{"id":1769,"date":"2025-11-13T14:41:24","date_gmt":"2025-11-13T11:41:24","guid":{"rendered":"https:\/\/wiki.voka.io\/diseases\/uncategorized\/modifications-post-traumatiques-du-nez\/"},"modified":"2025-11-13T14:41:29","modified_gmt":"2025-11-13T11:41:29","slug":"modifications-post-traumatiques-du-nez","status":"publish","type":"diseases_post","link":"https:\/\/wiki.voka.io\/fr\/maladies\/oto-rhino-laryngologie\/modifications-post-traumatiques-du-nez\/","title":{"rendered":"Modifications post-traumatiques du nez : classification, \u00e9tiologie, diagnostic, traitement"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>Ce chapitre inclut les \u00e9tats pathologiques r\u00e9sultant d\u2019une alt\u00e9ration de l\u2019int\u00e9grit\u00e9 anatomique des structures nasales suite \u00e0 divers impacts m\u00e9caniques sur leurs tissus.<\/p>\n<h2 class=\"wp-block-heading\" id=\"classification-et-anatomie-des-modifications-post-traumatiques-du-nez\"><strong>Classification et anatomie des modifications post-traumatiques du nez<\/strong><\/h2>\n<h3 class=\"wp-block-heading\" id=\"synechies-de-la-cavite-nasale\"><strong>Syn\u00e9chies de la cavit\u00e9 nasale<\/strong><\/h3>\n<p>Les syn\u00e9chies de la cavit\u00e9 nasale sont une prolif\u00e9ration pathologique de tissu conjonctif entre la cloison nasale et les structures de la paroi lat\u00e9rale de la cavit\u00e9 nasale (cornets nasaux) sous forme de brides, entra\u00eenant une perturbation de la physiologie nasale. <\/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\/post-traumatic-nasal-changes\/nasal-cavity-synechiae.webp\" alt=\"Syn\u00e9chies de la cavit\u00e9 nasale\"><figcaption class=\"wp-element-caption\">Syn\u00e9chies de la cavit\u00e9 nasale \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/8861ee9e-a330-4451-856d-1de6ead27805\/8066b69f-0c3f-4c7c-960f-70699a27ff6c\/da351df0-fd5c-4b1b-82a0-32bdd31cf967\/0ee6b980-e36e-4ddc-85be-f2082809c6d5\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8le 3D<br \/>\n<\/a><\/figcaption><\/figure>\n<h3 class=\"wp-block-heading\" id=\"atresie-acquise-des-choanes\"><strong>Atr\u00e9sie acquise des choanes<\/strong><\/h3>\n<p>L\u2019atr\u00e9sie acquise des choanes<em><\/em> est une membrane conjonctive ou cartilagineuse situ\u00e9e dans la cavit\u00e9 nasale au niveau des choanes, emp\u00eachant le passage du flux d\u2019air \u00e0 travers la moiti\u00e9 correspondante du nez vers le nasopharynx.<\/p>\n<p>Elle peut \u00eatre unilat\u00e9rale ou bilat\u00e9rale, partielle (avec conservation d\u2019un passage) ou compl\u00e8te. Les atr\u00e9sies acquises sont le plus souvent partielles et unilat\u00e9rales.<\/p>\n<h3 class=\"wp-block-heading\" id=\"modification-post-traumatique-du-nez-externe\"><strong>Modification post-traumatique du nez externe <\/strong><\/h3>\n<p>La modification post-traumatique du nez externe se caract\u00e9rise par une alt\u00e9ration de l\u2019anatomie normale du squelette nasal (dos, pointe ou cloison) dans ses parties cartilagineuses et\/ou osseuses, survenant en l\u2019absence d\u2019un traitement chirurgical ad\u00e9quat et r\u00e9alis\u00e9 en temps opportun (reposition des os nasaux).<\/p>\n<p>Le nez peut alors prendre diff\u00e9rentes formes : une d\u00e9formation en selle (dos nasal enfonc\u00e9 vers l\u2019int\u00e9rieur), une d\u00e9formation arqu\u00e9e (scoliotique) avec une rupture de l\u2019axe rectiligne du dos nasal, ou un d\u00e9placement lat\u00e9ral angulaire avec conservation de l\u2019axe du dos nasal. <\/p>\n<h2 class=\"wp-block-heading\" id=\"etiologie\"><strong>\u00c9tiologie<\/strong><\/h2>\n<p>Plusieurs causes g\u00e9n\u00e9rales sont identifi\u00e9es pour ces pathologies :<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Traumatismes m\u00e9caniques.<\/strong> Sont la cause principale la plus fr\u00e9quente. Il s\u2019agit des traumatismes, des chutes et des accidents de la route, qui peuvent avoir des cons\u00e9quences imm\u00e9diates ou diff\u00e9r\u00e9es.