While playing football an 18-year-old boy was hit on the nose and developed deviation of nose. O/E the septum was not deviated. The following about the patient is true:
**Core Concept**
The patient's symptoms suggest a nasal fracture, specifically a nasal septal deviation or dislocation. The nasal septum is a thin wall of cartilage and bone that separates the nostrils and is prone to injury from trauma.
**Why the Correct Answer is Right**
The patient's deviation of the nose, without septal deviation, is likely due to a lateral nasal wall fracture, which can cause the nasal pyramid to shift outwards. This type of fracture can occur due to the force of the blow causing the nasal bone to fracture, leading to a deviation of the nose. The septum's relative stability suggests that it is either intact or has a fracture that has not significantly affected its position. The mechanism of injury, involving a blow to the nose, is consistent with this type of fracture.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is not relevant to the scenario described.
**Option B:** This option is not directly related to the patient's symptoms and is not a likely consequence of a nasal injury.
**Option C:** This option is incorrect because the patient's symptoms suggest a fracture of the nasal bone, rather than a septal hematoma.
**Clinical Pearl / High-Yield Fact**
When evaluating a patient with a nasal injury, it's essential to consider both the nasal septum and the lateral nasal wall. A lateral nasal wall fracture can cause significant nasal deviation, even in the absence of septal deviation.
**Correct Answer:** C.