosis, and management of these cosmetic concerns relating to nasal trauma.

Injury mechanism of midfacial fractures in football causes in over 40% typical neurological symptoms of minor brain injuries

“…Yet, the use of protective masks directly after trauma and the subsequent return‐to‐play within a few days after trauma, which is frequently seen in professional football, increases the risk of re‐injury and other complications. General complications after midfacial fractures have been well documented in the literature but rarely in clinical studies such as our investigation [14, 22, 25, 41]. None of our study participants had sustained any re‐injury or re‐fracture after return‐to‐play, although not all players did wear a face mask.…”