{"id":2207,"date":"2025-12-23T16:02:07","date_gmt":"2025-12-23T13:02:07","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/?post_type=diseases_post&#038;p=2207"},"modified":"2025-12-23T16:02:16","modified_gmt":"2025-12-23T13:02:16","slug":"fractures-nasales-externes","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/oto-rhino-laryngologie\/fractures-nasales-externes\/","title":{"rendered":"Fractures nasales externes&nbsp;: classification, sympt\u00f4mes, diagnostic et traitement"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>Une fracture de l\u2019os nasal est une violation de l\u2019int\u00e9grit\u00e9 structurelle de la charpente ost\u00e9o-cartilagineuse du nez due \u00e0 un impact m\u00e9canique. <\/p>\n<h2 class=\"wp-block-heading\" id=\"etiologie\"><strong>\u00c9tiologie<\/strong><\/h2>\n<p>Cette affection est la plus fr\u00e9quente parmi tous les types de blessures, en particulier parmi les blessures de la r\u00e9gion faciale. Les causes des fractures sont les accidents domestiques et de la circulation, les chutes dans la rue et les blessures sportives. <\/p>\n<h2 class=\"wp-block-heading\" id=\"classification-des-fractures-nasales\"><strong>Classification des fractures nasales<\/strong><\/h2>\n<p>Les fractures de l\u2019os nasal ne font pas l\u2019objet d\u2019une classification approuv\u00e9e de mani\u00e8re universelle. Nous avons tent\u00e9 de compiler les classifications les plus courantes utilis\u00e9es dans la pratique clinique. <\/p>\n<p>Ce type de l\u00e9sion affecte les os du nez, les apophyses frontales du maxillaire et la cloison nasale. <\/p>\n<h3 class=\"wp-block-heading\" id=\"fracture-de-l-os-nasal\"><strong>Fracture de l\u2019os nasal<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>Fracture ferm\u00e9e et d\u00e9plac\u00e9e de l\u2019os nasal\u00a0;<\/li>\n<li>Fracture ferm\u00e9e et non d\u00e9plac\u00e9e de l\u2019os nasal\u00a0;<\/li>\n<li>Fracture ouverte et d\u00e9plac\u00e9e de l\u2019os nasal\u00a0;<\/li>\n<li>Fracture ouverte et non d\u00e9plac\u00e9e de l\u2019os nasal\u00a0;<\/li>\n<li>L\u00e9sion de la cloison nasale.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"fracture-de-l-os-nasal-johnson-2013\"><strong>Fracture de l\u2019os nasal (Johnson, 2013)<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>Type 1<\/strong>\u00a0: fracture simple sans d\u00e9placement\u00a0;<\/li>\n<li><strong>Type 2<\/strong>\u00a0: fracture simple avec d\u00e9formation\u00a0;<\/li>\n<li><strong>Type 3<\/strong>\u00a0: fracture comminutive du nez\u00a0;<\/li>\n<li><strong>Type 4<\/strong>\u00a0: fractures avec d\u00e9placement et d\u00e9formation importants du nez\u00a0;<\/li>\n<li><strong>Type 5<\/strong>\u00a0: fractures combin\u00e9es.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"anatomie\"><strong>Anatomie<\/strong><\/h2>\n<h3 class=\"wp-block-heading\" id=\"mecanisme-des-fractures-nasales\"><strong>M\u00e9canisme des fractures nasales<\/strong><\/h3>\n<p>L\u2019\u00e9tendue et la nature des dommages d\u00e9pendent de la force et de la direction du facteur dommageable, comme d\u00e9crit ci-dessous. <\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Lorsqu\u2019une faible force est appliqu\u00e9e,<\/strong> un trait de fracture ou une fissure appara\u00eet, et aucun d\u00e9placement des fragments d\u2019os n\u2019est observ\u00e9. <\/li>\n<li>De m\u00eame, il n\u2019y a g\u00e9n\u00e9ralement pas de d\u00e9placement de fragments osseux lorsque <strong>la paroi nasale lat\u00e9rale du nez est touch\u00e9e<\/strong>. Cette situation endommage le cartilage quadrangulaire de la cloison nasale, provoquant une fracture ou une dislocation horizontale. Cependant, si une force