What Is Rhinophyma?

Nasal injury, Chinese medicine name. It refers to the rhinitis caused by external force to the nose. The bruises are locally swollen, pain is severe, or the flesh is broken, the nose bridge is broken, and the bleeding is painful. Nasal trauma should be treated promptly to avoid deformities in the future, which will not only impede the appearance but also affect the breathing, pronunciation and resonance functions.

Chinese Medicine Name: Nose injury
Related Western Medicine Diseases: Nose injury
Other name: Broken
Disease classification: Otolaryngology-Rhinology

Disease site: Nose
Main cause: trauma
Multiple groups: Everyone
Contagious: no

Nose injury

Nasal injury refers to injury caused by external force on the nose. Due to different external forces and different ways of stress, the degree of injury is also different. Commonly, there are nasal injuries, bruises, flesh and bone damage, nasal bone fractures, and nasal injuries. Serious injuries can be life threatening.

Causes of nasal injury

The nose is soaring in the face and is susceptible to trauma, such as boxing, sticks, vehicle collision or falling down, falling high, landing on the nose and forehead, or hurting the nose with a sharp gun.

Nasal injury pathogenesis

1. Injury caused by blunt organs, leaving blood inside: mostly contusions caused by blunt objects such as heavy objects, collision of vehicles or fists, resulting in nasal vein injury, outside of blood overflow veins, retention of bad blood inside, between stasis and flesh, so local The bruise was swollen and pain was unbearable.

2. Sharps damage, flesh damage: Most of the injuries are caused by sharp tools such as knife cutting and gold wounds, which cause the flesh of the nose to be damaged, cracked, or even partially broken.

3, direct violence, deformity of the fracture: severely affected by direct violence, such as vehicles, strenuous sports such as playing or kicking, boxing, children with nasal forehead injury, sudden outbreak of force hit the nose, and can cause nasal bones and sinus fractures or deformities .

4. Damage to blood veins, injury to the nose and blood: External force violently hits the nose, damages the outer nose skin, hurts the nose vein, blood overflows the veins, clears the bloodstream or fractures of the nasal bone, and the veins are broken and the blood is bleed.

Tips for diagnosis of nasal injury

1. Medical history: history of nasal trauma.

2. Clinical symptoms: swelling and pain in the nose and surrounding face, bleeding in the nose, stuffy nose and breathing, pronunciation, malocclusion.

3. Check

(1) Nasal contusion, bruising, swelling or bleeding in the nose may be accompanied by fracture of the nasal bone.

(2) Most of the injuries caused by sharps in the nose are cracked, and the wounds are neat or irregular, or partly broken.

(3) Nasal bone fracture, nose bridge collapse, and skew. At the same time, nasal septum detachment from the midline and nasal septum hematoma are more common. If it is a displaced nasal bone fracture, the above manifestations are obvious, and there is bone fricative. If it is not a mobile nasal bone fracture, the appearance is unchanged, and there is obvious tenderness and deformation at the touched fracture. X-ray film of the nasal bone can be diagnosed. ^[1]

Dialectical treatment of nasal injury

Dialectical points of nasal injury

Mostly, the blunt device hits the nose, causing damage to the veins, bleeding outside the veins, and blood stasis accumulating between the flesh, so the local bruises swell; blood stasis, stagnation of the veins, impeded qi and blood, so local pain and touch. Benefit even more. If the bad blood accumulates in the nasal septum, the clearing path is blocked, so see the septum hematoma swelling, nasal congestion; if you feel the evil poison, heat poisoning fire, suffocate blood, heat rot muscles, so see the nose fever, redness and jumping pain.

The nose and face are injured by blunt force or sharps. The light ones only have epidermal abrasions; in the severe cases, the flesh cracks, the wound is obvious, or even part of it is broken off. Damage to the nasal network causes bleeding, and damage to the nasal veins bleeds. Qi and blood stagnation can not see the local swelling and pain.

The bone of the bridge of the nose is thin and brittle in the face. It is susceptible to fracture or collapse due to violent impact. Nasal veins were damaged, blood oozed under the skin, so there was bruising and pain. The nose is the way to breathe gas. If you are injured, blowing your nose hard will easily escape into the skin through the nasal mucosal lesion and cause subcutaneous emphysema.

Nasal vein injury, blood does not return to the menstrual flow and overflow, so bleed blood. If the large vein of the nose is damaged, the amount of bleeding will be fierce, and even the qi will bleed with blood, resulting in pale, dizziness, palpitations, weak pulses, and decreased blood pressure; if the damage is complicated and the part is deep, the nose will be injured He was still bleeding for a few days.

Nose injury treatment principles

Nasal injury is a nasal emergency. Pay attention to the degree of injury and changes in the condition of the disease, and take different external and internal treatment methods in a timely manner.

Classification of Nose Injury

(1) Nasal Injury and Swelling

Symptoms: Swelling of the nose, bruising under the skin, which can reach the eyelids, local pain and tenderness are obvious, and there may be nasal congestion, forehead pain, and pressure on the bridge of the nose. Or see the nasal septum bulging, dark purple, smooth and soft, if the secondary exposure, then the formation of abscesses, fever, local pain increased, or jumping pain.

Governing Law: Huoxuetongluo, Xingqi analgesic.

Recipe: Taohong Siwu Decoction.

Commonly used medicines: peach kernel, safflower, chuanxiong, angelica, mature land, white peony, incense, Yanhusuo, tannin.

