[Injuries of the nose in the newborn and young infant].
After having emphasized the frequency of the newborn's and young child's nasal fractures, the authors insist on the difficulty of: - a precise outcome of the lesions, - the complications due to nasal obstruction, - the impossibility to anticipate the evolution of these lesions, which is being precised by a brief embryological recall. The traumas are deliberately presented according to the age of the patients: 1) the newborn's fractures: - the prenatal fractures, which generally have a favorable evolution. - obstetrical traumas, with nasal obstruction and feeding difficulty, both being indications to surgery. 2) The young child's fractures: often misknown, and relatively frequent, the nasal wall's hematoma is a dreadful complication. 3) During school years: (sports, car accidents, Silverman's syndrome) Nasal fractures are here generally associated to other facial lesions. Indications to surgery: Always: If it is a recent fracture, provoquing nasal obstruction with respiratory and feeding problems. Sometimes: Septoplasty as minima in case of respiratory difficulties. Never perform true rhinoplasty and/or osteotomies.
D000367:Age Factors; D001720:Birth Injuries / Q000601:surgery; D002675:Child, Preschool; D005260:Female; D050723:Fractures, Bone / Q000209:etiology*; D005596:Fractures, Closed / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007746:Labor Presentation; D009300:Nasal Septum / Q000601:surgery; D009666:Nose / Q000293:injuries*; D011247:Pregnancy; D012225:Rhinoplasty
Traumatismes du nez chez le nouveau-né et le jeune enfant.