importante a \u00e9t\u00e9 appliqu\u00e9e, la partie cartilagineuse des ailes du nez peut tomber derri\u00e8re les apophyses frontales du maxillaire, formant une d\u00e9formation en forme de selle. Elle est associ\u00e9e \u00e0 une fracture de la cloison nasale dans la projection de la plaque perpendiculaire de l\u2019os ethmo\u00efde. <\/li>\n<li><strong>Lorsqu\u2019une force est appliqu\u00e9e depuis le c\u00f4t\u00e9,<\/strong> un d\u00e9placement dans la direction oppos\u00e9e se produit, g\u00e9n\u00e9ralement vers la droite. En plus de la rupture des deux os du nez, cela peut \u00e9galement endommager la plaque perpendiculaire et l\u2019apophyse frontale du maxillaire du c\u00f4t\u00e9 oppos\u00e9 \u00e0 l\u2019impact.<\/li>\n<\/ul>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/otorhinolaryngology\/fractures-external-nose\/3d-model-of-fracture-of-nasal-bones.webp\" alt=\"Fracture ferm\u00e9e et d\u00e9plac\u00e9e de l'os nasal\"><figcaption class=\"wp-element-caption\">Fracture ferm\u00e9e et d\u00e9plac\u00e9e de l\u2019os nasal\u00a0: <a href=\"https:\/\/catalog.voka.io\/en\/models\/8861ee9e-a330-4451-856d-1de6ead27805\/4a208b6a-cd12-4055-bdf0-b575ce1530ba\/270855a9-0069-4b8e-bf2f-ebae612ef4dd\/01068a07-bd7e-4fb3-8797-f3791da32836\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<ul class=\"wp-block-list\">\n<li><strong>En cas d\u2019impacts lat\u00e9raux<\/strong> localis\u00e9s <strong>plus pr\u00e8s de la pointe nasale,<\/strong> une dislocation du cartilage quadrangulaire de la cloison nasale et des fractures marginales des os du nez sans leur d\u00e9placement se produisent. <\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"fractures-nasales-ouvertes-et-fermees\"><strong>Fractures nasales ouvertes et ferm\u00e9es<\/strong><\/h3>\n<p>La division des fractures en fractures ouvertes et ferm\u00e9es reste encore ambigu\u00eb. <\/p>\n<p>Certains auteurs estiment que les fractures ouvertes peuvent \u00eatre consid\u00e9r\u00e9es comme celles o\u00f9 l\u2019int\u00e9grit\u00e9 de la peau est atteinte, mais o\u00f9 il n\u2019y a pas de communication entre la partie osseuse et la plaie cutan\u00e9e par l\u2019interm\u00e9diaire d\u2019un canal de plaie. <\/p>\n<p>D\u2019autres auteurs, au contraire, s\u2019accordent \u00e0 dire que les fractures doivent \u00eatre consid\u00e9r\u00e9es comme ouvertes si l\u2019os est en contact avec l\u2019environnement ext\u00e9rieur. <\/p>\n<p>La muqueuse nasale peut rester intacte ou \u00eatre victime d\u2019une l\u00e9sion. Dans ce cas, des ruptures se produisent, associ\u00e9es \u00e0 des saignements mod\u00e9r\u00e9s\u00a0; de plus, un emphys\u00e8me sous-cutan\u00e9 peut se d\u00e9velopper. <\/p>\n<p>Lors de l\u2019utilisation de la classification de Johnson pour les fractures de l\u2019os nasal, qui est assez courante dans les pays europ\u00e9ens, il convient de noter les caract\u00e9ristiques suivantes\u00a0: <\/p>\n<ul class=\"wp-block-list\">\n<li>La fracture de <strong>Type\u00a01<\/strong> se caract\u00e9rise par une atteinte \u00e0 l\u2019int\u00e9grit\u00e9 d\u2019un os de la pyramide nasale sans d\u00e9placement, qui n\u2019entra\u00eene pas de d\u00e9formation de la partie externe du nez. <\/li>\n<li>Le <strong>Type\u00a02<\/strong> se caract\u00e9rise par une fracture unilat\u00e9rale ou bilat\u00e9rale des os de la pyramide nasale, avec pour cons\u00e9quence leur d\u00e9placement et une d\u00e9formation du nez. <\/li>\n<li>Le <strong>Type\u00a03<\/strong> se caract\u00e9rise par une fragmentation bilat\u00e9rale des os du nez, tandis que la cloison nasale peut rester intacte ou \u00eatre endommag\u00e9e \u00e0 des degr\u00e9s divers. <\/li>\n<li>Le <strong>Type\u00a04<\/strong> se caract\u00e9rise par une l\u00e9sion massive\u00a0; outre les os du nez et les apophyses frontales du maxillaire, la cloison nasale est endommag\u00e9e. Le nez externe est \u00e9galement d\u00e9form\u00e9. <\/li>\n<li>Le <strong>Type\u00a05<\/strong> se caract\u00e9rise par une blessure combin\u00e9e dans laquelle l\u2019int\u00e9grit\u00e9 des tissus mous est compromise. Il peut y avoir une impaction de la pyramide nasale r\u00e9sultant en une d\u00e9formation en forme de selle, une fracture de la base du cr\u00e2ne ou de l\u2019orbite. <\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"presentation-clinique\"><strong>Pr\u00e9sentation clinique<\/strong><\/h2>\n<p>Les sympt\u00f4mes suivants sont typiques des fractures nasales externes\u00a0:<\/p>\n<ul class=\"wp-block-list\">\n<li>douleur faciale et nasale, en particulier au moment de la blessure\u00a0;<\/li>\n<li>difficult\u00e9s \u00e0 respirer par le nez, saignements, troubles de l\u2019odorat\u00a0;<\/li>\n<li>gonflement important du nez et des tissus mous adjacents\u00a0; h\u00e9matomes (y compris p\u00e9riorbitaires)\u00a0;<\/li>\n<li>plaintes d\u2019insatisfaction esth\u00e9tique concernant la forme ext\u00e9rieure du nez (en raison du d\u00e9placement de fragments osseux)\u00a0;<\/li>\n<li>plaie accompagn\u00e9e d\u2019un saignement (en cas de fracture ouverte).<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"diagnostic-des-fractures-nasales\"><strong>Diagnostic des fractures nasales<\/strong><\/h2>\n<ol class=\"wp-block-list\">\n<li><strong>Anamn\u00e8se<\/strong><\/li>\n<\/ol>\n<p>Les ant\u00e9c\u00e9dents m\u00e9dicaux sont recueillis et les circonstances de la blessure sont clarifi\u00e9es. <\/p>\n<ol start=\"2\" class=\"wp-block-list\">\n<li><strong>Examen physique et rhinoscopie<\/strong><\/li>\n<\/ol>\n<p>R\u00e9sultats typiques d\u2019une <strong>rhinoscopie<\/strong> dans la cavit\u00e9 nasale\u00a0:<\/p>\n<ul class=\"wp-block-list\">\n<li>caillots de sang\u00a0;<\/li>\n<li>saignement continu (moins fr\u00e9quemment)\u00a0;<\/li>\n<li>gonflement important de la muqueuse\u00a0;<\/li>\n<li>d\u00e9chirures de la muqueuse\u00a0;<\/li>\n<li>luxation du cartilage quadrangulaire\u00a0;<\/li>\n<li>d\u00e9viation de la cloison nasale.<\/li>\n<\/ul>\n<p><strong>Signes sp\u00e9cifiques d\u2019une fracture<\/strong>\u00a0:<\/p>\n<ul class=\"wp-block-list\">\n<li>En cas d\u2019h\u00e9matome septal\u00a0: pr\u00e9sence d\u2019une protub\u00e9rance muqueuse en forme d\u2019oreiller de couleur pourpre.<\/li>\n<li>Les fractures ouvertes se caract\u00e9risent par la pr\u00e9sence d\u2019une plaie sur la peau et d\u2019un saignement externe.<\/li>\n<\/ul>\n<p><strong>Palpation et examen externe<\/strong>\u00a0:<\/p>\n<p>La palpation r\u00e9v\u00e8le une sensibilit\u00e9 importante, une cr\u00e9pitation osseuse et une mobilit\u00e9 pathologique. <\/p>\n<p>Si possible, la forme du nez externe, la pr\u00e9sence d\u2019h\u00e9matomes et d\u2019emphys\u00e8mes sous-cutan\u00e9s doivent \u00eatre \u00e9valu\u00e9s. Cependant, en raison du gonflement important des tissus mous, il n\u2019est souvent pas possible d\u2019\u00e9valuer objectivement la pr\u00e9sence d\u2019une d\u00e9formation nasale. <\/p>\n<ol start=\"3\" class=\"wp-block-list\">\n<li><strong>Diagnostic instrumental<\/strong><\/li>\n<\/ol>\n<p>Tous les patients chez qui une fracture des os nasaux est soup\u00e7onn\u00e9e doivent \u00eatre orient\u00e9s vers une radiographie lat\u00e9rale des os nasaux. <\/p>\n<p>Si la radiographie donne un r\u00e9sultat controvers\u00e9, ou pour d\u00e9terminer plus pr\u00e9cis\u00e9ment l\u2019emplacement et la nature de la l\u00e9sion, un scanner du cr\u00e2ne facial est r\u00e9alis\u00e9.