NOSE FRACTURE IN SPORTS : WHEN CAN I GO BACK TO TRAINING ?

sport

There are approximately 190 youngsters in my large prospective series of nasal fractures (472 and growing … ) who suffered nose injuries while playing sports.


All invariably ask “how soon can I return to active sports” ?


In my opinion the nose will take nearly 8 weeks to return to its pre-injury strength … maybe even longer …
I have on occasion successfully manipulated nasal fractures as late as 5 weeks after injury. This has led me to recommend a 8-12 week period of protection.


This however is an advice based on observation rather than concrete evidence and the sportsperson is allowed to make their own decision  in my clinics. I believe that ironclad recommendations against training … sometimes dissuade keen sportspersons from seeking timely and appropriate intervention …


Educating and informing patients with clear computer graphics is invaluable.


BTW 6 sportspersons broke their nose despite wearing helmets during a hurling match ! … those sliotars are slippery  customers …


There are several protective face devices that may be used during sports other than hurling …
for 8-12 weeks after nose surgery.
NOSE FRACTURE IN SPORTS : WHEN CAN I GO BACK TO TRAINING ? NOSE FRACTURE IN SPORTS : WHEN CAN I GO BACK TO TRAINING ?

Advanced Septoplasty: Augmentation of cartilage deficient nose after multiple sports injuries.

Augmentation Rhinoplasty after complete destruction  or dissolution of Septal cartilage necessitates surgeries with a high potential for morbidity. The most popular choice of material has been costal cartilage, irradiated cadaver cartilage or alloplastic material. This is the first use of PDS foil scaffolding for conchal cartilage graft in Ireland where two cases of septal cartilage replacement were successfully acheived. PDS foil has been used in the nose before and the pioneering work by Miriam Boenisch and Gilbert Nolst Trenite is remarkable …

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Advanced Septoplasty: Augmentation of cartilage deficient nose after multiple sports injuries. Advanced Septoplasty: Augmentation of cartilage deficient nose after multiple sports injuries.

EAFPS GUIDELINES ON RHINOPLASTY & FACIAL PLASTIC SURGERY PHOTOGRAPHS

eafps

 EAFPS Guidelines for post-processing of patient photographs 
This code is intended to promote the highest quality in all forms of facial plastic surgery photography and to strengthen confidence in the profession, standardizing what is acceptable post-processing and what is not.
Surgeons and those who process patient photographs are accountable for upholding the following standards:
Be accurate and comprehensive in the representation of patients and surgical techniques.
When editing, maintain the integrity of the photographic images’ content and context. Do not manipulate images in any way that can mislead viewers or misrepresent patients, techniques or outcomes.
You may use the following post-processing techniques without declaration:
1. Cropping and sizing
2. Adjustment of Levels to histogram limits
3. Minor colour correction including the use of the eye dropper to check/set gray or selective colour lambda adjustment of the whole frame
Do not use any of the following post-processing on patient photographs (exception: see below):
1. Additions or deletions to image
2. Cloning & Healing tool (except dust)
3. Airbrush, brush, paint
4. Rearrangement of pixels with liquify filter
5. Selective area sharpening
6. Selective area lightening/darkening
7. Selective area colour tone change
8. Blurring
9. Eraser tool
10. Quick Mask
Exception: 
The integrity of the photographic images’ content and context may be altered for
1. pre-operative consultation and planning of the procedure (computer imaging; simulation)
2. enhancement of the didactic value of intra-operative images
Declare any post-processing that alters the impression of size, shape or colour and thereby distorts the meaning of the original image by stamping the processed image with a clearly visible “modified”. 
References:
National Press Photographers Association http://photo.net/bboard/q-and-a-fetch-msg?msg_id=008oUq
Reuters http://blogs.reuters.com/blog/2007/01/18/the-use-of-photoshop/
EAFPS GUIDELINES ON RHINOPLASTY & FACIAL PLASTIC SURGERY PHOTOGRAPHS EAFPS GUIDELINES ON RHINOPLASTY & FACIAL PLASTIC SURGERY PHOTOGRAPHS

EAFPS Guidelines onUIDELINES ON RHINOPLASTY & FACIAL PLASTIC SURGERY PHOTOGRAPHS

 EAFPS Guidelines for post-processing of patient photographs 
This code is intended to promote the highest quality in all forms of facial plastic surgery photography and to strengthen confidence in the profession, standardizing what is acceptable post-processing and what is not.
Surgeons and those who process patient photographs are accountable for upholding the following standards:
Be accurate and comprehensive in the representation of patients and surgical techniques.
When editing, maintain the integrity of the photographic images’ content and context. Do not manipulate images in any way that can mislead viewers or misrepresent patients, techniques or outcomes.
You may use the following post-processing techniques without declaration:
1. Cropping and sizing
2. Adjustment of Levels to histogram limits
3. Minor colour correction including the use of the eye dropper to check/set gray or selective colour lambda adjustment of the whole frame
Do not use any of the following post-processing on patient photographs (exception: see below):
1. Additions or deletions to image
2. Cloning & Healing tool (except dust)
3. Airbrush, brush, paint
4. Rearrangement of pixels with liquify filter
5. Selective area sharpening
6. Selective area lightening/darkening
7. Selective area colour tone change
8. Blurring
9. Eraser tool
10. Quick Mask
Exception: 
The integrity of the photographic images’ content and context may be altered for
1. pre-operative consultation and planning of the procedure (computer imaging; simulation)
2. enhancement of the didactic value of intra-operative images
Declare any post-processing that alters the impression of size, shape or colour and thereby distorts the meaning of the original image by stamping the processed image with a clearly visible “modified”. 
References:
National Press Photographers Association http://photo.net/bboard/q-and-a-fetch-msg?msg_id=008oUq
Reuters http://blogs.reuters.com/blog/2007/01/18/the-use-of-photoshop/
EAFPS Guidelines onUIDELINES ON RHINOPLASTY & FACIAL PLASTIC SURGERY PHOTOGRAPHS EAFPS Guidelines onUIDELINES ON RHINOPLASTY & FACIAL PLASTIC SURGERY PHOTOGRAPHS