to harden it before removing it from the nose. The newly formed splint is then removed and trimmed as desired, after which it is replaced and secured by means of strips of adhesive plaster (see Fig. 469). If thought desirable, additional leverage may be obtained by extending the splint upward onto the forehead where it is again secured by transverse strips of adhesive. <Callout type="tip" title="Tip">It's important to ensure the splint fits snugly but not too tightly.</Callout> It is better not to employ any form of moulded splint until after the acute swelling has subsided, which will take from three to four days ; — on the other hand, delay beyond the fifth or sixth day is not advisable since union in this region is often rapid. <Callout type="warning" title="Warning">Avoid applying excessive pressure too early, as it can disrupt healing.</Callout> External pressure, however, is rarely needed if the essentials previously mentioned are properly followed out. Union should take place in the average adult in from ten days to two and a half weeks but it will be over a month and a half to two months before the parts should be subjected to any considerable pressure, and the patient should be cautioned in this regard. During the course of after-treatment the internal nasal splints should be removed at intervals of three to four days, and nasal douches employed daily to prevent the parts from becoming foul. Normal salt solution or one of the mild alkaline antiseptic washes will be found satisfactory as a douche. Subcutaneous emphysema, ecchymosis and swelling will, as a rule, subside during the first few days without the use of any special method for their relief. <Callout type="important" title="Important">Regular nasal douching is crucial to prevent infection.</Callout> Prognosis. — The prognosis is almost invariably good, yet we cannot guard too carefully against infection in this region. The deformity is almost always a matter subject to correction and aside from exceptional cases the ultimate cosmetic results should be good.
Key Takeaways
- Apply nasal splints carefully, ensuring they fit snugly but not too tightly.
- Remove and replace internal splints every three to four days during after-treatment.
- Use nasal douches daily with normal salt solution or mild antiseptic washes.
Practical Tips
- Always assess the patient's condition before applying any splinting techniques, ensuring they are stable enough for treatment.
- Keep a supply of adhesive plaster and nasal douching solutions in your emergency kit to handle such injuries.
- Regularly check on patients with head injuries to ensure proper healing and prevent complications.
Warnings & Risks
- Avoid applying excessive pressure too early, as it can disrupt the natural healing process.
- Be cautious of signs of infection, such as increased swelling or discharge, which may require medical intervention.
Modern Application
While many techniques described in this chapter are still applicable for modern survival scenarios, advancements in materials and medical technology have improved the effectiveness and comfort of splinting. Understanding these historical methods can provide valuable insights into basic trauma care, but it's crucial to also be familiar with contemporary practices.
Frequently Asked Questions
Q: How long should nasal splints be left in place?
Nasal splints should generally be left in place until the acute swelling subsides, which typically takes three to four days. However, they should not remain for more than five or six days to avoid disrupting the healing process.
Q: What is the best way to clean and maintain nasal splints?
Nasal douches using normal salt solution or mild antiseptic washes are recommended daily to keep the area clean and prevent infection. This helps ensure proper healing without causing further irritation.
Q: Can I use any type of adhesive plaster for nasal splinting?
Yes, strips of adhesive plaster can be used to secure the splint in place. However, it's important to ensure they are not too tight as this could interfere with healing and cause discomfort.