title: [Primary treatment of severely injured noses].
abstract: Five cases of severe open nasal injuries are presented. A description is given of the early treatment and the results. In the first two cases a major part of the nose and upper lip were avulsed and remained attached by a lateral pedicle. Lining, support and skin were carefully repaired and defects of the nasal mucosa replaced by buccal mucosa. Both cases were treated in co-operation with the ophthalmologist and neurosurgeon. In the third case, a large defect of the nasal skin was replaced by an island flap of midline frontal skin. In the fourth case, a perforating wound of the nose, the nasal floor, and orbit was treated by a complete reconstruction of all the involved structures. The fifth case was an avulsion of the nose with a cranial pedicle in the region of the glabella. There was also a craniofacial injury with fractures into the frontal and ethmoidal sinuses and the medial wall of the orbits. With neurosurgical assistance the nose was reconstructed. The early results were favourable in all five cases.
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000293:injuries; D009666:Nose / Q000293:injuries*; D012225:Rhinoplasty / Q000379:methods*; D013524:Surgical Flaps; D013536:Suture Techniques
vernacular_title: Primärversorgung schwer traumatisierter Nasen.