Nasal Trauma Quiz
1) MUA nose (manipulation under anaesthetic) should be conducted how many days post injury?
a) Within 4 days
b) Between 4 – 14 days
c) After 14 days
d) After 6 months
2) MUA treats what type of nasal deformity
a) Deviated nasal bones only
b) Deviated nasal cartilage only
c) Deviated nasal bones and cartilage
3) A 24-year-old lady is allegedly assaulted, sustaining a single punch to the nose. The initial epistaxis settles with simple first aid, however, 2 days after the injury, the patient notices her nose has deviated to one side and the left nostril feels blocked. She attends A&E and, on examination, you notice a fluctuant unilateral swelling in the right nostril.
a) Which is the most likely diagnosis?
i) Deviated nasal cartilage
ii) Septal haematoma
iii) Fractured displaced nasal turbinate
iv) A bone spur
b) How would you manage this swelling?
i) MUA nose
iii) Reassurance & discharge
iv) Examination under anaesthesia and drainage
c) Which three complications are associated with the swelling mentioned above?
i) Septal perforation
ii) Saddle nose deformity
iii) Nasal abscess
iv) Acute rhinosinusitis
v) Chronic nasal obstruction
vi) Granuloma formation
vii) Base of skull osteitis