OPTION 1

The clinical fractures of the nasal bone fracture are:

 

• Flattening of the nasal bridge producing open book deformity.

• Epistaxis-hemorrhage due to rupture of anterior and posterior branches of ethmoidal artery.

• Due to the loose areolar tissue around the eye there is bilateral circumorbital ecchymosis/edema.

• There is tenderness, crepitus over the nasal bones.

• Subconjunctival hemorrhage medially.

 

• The nasal septum gets dislocated from the groove of the vomer and may lead to Deviated Nasal Septum (DNS).

 

 

• The fracture of the frontal processes of maxilla can result in the detachment of the medial canthal ligament and the canthal angle becomes rounded. This apparently increases the distance between the medial canthi of both the

eyes. The normal distance is about 36 mm and this increases beyond the normal value and the condition is called telecanthus. Thus, the traumatic telecanthus results.

• Almond shaped palpebral fissure due to roundening of the medial canthus of the eye.

• Diplopia may result due to involvement of medial rectus or inferior obliques muscle.

• The damage to the cribriform plate of ethmoid results in damage to the branches of the olfactory nerve and leads to loss of smell sensation, i.e. anosmia.