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/otorhinolaryngology\/fractures-external-nose\/%D1%81losed-fracture-of-nasal-bones-with-displacement-of-bone-fragments.webp\" alt=\"Fracture ferm\u00e9e et d\u00e9plac\u00e9e de l'os nasal\"><figcaption class=\"wp-element-caption\">Fracture ferm\u00e9e et d\u00e9plac\u00e9e de l\u2019os nasal\u00a0: <a href=\"https:\/\/catalog.voka.io\/en\/models\/8861ee9e-a330-4451-856d-1de6ead27805\/4a208b6a-cd12-4055-bdf0-b575ce1530ba\/270855a9-0069-4b8e-bf2f-ebae612ef4dd\/01068a07-bd7e-4fb3-8797-f3791da32836\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Retrouvez d\u2019autres contenus scientifiquement exacts sur nos m\u00e9dias sociaux<\/p>\n<p><span class=\"social-banner-text text-grey\">Abonnez-vous et ne manquez pas les derni\u00e8res ressources<\/span><\/p>\n<div class=\"social-links-wrapper\"><a class=\"social-icon-link\" href=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 class=\"wp-block-heading\" id=\"traitement-des-fractures-nasales\"><strong>Traitement des fractures nasales<\/strong><\/h2>\n<h3 class=\"wp-block-heading\" id=\"pour-les-fractures-fermees-non-deplacees\"><strong>Pour les fractures ferm\u00e9es non d\u00e9plac\u00e9es <\/strong><\/h3>\n<p>Une th\u00e9rapie conservatrice est utilis\u00e9e, avec pour objectif de maintenir la fonction respiratoire. <\/p>\n<p>Des vasoconstricteurs locaux, une irrigation nasale r\u00e9guli\u00e8re avec des solutions salines et des analg\u00e9siques syst\u00e9miques sont prescrits. <\/p>\n<p>Il est recommand\u00e9 de limiter les efforts physiques et d\u2019\u00e9viter tout impact m\u00e9canique sur le nez externe. <\/p>\n<h3 class=\"wp-block-heading\" id=\"pour-les-fractures-ouvertes\"><strong>Pour les fractures ouvertes<\/strong><\/h3>\n<p>Le d\u00e9bridement chirurgical initial de la plaie est effectu\u00e9. La vaccination pr\u00e9ventive contre le t\u00e9tanos est obligatoire.<\/p>\n<h3 class=\"wp-block-heading\" id=\"pour-les-fracture-deplacees-de-l-os-nasal\"><strong>Pour les fracture d\u00e9plac\u00e9es de l\u2019os nasal <\/strong><\/h3>\n<p>Le traitement chirurgical vise \u00e0 repositionner et \u00e0 fixer les fragments osseux, \u00e0 restaurer la fonction respiratoire et \u00e0 \u00e9liminer les d\u00e9formations acquises du nez externe. <\/p>\n<p>Il existe trois possibilit\u00e9s de traitement chirurgical\u00a0: pr\u00e9coce (jusqu\u2019\u00e0 7-10\u00a0jours), diff\u00e9r\u00e9 (10-14\u00a0jours) et non urgent. <\/p>\n<p>Le repositionnement des os nasaux peut \u00eatre effectu\u00e9 \u00e0 l\u2019aide de m\u00e9thodes externes (manuellement avec les doigts) ou endonasales (\u00e0 l\u2019aide d\u2019\u00e9l\u00e9vateurs). <\/p>\n<p>Ensuite, un tamponnement nasal \u00e9tanche est effectu\u00e9 \u00e0 l\u2019aide de gaze st\u00e9rile et, si n\u00e9cessaire, une fixation externe \u00e0 l\u2019aide d\u2019un pl\u00e2tre. <\/p>\n<h3 class=\"wp-block-heading\" id=\"chirurgie-non-urgente\"><strong>Chirurgie non urgente <\/strong><\/h3>\n<p>Au plus t\u00f4t 6\u00a0mois apr\u00e8s la blessure, une septoplastie ou une rhinoseptoplastie est r\u00e9alis\u00e9e pour restaurer la forme du nez externe et la fonction respiratoire. <\/p>\n<figure class=\"wp-block-video\" id=\"animation-3d-rhinoplastie-ouverte\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/otorhinolaryngology\/fractures-external-nose\/open-rhinoplasty.