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Year : 2003  |  Volume : 5  |  Issue : 1  |  Page : 1-4

Prevention of serious complications of minor nasal injuries in children

Hassan Al-Husban, P.O. Box 6021, Zarka, Jordan

Correspondence Address:
M.D. Hassan Al-Husban
Hassan Al-Husban P.O. 6021, Zarka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-8491.289558

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Objective: To study the serious complications of minor nasal injuries in children. Patients and Methods: This was a retrospective study of 102 children presented to the emergency rooms of Prince Rashed Ibn Al-Hassan and Prince Hashem Ibn Al-Hussein Hospitals in Jordan between January 1994 and December 1998 with a primary diagnosis of nasal trauma. Twelve children were admitted to the hospital with serious complications, while the others were discharged in the same day with a trival nasal trauma. Patient characteristics, cause of injury, time elapsed before treatment following trauma, and treatment patterns were studied. Results : Sixty-six out of 102 children were males (male to female ratio was about 2:1). Mean age was 8 years. The most common cause of isolated nasal trauma was simple fall (50%). Out of 102 children with history of nasal trauma only 12 patients (12%) developed serious complications including nasal bone fracture, haematoma or abscess collection and severe epistaxis. The diagnosis was made 1 to 7 days (mean 5 days) after the episode of trauma. Nasal bleeding was the most common symptom while nasal obstruction was the most common sign of complication. Nasal fracture was present in 10 children. Severe nasal bleeding was the cause of admission in 2 children. Haematoma was found in 4 patients, it was associated with cartilage destruction in 1 patient. Abscess of the nasal septum was found at surgery in 2 children, both of them had septal cartilage destruction. Organisms cultured were Staphy. aureus, Strept. pneumonia, and group A B-Hemolytic Strept. They were obtained from both patients with septal abscess and from one patient with septal haematoma. Conclusions: The incidence of severe complications in nasal injuries is directly related to delay in treatment. Diagnosis of nasal septal haematoma and abscess should be considered in all children with recent nasal trauma, to minimize the risk of nasal deformity and prevent the development of septal complications. All children with even minor nasal injuries should be seen for follow up after 24 and 72 hours to detect early the development of complications.

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