The treatment of fractures . Fig. 11. — Fracture inasal bones. Tin nose-splint applied. THE NASAL SEPTUM IN FRACTLKl. ()l UK NOSE 51 well to remember in this connection that suppurating wounds dofar better if dressed frequently than if left to accumulate purulentdischarges. After a blow upon the nose, even if there is no immediate de-formity, the nose should be examined to determine the presenceof swelling- upon the cartilaginous septum. Even a slight blowupon the nose may cause a hematoma of the cartilaginous septum(see Fig. 44). This hematoma is liable to become infected andto suppurate. Con
The treatment of fractures . Fig. 11. — Fracture inasal bones. Tin nose-splint applied. THE NASAL SEPTUM IN FRACTLKl. ()l UK NOSE 51 well to remember in this connection that suppurating wounds dofar better if dressed frequently than if left to accumulate purulentdischarges. After a blow upon the nose, even if there is no immediate de-formity, the nose should be examined to determine the presenceof swelling- upon the cartilaginous septum. Even a slight blowupon the nose may cause a hematoma of the cartilaginous septum(see Fig. 44). This hematoma is liable to become infected andto suppurate. Considerable destruction of cartilage may follow,resulting- in marked disfigurement of the Fig. 42.—Cobbs splint applied to a case of fracture of the nose. The head-band is so adaptedto the shape of the head that it remains fixed and offers a point of counterpressure. The involvement of the base of the skull adds a serious ele-ment to an ordinary simple accident (see Figs. 16, 18). The prognosis as regards the resulting deformity must alwaysbe guarded. Union usually takes place within two weeks of theaccident and is firm in one month. In treating fracture of thenose it is important to be ever mindful of hematoma of the septum,and abscess of the septum resulting from it. The external de-formity that follows fracture does not tend to increase, but theinternal deformity does. It is, therefore, of even more impor-tance to correct the internal deformity than the external. Unlessboth are corrected, the nose may be straight but obstructed. 52 FRACTURES OF THE BONES OF THE FACE FRACTURES OF THE MALAR BONEExamination.—Palpation of the malar bone is somewhatdifficult. The best me
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