External nose examination

The external nasal examination is a method of examining the appearance of the nose. External nasal lesions are common with abnormal changes in external nasal morphology and skin. Basic Information Specialist Category: Otolaryngology Examination Category: Other Inspections Applicable gender: whether men and women apply fasting: not fasting Analysis results: Below normal: Normal value: no Above normal: negative: The shape of the bridge of the nose is not collapsed or skewed. The nasal septum and the nose are developing normally. Positive: 1, nasal bridge skew and depression, in addition to congenital developmental deformity, mainly due to trauma and atrophic rhinitis. If a traumatic fracture of one side of the nose causes the nasal bridge to be skewed, the simultaneous fracture of the two sides shows a saddle-shaped depression in the middle of the nose. Atrophic rhinitis in the onset of childhood can affect the development of the nose and saddle nose. In addition, the height of the nasal septum may be significantly skewed. Children with hypertrophied hypertrophy can develop nasal dysplasia and anterior nares. Huge and multiple nasal polyps can widen the bridge of the nose, flatten the nose, and have a full nose, shaped like a frog's back, called the frog nose. A small number of patients with atrophic rhinitis have a special nasal shape, the nose is wide and flat, the nose is slightly depressed, and the nose is picked up. 2, the outer nose skin cyanosis is caused by trauma caused by blood vessel rupture, blood hoarding under the skin. The outer nose skin is flushed with oil or telangiectasia, the skin is thickened, and the rough and uneven skin is orange rind. Skin desquamation or cleft palate between the nause and lips is mostly caused by allergic reaction or pus stimulation of chronic sinusitis. When suffering from acute maxillary sinusitis, sometimes the cheek skin is red and swollen; in acute ethmoid sinusitis, the skin inside the iliac crest may be red and swollen; in acute frontal sinusitis, the upper iliac crest and the root of the eyebrow may be red and swollen. Sinus cysts can sometimes be seen in the face bulging or pressing the feeling of table tennis. Reminder: During the examination, the examinee is sitting, leaning back to check the back of the chair, the upper body is leaning forward slightly, and the hands are placed on the knees, straight and straight. Normal value The shape of the bridge of the nose is not collapsed or skewed. The nasal septum and the nose are developing normally. Clinical significance Abnormal results: the nasal bridge skew and depression, in addition to congenital malformations, mainly due to trauma and atrophic rhinitis. If a traumatic fracture of one side of the nose causes the nasal bridge to be skewed, the simultaneous fracture of the two sides shows a saddle-shaped depression in the middle of the nose. Atrophic rhinitis in the onset of childhood can affect the development of the nose and saddle nose. In addition, the height of the nasal septum may be significantly skewed. Children with hypertrophied hypertrophy can develop nasal dysplasia and anterior nares. Huge and multiple nasal polyps can widen the bridge of the nose, flatten the nose, and have a full nose, shaped like a frog's back, called the frog nose. A small number of patients with atrophic rhinitis have a special nasal shape, the nose is wide and flat, the nose is slightly depressed, and the nose is picked up. The external nasal skin cyanosis is caused by rupture of blood vessels due to trauma, and blood is accumulated under the skin. The outer nose skin is flushed with oil or telangiectasia, the skin is thickened, and the rough and uneven skin is orange rind. Skin desquamation or cleft palate between the nause and lips is mostly caused by allergic reaction or pus stimulation of chronic sinusitis. When suffering from acute maxillary sinusitis, sometimes the cheek skin is red and swollen; in acute ethmoid sinusitis, the skin inside the iliac crest may be red and swollen; in acute frontal sinusitis, the upper iliac crest and the root of the eyebrow may be red and swollen. Sinus cysts can sometimes be seen in the face bulging or pressing the feeling of table tennis. People who need to be examined: patients with abnormal nasal morphology and skin. Positive results may be diseases: chronic rhinitis, sinus mucus cyst, nasal polyps, atrophic rhinitis, nasal discharge precautions Pre-examination contraindications: In addition to listening to the patient's complaint before the examination, the necessary fashion must ask in detail about the whole body or local symptoms (such as nasal congestion, runny nose, nosebleeds, pain and headache, sneezing, olfactory obstruction, voice, After the facial uplift and deformation, etc., there is a need to ask about past medical history (such as history of trauma, history of surgery), current systemic history, family history, occupation, and alcohol and tobacco hobbies that may be related to nasal diseases. Lesions adjacent to the organ. Inspection requirements: When inspecting, the subject is sitting, leaning back to check the back of the chair, the upper body leaning forward slightly, with both hands on the knees, straight and straight. Checking children who are not cooperative should be held by the family or assistants in the children. Inspection process First check the shape of the nose for deformity, stenosis of the anterior nares, nose deflection, collapse, swelling, widening, and normal skin color. Then use the thumb and forefinger to check whether the outer nose has tenderness, whether the nasal bone is collapsed, displaced, or rubbed. And pay attention to whether there is occlusion or open nasal sound during speech, the nature of nasal secretions and the presence or absence of special odor. Then the sinus surface examination was performed to observe whether the skin around the cheeks, internal hemorrhoids and eyebrows was red and swollen, whether there were any bulges, whether the eyeballs were displaced or moved, and there was no tenderness in the cheeks and upper corners of the eye. Pain and so on. Not suitable for the crowd Inappropriate crowd: None. Adverse reactions and risks Nothing.

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