Subscribe to RSS
DOI: 10.1055/s-0030-1267728
Nasal Soft Tissue Trauma and Management
Publication History
Publication Date:
17 November 2010 (online)
![](https://www.thieme-connect.de/media/fps/201006/lookinside/thumbnails/10.1055-s-0030-1267728-1.jpg)
ABSTRACT
The nose is the most prominent of all facial structures and is susceptible to many types of trauma. All soft tissue injuries of the nose have the potential to distort its appearance and adversely affect the patient's self-image and self-esteem. Once life-threatening injuries are stabilized, a careful history and physical exam should be completed and treatment individualized. The ultimate objective of treatment is to achieve both functional and cosmetic restoration with timely diagnosis and repair. Immediate nasal reconstruction is ideal when medically possible because this decreases long-term sequelae.
KEYWORDS
Soft tissue trauma - face - nose - management
REFERENCES
- 1 Lee R H, Gamble W B, Mayer M H, Manson P N. Patterns of facial laceration from blunt trauma. Plast Reconstr Surg. 1997; 99 1544-1554
- 2 Stucker F J, Hoasjoe D K. Soft tissue trauma over the nose. Facial Plast Surg. 1992; 8 233-241
- 3 Gruss J S, Antonyshyn O, Phillips J H. Early definitive bone and soft-tissue reconstruction of major gunshot wounds of the face. Plast Reconstr Surg. 1991; 87 436-450
- 4 Finch D R, Dibbell D G. Immediate reconstruction of gunshot injuries to the face. J Trauma. 1979; 19 965-968
- 5 Behnia H, Motamedi M H. Reconstruction and rehabilitation of short-range, high-velocity gunshot injury to the lower face: a case report. J Craniomaxillofac Surg. 1997; 25 220-227
- 6 Vásconez H C, Shockley M E, Luce E A. High-energy gunshot wounds to the face. Ann Plast Surg. 1996; 36 18-25
- 7 Thorne C H. Gunshot wounds to the face. Current concepts. Clin Plast Surg. 1992; 19 233-244
- 8 McLean J N, Moore C E, Yellin S A. Gunshot wounds to the face—acute management. Facial Plast Surg. 2005; 21 191-198
- 9 Hochberg J, Ardenghy M, Toledo S, Ardenghy M E, Miura Y, Schiebel F. Soft tissue injuries to face and neck: early assessment and repair. World J Surg. 2001; 25 1023-1027
- 10 Holt G R. Concepts of soft-tissue trauma repair. Otolaryngol Clin North Am. 1990; 23 1019-1030
- 11 Aveta A, Casati P. Soft tissue injuries of the face: early aesthetic reconstruction in polytrauma patients. Ann Ital Chir. 2008; 79 415-417
- 12 Spira M, Hardy S B, Biggs T E, Gerow F J. Shotgun injuries of the face. Plast Reconstr Surg. 1967; 39 449-458
- 13 Key S J, Thomas D W, Shepherd J P. The management of soft tissue facial wounds. Br J Oral Maxillofac Surg. 1995; 33 76-85
- 14 Rapley J H, Lawrence W T, Witt P D. Composite grafting and hyperbaric oxygen therapy in pediatric nasal tip reconstruction after avulsive dog-bite injury. Ann Plast Surg. 2001; 46 434-438
- 15 Tu A H, Girotto J A, Singh N et al.. Facial fractures from dog bite injuries. Plast Reconstr Surg. 2002; 109 1259-1265
- 16 Turan A, Kul Z, Türkaslan T, Ozyiğit T, Ozsoy Z. Reconstruction of lower half defects of the nose with the lateral nasal artery pedicle nasolabial island flap. Plast Reconstr Surg. 2007; 119 1767-1772
- 17 Herford A S. Early repair of avulsive facial wounds secondary to trauma using interpolation flaps. J Oral Maxillofac Surg. 2004; 62 959-965
- 18 Swartz W M. Microvascular approaches to nasal reconstruction. Microsurgery. 1988; 9 150-153
W. Matthew WhiteM.D.
Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, New York University Langone Medical Center
530 First Avenue, Faculty Practice Tower 7U, New York, NY 10016
Email: William.white@nyumc.org