<\/li>\n<li><strong>Interventions chirurgicales (iatrog\u00e9nie) :<\/strong>\n<ul class=\"wp-block-list\">\n<li>Ant\u00e9c\u00e9dents d\u2019op\u00e9rations dans la cavit\u00e9 nasale (rares), telles que septoplastie, polypectomie ou vasotomie. <\/li>\n<li>Mauvaise prise en charge post-op\u00e9ratoire de la cavit\u00e9 nasale, entra\u00eenant un retard de cicatrisation, un <span class=\"glossary-term\" data-title=\"\u0152d\u00e8me\" data-tooltip=\"L&#039;\u0153d\u00e8me est une accumulation excessive de liquide dans les espaces intercellulaires (interstitiels) des tissus ou dans les cavit\u00e9s s\u00e9reuses du corps. Cliniquement, il se manifeste par un gonflement, une augmentation de volume d&#039;un organe ou d&#039;une partie du corps. \" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/oedeme\/\">\u0153d\u00e8me<\/span> prolong\u00e9 ou une infection bact\u00e9rienne.<\/li>\n<li>R\u00e9alisation inad\u00e9quate d\u2019un tamponnement ant\u00e9rieur du nez, causant des l\u00e9sions importantes de la muqueuse nasale. <\/li>\n<\/ul>\n<\/li>\n<li><strong>Maladies chroniques.<\/strong> Les processus infectieux ou auto-immuns prolong\u00e9s et \u00e0 \u00e9volution lente dans la cavit\u00e9 nasale peuvent conduire au d\u00e9veloppement des \u00e9tats pathologiques mentionn\u00e9s, en particulier si les patients tardent \u00e0 consulter. <\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"etiologie-des-synechies-de-la-cavite-nasale\"><strong>\u00c9tiologie des syn\u00e9chies de la cavit\u00e9 nasale<\/strong><\/h3>\n<p>Les principales causes incluent :<\/p>\n<ul class=\"wp-block-list\">\n<li>Complications post-chirurgicales ;<\/li>\n<li>Traumatisme de la muqueuse ;<\/li>\n<li>Maladies auto-immunes.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"etiologie-des-atresies-acquises-des-choanes\"><strong>\u00c9tiologie des atr\u00e9sies acquises des choanes<\/strong><\/h3>\n<p>Les causes pr\u00e9dominantes des atr\u00e9sies acquises des choanes sont :<\/p>\n<ul class=\"wp-block-list\">\n<li>Traumatismes importants du squelette facial ;<\/li>\n<li><span class=\"glossary-term\" data-title=\"Br\u00fblures\" data-tooltip=\"Une br\u00fblure est une l\u00e9sion des tissus du corps provoqu\u00e9e par la chaleur (br\u00fblure thermique), les produits chimiques (br\u00fblure chimique), l&#039;\u00e9lectricit\u00e9 (br\u00fblure \u00e9lectrique) ou l&#039;exposition \u00e0 un rayonnement ionisant (br\u00fblure radiologique).\" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/brulures\/\">Br\u00fblures<\/span> des voies respiratoires sup\u00e9rieures ;<\/li>\n<li>Pr\u00e9sence prolong\u00e9e d\u2019une sonde nasogastrique ;<\/li>\n<li>Processus auto-immuns.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"etiologie-des-modifications-post-traumatiques-du-nez-externe\"><strong>\u00c9tiologie des modifications post-traumatiques du nez externe<\/strong><\/h3>\n<p>Ces modifications surviennent suite \u00e0 un impact m\u00e9canique (coup, chute) sur la r\u00e9gion du squelette facial, de force et de direction variables. <\/p>\n<p>Une d\u00e9formation durable de la forme du nez se forme si, apr\u00e8s un traumatisme, aucune reposition (r\u00e9duction) des os n\u2019a \u00e9t\u00e9 r\u00e9alis\u00e9e en temps voulu, pour diverses raisons (d\u00e9lai d\u00e9pass\u00e9, refus du patient, contre-indications).<\/p>\n<h2 class=\"wp-block-heading\" id=\"manifestations-cliniques\"><strong>Manifestations cliniques <\/strong><\/h2>\n<p>Pour <strong>les syn\u00e9chies de la cavit\u00e9 <\/strong> nasale :<\/p>\n<ul class=\"wp-block-list\">\n<li>Perturbation de la respiration et de l\u2019olfaction ; <\/li>\n<li>S\u00e8cheresse et formation de cro\u00fbtes ;<\/li>\n<li>Sinusites fr\u00e9quentes ;<\/li>\n<li>Ronflement.