ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG BỆNH NHÂN GÃY XƯƠNG CHÍNH MŨI TẠI KHOA TAI MŨI HỌNG, BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

Abstract

Objectives: To describeles clinical and paraclinical characteristics of major nasal fractures of patients at the department of Otolaryngology, Thai Nguyen general hospital. Material and methods: Patients with major nasal fractures alone or in combination were treated and monitored at the Department of Otolaryngology, Thai Nguyen General Hospital from July 2021 to November 2022. Cross- sectional descriptive study of case clusters - Prospective study design. Direct interviews with patients according to a pre- designed questional that combines clinical examination, nasal endoscopy, X-ray results and CT.Scanner of the nose. Results: From the results of the study on 52 patients with major nose fractures at Thai Nguyen General Hospital we found that: Most were male (73.1%), the rate of male /female: 2.7/1. The age group was mainly found in the age group of 15 - < 30 years old (46.2%) and the age group 30 - < 50 had 23/52 (44.2%). Cause of nasal fractures is mainly traffic accident 29/52 (55.8%). The most common clinical symptoms were pain 100%, a deformity of the nose and swelling and bruising were (98.1%), epistaxis accounted for a high rate (82.7%), with a sharp pain of nose fractures score (78,8%), there were signs of bone crunching in the nasal main bone (32.7%), deviated septum during endoscopy (51.9%).52/52 (100%) were scanned with CT.Scanner, in which type I was 59.6%, type II was 25%, type III was 15.4%; 44/52 (84.6%) X-ray film of the straight face, in which the lesion type I is 95.5%, type II is 4.5%. Conclusions: External force applied to the nasal bone can also lead to coexistent fracture of adjacent bony structures including the nasal septum. The proposed classification of nasal fracture based on CT.Scanner imaging helps to incorporate coincident disruption of adjacent structures.