Intern Intern 呂佾欣呂佾欣

AbstractAbstract

IntroductionIntroduction

AnatomyAnatomy

NNasal boneasal bone

CCartilageartilage 1 1 Nasal BoneNasal Bone 22 Nasal Cartilage Nasal Cartilage 33 Lateral Crus of the Lateral Crus of the Greater Alar Cartilage Greater Alar Cartilage 44 Medial Crus of Greater Medial Crus of Greater Alar Cartilage Alar Cartilage 55 Septal Cartilage Septal Cartilage 66 Lesser Alar Cartilage Lesser Alar Cartilage 77 Nasal maxillary Suture Nasal maxillary Suture

1

3

4

2

56

7

SeptumSeptum

2-3mm2-3mm

1. Septal cartilage 1. Septal cartilage 2. Perpendicular 2. Perpendicular plate of the plate of the ethmoid bone ethmoid bone 3. Vomer 3. Vomer 4. Palatine bone 4. Palatine bone 5. Palatine process 5. Palatine process of of the maxilla the maxilla

PathogenesisPathogenesis

““Open book “ type fracture Open book “ type fracture

Undeviated fractureUndeviated fracture

DisplacementDisplacement

SSeptal fractureeptal fracture

Clinical assesmentClinical assesment 1st step :1st step :

2nd step :2nd step :

1. Degree of bony deformity2. Soft tissue injury

3. Cartilage deformity

X-ray :X-ray :

NNasal endoscopy :asal endoscopy :

TreatmentTreatment

IImmediate or delay ?mmediate or delay ?

Open or COpen or Close reduction ?lose reduction ?

TTools :ools :

Septoplasty :Septoplasty :

SStabilize :tabilize :

ConclusionConclusion