<\/li>\n<\/ul>\n<p>Pour <strong>les atr\u00e9sies acquises des<\/strong><em><\/em>choanes :<\/p>\n<ul class=\"wp-block-list\">\n<li>Difficult\u00e9 respiratoire de degr\u00e9 variable ; <\/li>\n<li>\u00c9coulement de mucus \u00e9pais ; <\/li>\n<li>Perturbation de l\u2019olfaction ; <\/li>\n<li>Voix nasonn\u00e9e. <\/li>\n<\/ul>\n<p>Pour <strong>les d\u00e9formations post-traumatiques<\/strong> du nez externe : <\/p>\n<ul class=\"wp-block-list\">\n<li>Insatisfaction esth\u00e9tique li\u00e9e \u00e0 la forme du nez ;<\/li>\n<li>Perturbation de la respiration nasale. <\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"diagnostic-des-modifications-post-traumatiques-du-nez\"><strong>Diagnostic des modifications post-traumatiques du nez<\/p>\n<p><\/strong><\/h2>\n<p>Pour \u00e9tablir le diagnostic de ces pathologies, un recueil minutieux de l\u2019<span class=\"glossary-term\" data-title=\"Anamn\u00e8se\" data-tooltip=\"L&#039;\u00e9tude de l&#039;historique (anamn\u00e8se) est une m\u00e9thode fondamentale de l&#039;examen clinique qui consiste \u00e0 obtenir des informations sur la maladie, les conditions de vie et les caract\u00e9ristiques individuelles d&#039;un patient par le biais de questions. Il s&#039;agit de l&#039;\u00e9tape fondamentale et la plus informative du processus de diagnostic.\" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/anamnese\/\">anamn\u00e8se<\/span> et la r\u00e9alisation d\u2019un examen de routine (rhinoscopie) suffisent g\u00e9n\u00e9ralement.<\/p>\n<p>Si n\u00e9cessaire, une <span class=\"glossary-term\" data-title=\"Endoscopie\" data-tooltip=\"L\u2019endoscopie est une m\u00e9thode d\u2019exploration et de traitement permettant au m\u00e9decin d\u2019examiner les cavit\u00e9s internes et les organes creux \u00e0 l\u2019aide d\u2019un instrument sp\u00e9cifique, l\u2019endoscope. Cet appareil, flexible ou rigide, est \u00e9quip\u00e9 d\u2019un syst\u00e8me optique (cam\u00e9ra) et d\u2019une source lumineuse \u00e0 son extr\u00e9mit\u00e9.\" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/endoscopie\/\">endoscopie<\/span> de la cavit\u00e9 nasale et une <span class=\"glossary-term\" data-title=\"Tomodensitom\u00e9trie\" data-tooltip=\"La tomodensitom\u00e9trie est une technique de radiodiagnostic qui utilise des rayons X pour obtenir des images en coupe des organes et des tissus internes. C&#039;est une des m\u00e9thodes d&#039;imagerie principales de la m\u00e9decine moderne, caract\u00e9ris\u00e9e par une grande capacit\u00e9 d&#039;information.\" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/tdm-tomodensitometrie\/\">tomodensitom\u00e9trie<\/span> (TDM) du squelette facial sont r\u00e9alis\u00e9es.<\/p>\n<h2 class=\"wp-block-heading\" id=\"traitement-des-modifications-post-traumatiques-du-nez\"><strong>Traitement des modifications post-traumatiques du nez<\/strong><\/h2>\n<h3 class=\"wp-block-heading\" id=\"traitement-des-synechies-nasales\"><strong>Traitement des syn\u00e9chies nasales<\/strong><\/h3>\n<p>Les syn\u00e9chies de la cavit\u00e9 nasale sont sectionn\u00e9es par diff\u00e9rentes m\u00e9thodes selon l\u2019\u00e9quipement de la clinique et les pr\u00e9f\u00e9rences du m\u00e9decin : ultrasons, laser, couteau \u00e0 radiofr\u00e9quence, scalpel ou ciseaux. <\/p>\n<p>Apr\u00e8s l\u2019intervention chirurgicale, il est crucial de pr\u00e9venir la reformation des adh\u00e9rences. \u00c0 cet effet, des rhinoprotecteurs en silicone (attelles) sont fix\u00e9s \u00e0 la cloison nasale pendant la p\u00e9riode de cicatrisation, et un tamponnement avec des \u00e9ponges h\u00e9mostatiques est effectu\u00e9 pour arr\u00eater les saignements. <\/p>\n<p>En post-op\u00e9ratoire, un soin r\u00e9gulier de la cavit\u00e9 nasale est requis, avec un retrait prudent des cro\u00fbtes et l\u2019application de tampons impr\u00e9gn\u00e9s de pommade pour favoriser la cicatrisation. <\/p>\n<h3 class=\"wp-block-heading\" id=\"traitement-de-l-atresie-acquise-des-choanes\"><strong>Traitement de l\u2019atr\u00e9sie acquise des choanes<\/strong><\/h3>\n<p>L\u2019atr\u00e9sie acquise de la cavit\u00e9 nasale est trait\u00e9e sous contr\u00f4le endoscopique, avec excision des tissus pathologiques, en visant \u00e0 restaurer l\u2019anatomie normale dans la mesure du possible. Pour pr\u00e9venir la formation de cicatrices, des tubes en silicone adapt\u00e9s \u00e0 la taille des choanes sont mis en place jusqu\u2019\u00e0 la cicatrisation compl\u00e8te (environ 3 \u00e0 4 semaines).