Clinical Features of Nasoethmoidal Injuries

Characteristic appearance of nose resulting from frontal impact.  The glabella skin is ruptured.  Note the accentuation  of the nasojugal skin fold due to posterior displacement of the medial canthal ligament, particularly on the right side.	The accentuation of the nasojugal fold due to post. traction on medial canthal ligament. (above top). Disappearance of fold following reduction (above bottom).	Deformity viewed from above. (above)
Nasal deformity.  Compound fracture of root of nose associated with nasoethmoidal collapse. (above)	There is depression of right side of the nose, the result of a kick in the face. (above)	Traumatic telecanthus ( intercanthal distance 5.1cm)  associated with prominent epicanthal folds. (above)
Frontal bone depression	CSF fluid rhinorrhea	Haemorrhage from anterior or posterior branches of ethmoidal artery.
Diplopia	Severe periorbital oedema	Damage to lacrimal apparatus. Epiphoria occurring shortly after traumatic incident indicates obstruction of lacrimal apparatus.