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Animation 3D\u00a0: rhinoplastie ouverte<\/figcaption><\/figure>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. Comment diagnostiquer une fracture de l\u2019os nasal\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Le m\u00e9decin recueille les ant\u00e9c\u00e9dents, palpe le nez du patient pour d\u00e9tecter une mobilit\u00e9 pathologique et effectue une rhinoscopie pour \u00e9valuer l\u2019\u00e9tat de la muqueuse. Tous les patients doivent subir une radiographie lat\u00e9rale et, pour clarifier les d\u00e9tails des l\u00e9sions complexes, un scanner du cr\u00e2ne facial est prescrit.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Quelle est la diff\u00e9rence entre une fracture nasale ouverte et ferm\u00e9e\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Dans une fracture ferm\u00e9e, l\u2019int\u00e9grit\u00e9 de la peau recouvrant le site de la blessure n\u2019est pas compromise. Une fracture ouverte se caract\u00e9rise par la pr\u00e9sence d\u2019une plaie dans laquelle des fragments osseux peuvent entrer en contact avec le milieu ext\u00e9rieur, ce qui augmente le risque d\u2019infection et n\u00e9cessite un d\u00e9bridement chirurgical initial.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Comment \u00e9valuer la gravit\u00e9 d\u2019une fracture nasale d\u00e9plac\u00e9e\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">D\u2019un point de vue m\u00e9dical, une fracture nasale d\u00e9plac\u00e9e est une blessure plus grave qu\u2019une fissure, car elle entra\u00eene une d\u00e9formation visible et n\u00e9cessite un repositionnement chirurgical. La gravit\u00e9 est d\u00e9termin\u00e9e par le m\u00e9decin sur la base des radiographies et des r\u00e9sultats de l\u2019examen clinique\u00a0: la pr\u00e9sence de fragments multiples, les l\u00e9sions de la cloison nasale, de l\u2019orbite ou d\u2019autres os du cr\u00e2ne facial doivent \u00eatre prises en compte.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Combien de temps faut-il pour qu\u2019une fracture nasale gu\u00e9risse\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Le temps de gu\u00e9rison d\u00e9pend de la nature de la blessure. Combien de temps faut-il pour qu\u2019une fracture nasale non d\u00e9plac\u00e9e gu\u00e9risse\u00a0? La fusion primaire des structures osseuses cass\u00e9es se produit g\u00e9n\u00e9ralement dans les 2 \u00e0 3\u00a0semaines. Dans le cas de l\u00e9sions d\u00e9plac\u00e9es n\u00e9cessitant un repositionnement chirurgical, le processus de gu\u00e9rison comprend la cicatrisation des tissus mous apr\u00e8s l\u2019intervention, mais la consolidation osseuse compl\u00e8te dans les deux cas prend plusieurs mois, au cours desquels l\u2019activit\u00e9 physique doit \u00eatre limit\u00e9e.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Quelles sont les cons\u00e9quences d\u2019une fracture nasale\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les cons\u00e9quences d\u2019une fracture nasale peuvent \u00eatre une obstruction persistante de la respiration nasale, des ronflements, une sinusite chronique et une alt\u00e9ration de l\u2019odorat. De plus, les d\u00e9fauts esth\u00e9tiques (courbure de l\u2019ar\u00eate nasale, asym\u00e9trie) sont fr\u00e9quents et n\u00e9cessitent une chirurgie plastique reconstructive.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. Que faire si la fusion des os nasaux s\u2019est mal d\u00e9roul\u00e9e\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Si plus de 6\u00a0mois se sont \u00e9coul\u00e9s depuis la blessure et que la d\u00e9formation ou les probl\u00e8mes respiratoires persistent, une intervention chirurgicale non urgente est recommand\u00e9e. Dans ce cas, une rhinoseptoplastie est pratiqu\u00e9e pour restaurer la forme du nez ext\u00e9rieur et corriger la cloison nasale.