<\/p>\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<h3 class=\"wp-block-heading\" id=\"traitement-des-deformations-post-traumatiques-du-nez-externe\"><strong>Traitement des d\u00e9formations post-traumatiques du nez externe<\/strong><\/h3>\n<p>Selon l\u2019\u00e9tendue des l\u00e9sions, une rhinoplastie ou une rhinoseptoplastie est r\u00e9alis\u00e9e pour corriger les d\u00e9formations post-traumatiques du nez externe. <\/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\/post-traumatic-nasal-changes\/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. Quels sont les principaux types de modifications post-traumatiques du nez et en quoi consistent-ils ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les principales modifications post-traumatiques incluent trois pathologies. Les syn\u00e9chies sont des adh\u00e9rences cicatricielles (brides) entre la cloison nasale et les cornets. L\u2019atr\u00e9sie acquise des choanes est une obstruction totale ou partielle des sections post\u00e9rieures de la cavit\u00e9 nasale par du tissu conjonctif ou cartilagineux. La d\u00e9formation post-traumatique du nez externe est une alt\u00e9ration durable de la forme de son squelette osseux ou cartilagineux (par exemple, d\u00e9formation en selle ou scoliotique).<\/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. Quelles sont les causes g\u00e9n\u00e9rales de ces \u00e9tats ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cause la plus fr\u00e9quente est un traumatisme m\u00e9canique (coups, chutes, accidents de la route), avec des cons\u00e9quences imm\u00e9diates ou diff\u00e9r\u00e9es. La deuxi\u00e8me cause en importance est iatrog\u00e8ne, li\u00e9e \u00e0 des complications post-chirurgicales dans la cavit\u00e9 nasale. Plus rarement, des maladies inflammatoires chroniques ou auto-immunes, telles que les vascularites associ\u00e9es aux ANCA, peuvent entra\u00eener ces modifications.<\/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 les manifestations cliniques varient-elles selon le type de modification post-traumatique ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les manifestations cliniques sont sp\u00e9cifiques \u00e0 chaque pathologie. Les syn\u00e9chies se traduisent par une perturbation unilat\u00e9rale de la respiration nasale, une s\u00e8cheresse, la formation de cro\u00fbtes et des sinusites r\u00e9currentes. L\u2019atr\u00e9sie des choanes s\u2019accompagne d\u2019une difficult\u00e9 respiratoire, d\u2019une voix nasonn\u00e9e (rhinolalie ferm\u00e9e) et d\u2019un \u00e9coulement de mucus \u00e9pais. Les d\u00e9formations du nez externe se manifestent principalement par une insatisfaction esth\u00e9tique, souvent associ\u00e9e \u00e0 une perturbation de la respiration nasale.<\/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. Quelles sont les principales m\u00e9thodes de diagnostic pour confirmer ces pathologies ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Le diagnostic repose principalement sur la collecte de l\u2019anamn\u00e8se indiquant un traumatisme ou une intervention chirurgicale, et un examen ORL standard \u2014 la rhinoscopie. Pour une \u00e9valuation d\u00e9taill\u00e9e de l\u2019\u00e9tendue des syn\u00e9chies ou de l\u2019atr\u00e9sie, ainsi que pour planifier une intervention chirurgicale en cas de d\u00e9formations, une endoscopie nasale et une TDM du squelette facial sont utilis\u00e9es.<\/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. Quels sont les principes de traitement pour chaque type de modification post-traumatique du nez?