Wuhan Evening News (reporter Zhang Ming and correspondent Huang Jieying) 7-year-old Lele hit his nose while playing, resulting in a fracture of his nose bone. Experts from the Department of Otorhinolaryngology of Hongshan Branch of Hubei Provincial Maternal and Child Health Care Hospital performed surgery under ultrasound guidance to accurately complete the closure and reduction of nasal bone fractures for Lele. On the 22nd, Lele recovered well after surgery and was successfully discharged from the hospital.
Last Friday after school, Lele hit the edge of a cement table while riding a scooter in the square near the community, his face was bruised and swollen, and his nose was broken. His parents quickly helped him sit down, and after the nosebleed stopped, he went home to rest. A few days later, the parents found that Lele's nose seemed to be crooked, and there was a collapse on the left side, and symptoms of nasal congestion and runny nose appeared, and he also snored a little at night.
On September 9, his parents took Lele to the Department of Otorhinolaryngology of Hubei Provincial Maternal and Child Health Care Hospital Hongshan Campus. After a complete CT examination, doctors found that the child's nasal bone had a collapsed fracture that required surgical reduction. Parents are very worried about the inaccurate repositioning, which will affect the shape of the nose and the function of the nasal cavity in the later stage. In order to restore the broken nasal bone to a satisfactory position as accurately as possible, Yang Liu, deputy director of the Department of Otorhinolaryngology, decided to cooperate with the Department of Ultrasonography to perform ultrasound-guided reduction surgery for Lele.
Before the operation, the ultrasound diagnostic doctor located the location of the nasal bone fracture for Lele. During the operation, under ultrasound guidance, Director Yang Liu performed accurate closure reduction of nasal fracture under direct vision through nasal endoscope, and after the initial reduction was successful, ultrasound examination was performed again to observe the alignment and alignment of the fractured end, and the operation was successful.
"Since the opening of the Hongshan campus for more than half a year, the otolaryngology department has successively received many children with nasal bone fractures." Director Yang Liu introduced that children's nasal bone fractures are caused by direct violence, which is mostly caused by car accidents and accidental falls and injuries to the nose and face. Nasal bone fracture can be manifested as external nasal deformity, swelling of the external nose and surrounding soft tissues, nasal congestion, nosebleeds, and severe cases can cause intracranial injury symptoms such as vision loss, cerebrospinal fluid rhinorrhea, and changes in consciousness. Nasal bone fractures should be treated in time, and nasal bone fracture reduction should be implemented to avoid serious complications and external nasal deformities.
In traditional surgery, clinicians can often only judge the approximate location of nasal bone fracture based on preoperative imaging data and nasal contours, and then perform reduction. The Department of Otorhinolaryngology and the Department of Ultrasound Diagnosis of Hongshan Branch of Hubei Provincial Maternal and Child Health Care Hospital carried out ultrasound-guided nasal bone fracture reduction surgery, and through the dynamic real-time observation and guidance of preoperative, intraoperative and postoperative ultrasound, many children have been helped to complete accurate nasal bone reduction surgery.