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"references\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">R\u00e9f\u00e9rences<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomie et Pathologiey \u2013 Atlas 3D complet d\u2019anatomie et de pathologie [Internet]. VOKA 3D Anatomy & Pathology. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse\u00a0: https:\/\/catalog.voka.io\/ <\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Total Otolaryngology-Head and Neck Surgery (Oto-rhino-laryngologie totale \u2013 Chirurgie de la t\u00eate et du cou), Anthony P. Sclafani, Robin A. Dyleski, Michael J. Pitman, Stimson P. Schantz. Thieme Medical Publishers, Inc, 2015. ISBN 978-1-60406-646-3.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>\u0411\u0435\u0440\u0431\u043e\u043c \u0425. \u0411\u043e\u043b\u0435\u0437\u043d\u0438 \u0443\u0445\u0430, \u0433\u043e\u0440\u043b\u0430 \u0438 \u043d\u043e\u0441\u0430 \/ \u0425\u0430\u043d\u0441 \u0411\u0435\u0440\u0431\u043e\u043c, \u041e\u043b\u0438\u0432\u0435\u0440 \u041a\u0430\u0448\u043a\u0435, \u0422\u0430\u0434\u0435\u0443\u0441 \u041d\u0430\u0432\u043a\u0430, \u042d\u043d\u0434\u0440\u044e \u0421\u0432\u0438\u0444\u0442; \u043f\u0435\u0440. \u0441 \u0430\u043d\u0433\u043b. \u2013 2-\u0435 \u0438\u0437\u0434. \u2013 \u041c.\u00a0: \u041c\u0415\u0414\u043f\u0440\u0435c\u0441-\u0438\u043d\u0444\u043e\u0440\u043c, 2016. \u2013 776 \u0441.\u00a0: \u0438\u043b. ISBN 978-5-00030- 322-1.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Landeen KC, Kimura K, Stephan SJ. Fractures nasales. Facial Plastic Surgery Clinics of North America 2022 Feb;30(1):23-30. doi\u00a0: 10.1016\/j.fsc.2021.08.002. PMID\u00a0: 34809884.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Marston AP, O\u2019Brien EK, Hamilton GS 3rd. Blessures nasales dans le sport. Clin Sports Med. 2017 Apr;36(2):337-353. doi\u00a0: 10.1016\/j.csm.2016.11.004. PMID\u00a0: 28314421.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Alvi S, Patel BC. R\u00e9duction des fractures nasales. [Mis \u00e0 jour le 3 avril 2023]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse\u00a0: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK538299\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Ramachandra T, Ries WR. Prise en charge des l\u00e9sions des tissus mous nasaux et p\u00e9rinasaux. Facial Plast Surg. 2015 Jun;31(3):194-200. doi\u00a0: 10.1055\/s-0035-1555619. Epub 2015 Jun 30. PMID\u00a0: 26126216.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Kelley BP, Downey CR, Stal S. Evaluation and reduction of nasal trauma (\u00c9valuation et r\u00e9duction des traumatismes nasaux). Semin Plast Surg. 2010 Nov;24(4):339-47. doi\u00a0: 10.1055\/s-0030-1269763. PMID\u00a0: 22550458\u00a0; PMCID\u00a0: PMC3324218.<\/cite><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Une fracture de l&rsquo;os nasal est une violation de l&rsquo;int\u00e9grit\u00e9 structurelle de la charpente ost\u00e9o-cartilagineuse du nez due \u00e0 un impact m\u00e9canique. \u00c9tiologie Cette affection est la plus fr\u00e9quente parmi tous les types de blessures, en particulier parmi les blessures de la r\u00e9gion faciale. Les causes des fractures sont les accidents domestiques et de la [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"template":"","diseases_category":[233],"class_list":["post-2207","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-oto-rhino-laryngologie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Fractures nasales externes\u00a0: classification, causes, sympt\u00f4mes, diagnostic et traitement<\/title>\n<meta name=\"description\" content=\"Fractures nasales externes\u00a0: classification, pr\u00e9sentation clinique, diagnostic et traitement. 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