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Le traitement est exclusivement chirurgical. Les syn\u00e9chies sont sectionn\u00e9es \u00e0 l\u2019aide d\u2019un laser, d\u2019un couteau \u00e0 radiofr\u00e9quence ou d\u2019instruments traditionnels. L\u2019atr\u00e9sie des choanes est \u00e9limin\u00e9e par voie endoscopique avec excision de la membrane cicatricielle. Les d\u00e9formations post-traumatiques du nez externe sont corrig\u00e9es par rhinoplastie ou rhinoseptoplastie pour restaurer \u00e0 la fois la forme et la fonction.<\/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. Comment pr\u00e9venir la r\u00e9cidive des syn\u00e9chies apr\u00e8s leur section chirurgicale ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La pr\u00e9vention des r\u00e9cidives est une \u00e9tape cl\u00e9 du traitement. Imm\u00e9diatement apr\u00e8s la section des adh\u00e9rences, des rhinoprotecteurs en silicone (attelles) sont plac\u00e9s dans la cavit\u00e9 nasale pour s\u00e9parer m\u00e9caniquement les surfaces en cours de cicatrisation. Un soin post-op\u00e9ratoire r\u00e9gulier et d\u00e9licat de la cavit\u00e9 nasale est \u00e9galement essentiel.<\/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>Catalogue VOKA. [Ressource \u00e9lectronique]<\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">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>Sclafani, A. P., Dyleski, R. A., Pitman, M. J., & Schantz, S. P. (2015). Total otolaryngology\u2014Head and neck surgery. [Otolaryngologie totale \u2014 Chirurgie de la t\u00eate et du cou]. Thieme Medical Publishers, Inc. 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>Berbom, H., Kashke, O., Nawka, T., & Swift, A. (2016). Bolezni ukha, gorla i nosa [Maladies de l\u2019oreille, de la gorge et du nez]. (2e \u00e9d.). (Traduit de l\u2019anglais). MEDpress-inform. 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>St\u0119pi\u0144ski, M. J., & Banaszewski, J. (2023). Intranasal synechiae as complications of rhinosurgical treatment \u2014 A review of current knowledge. [Syn\u00e9chies intranasales comme complications du traitement chirurgical nasal \u2014 Une revue des connaissances actuelles]. Journal of Clinical Medicine, 12(21), 6831. PMID: 37959296; PMCID: PMC10648208.<\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">https:\/\/doi.org\/10.3390\/jcm12216831 <\/span><\/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>Karpishchenko S.A., Vereshchagina O.E., Teplova E.O. Dvustoronnyaya sinekhial\u2019naya obstruktsiya polosti nosa [Obstruction syn\u00e9chiale bilat\u00e9rale de la cavit\u00e9 nasale]. Vestn Otorinolaringol, 2020, vol. 85, no. 4, pp. 80\u201384. DOI: 10.17116\/otorino20208504180. PMID\u00a0: 32885643. (In Russian). <\/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>Ku, P. K., Tong, M. C., Tsang, S. S., & van Hasselt, A. Acquired posterior choanal stenosis and atresia: Management of this unusual complication after radiotherapy for nasopharyngeal carcinoma.[St\u00e9nose et atr\u00e9sie choanale post\u00e9rieure acquises : Prise en charge de cette complication inhabituelle apr\u00e8s radioth\u00e9rapie pour carcinome nasopharyng\u00e9]. Am J Otolaryngol. 2001 Jul-Aug;22(4):225-9. doi: 10.1053\/ajot.2001.24816. PMID\u00a0: 11464317.<\/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>Ce chapitre inclut les \u00e9tats pathologiques r\u00e9sultant d\u2019une alt\u00e9ration de l\u2019int\u00e9grit\u00e9 anatomique des structures nasales suite \u00e0 divers impacts m\u00e9caniques sur leurs tissus. Classification et anatomie des modifications post-traumatiques du nez Syn\u00e9chies de la cavit\u00e9 nasale Les syn\u00e9chies de la cavit\u00e9 nasale sont une prolif\u00e9ration pathologique de tissu conjonctif entre la cloison nasale et les [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"template":"","diseases_category":[233],"class_list":["post-1769","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>Modifications post-traumatiques du nez : classification, causes, sympt\u00f4mes, diagnostic et traitement<\/title>\n<meta name=\"description\" content=\"Classification des modifications post-traumatiques du nez. 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