| Abstrakt: |
Plastic surgeons have been exposed to an increased array of nasal trauma, ever since rapid retrieval and greater survival of patients with high-velocity injuries became possible. Bone and cartilage are disrupted over a potentially broad area, and soft-tissue injury is univeral. Management of patients under these circumstances is more contemplative (because an intuitive understanding of the pathomechanics is needed) and taxing, because the surgeon must define a wider spectrum of possible damage and effect its repair. This article defines logical pretraumatic anatomical construct and identifies the common patterns of nasal injury, describes the usefulness of intraoperative vault-compression tests, and presents an illustrative case history to portray a recommended of fracture repair, from proximal to distal, one vault at a time. |
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