(2) Damaged flesh

Symptoms: Nasal epidermal abrasions in mild cases, skin torn in severe cases, or even partial shedding or defects, local bleeding or pain.

Treatment: Activating blood and removing stasis, swelling and pain.

Recipe: Taohong Siwu Decoction.

Commonly used medicines: peach kernel, safflower, chuanxiong, angelica, cooked land, white lotus root.

(3) Nasal bone fracture

Symptoms: If the fracture is not displaced, there may be only pain, tenderness, or swelling in the local area; if the fracture has been displaced, it can be seen that the bridge of the nose is skewed or collapsed like a saddle, and bone fricatives may be palpated. If the air enters the skin after injury, , Can form subcutaneous emphysema, touch it with twisted sound. In severe cases, nasal septum fractures and dislocations may cause nasal congestion. Examination showed that the nasal septum deviated from the midline and protruded to one side of the nasal cavity.

Governing method: in the early stage should be promoting blood circulation and removing blood stasis, Qi and analgesic; in the middle period should be invigorating blood and promoting blood circulation, and promoting health;

Recipe: Initially use Huoxue Zhitong Decoction. The orthopedic Zijin Dan was added or subtracted in the medium term. Add and subtract ginseng Zijin Dan later.

Commonly used drugs: (Huoxuezhitong Decoction): Frankincense, myrrh, hematoxylin, safflower, panax notoginseng, earthworm, angelica, chuanxiong, red peony, purple gold rattan, tangerine peel

(orthopedic purple Jindan addition and subtraction) safflower, angelica, tannin, rhubarb, blood exhaustion, catechin.

(Ginseng Zijin Dan addition and subtraction) ginseng, Poria, licorice, Angelica, Wujiapi, blood exhaustion, myrrh, clove, bone broken tonic, Schisandra.

(4) Hemorrhage due to nose injury

Symptoms: When the nose is injured, there is bleeding in the nostril, which can be more or less. It is a common complication of various types of nose injuries. Or there was a large amount of bleeding in the blood after the injury, which continued to be difficult, and even crises with pale faces, weak pulses, and decreased blood pressure appeared; or several days after the injury, there was still repeated bleeding.

Governing Law: Concentrate blood to stop bleeding, and nourish blood.

Recipe: According to the type of nose injury mentioned above, add Amaranth, Pu Huang, Agrimonia, Gardenia charcoal, Platycladus orientalis, Puccinellia tenuiflora, Polygonum chinense, Panax notoginseng and the like.

Other treatments for nasal injury

trauma

1. Nasal injury and stasis: Cold compress should be applied within 24 hours from the beginning of the nose injury to help stop bleeding or stop blood stasis from spreading. After 24 hours, you can switch to hot compresses or take Chinese traditional medicine residue and then decoction and hot compresses to promote blood circulation and disperse blood stasis, reduce swelling and relieve pain.

2, flesh damage: light people only need to wash the wound with normal saline or hydrogen peroxide. For deeper and longer wounds, the wound should be carefully cleaned, foreign bodies removed, skin flaps should be kept as far as possible, and sutured, and tetanus antitoxin should be injected. Patients with severe skin defects should be skin grafted.

3. Nasal septum hematoma: those with small hematomas can be punctured and suctioned; those with hematomas should make an incision parallel to the nasal floor under the anesthesia, and then fill the nasal cavity with sterile vaseline gauze after exhausting the blood stasis Prevent rebleeding. At the same time pay attention to prevent infection and purulent.

4. Nasal septum dislocation: It should be reset. Use reduction forceps to reach both sides of the nasal cavity to clamp the nasal septum. After resetting it, the bilateral nasal cavity was stuffed with vaseline gauze. If it is difficult to reset, in the future, submucosal correction or submucosal resection of the nasal septum may be performed to correct the deflection.

5. Nasal bone fracture: For those who have no displacement of fracture, refer to the treatment of "nasal injury and stasis"; if the fracture has displacement and deformity, it should be reduced as soon as possible. If the nasal swelling is more severe and the reduction is difficult, it can be delayed for a few days. After the swelling subsides, the reduction should be performed, but it should not exceed 14 days at the latest, so as not to cause too much callus formation or dislocation healing. .

6. Nasal injury and bleeding: mainly to stop bleeding.

Outcome of nasal injury

Patients with less severe injuries have a better prognosis. However, if the injury is severe or treatment is delayed, deformities may be left and affect face or respiratory function. If combined with nearby organ damage or skull base fracture, dural laceration, etc., other dysfunctions may be left, and even life-threatening.

Nose Injury Prevention

1. Those who have wounds should pay attention to keeping the area clean, so as not to infect the evil and worsen the illness.

2. For those with bruising, do not rub the affected area with force, so as not to aggravate the injury or cause bleeding.

3, those with fractures, to prevent re-collision or compression, so as to avoid displacement of the fracture end, difficult to heal or form deformities.

4. Focusing on various safety publicity and education to avoid accidents is the key to preventing the disease.

Nasal Injury Literature Abstract

"Yinzong Jinjian · Tips for Orthopedic Heart Method · Head and Face": "Every nasal hole injury can be cured, and blood is okay. If the nasal bridge is sunken, apply angelica plaster; Tips, or gold-bladed wounds to open holes, apply a sealant to the wound, and then apply the disinfectant Dingtong Santie to reduce the swelling. " ^[2]