Perelomy Kostey Nosa

Perelomy kostey nosa yavlyayutsya naibolee chasto vstrechaemoy travmoy litsevogo skeleta i LOR organov, prichinoy obrashcheniya k otorinolaringologu po ekstrennym i neotlozhnym pokazaniyam. Diagnostika pereloma osnovyvaetsya na dannykh klinicheskogo i instrumental'nogo obsledovaniya patsienta. Klinicheski udaetsya postavit' diagnoz lish' u poloviny obrativshikhsya patsientov, ratsional'no podobrannyy algoritm doobsledovaniya privodit k postanovke tochnogo diagnoza, pozvolyaet svoevremenno vyyavit' oslozhneniya pereloma kostey nosa. Naibolee chastym oslozhneniem pereloma yavlyaetsya deformatsiya naruzhnogo nosa. Vybor optimal'noy taktiki lecheniya pozvolyaet likvidirovat' neblagopriyatnye kosmeticheskie i fiziologicheskie posledstviya travmy, adekvatnaya anesteziya pozvolyaet provesti vmeshatel'stvo bezboleznenno. V rabote predstavlen obzor literaturnykh i sobstvennykh dannykh po epidemiologii, diagnostike i lecheniyu perelomov kostey nosa. Privedeny algoritmy diagnostiki, postanovki klinicheskogo diagnoza, taktiki lecheniya, vybora metodiki obezbolivaniya pri perelomakh kostey nosa, obespechivayushchie effektivnost' meditsinskikh meropriyatiy.