Surgeons at Vladimir City Clinical Hospital No. 5 reconstructed the nose of a 49-year-old woman who fell on a wooden bridge after tripping on a step. She sustained a severe facial injury in the fall from standing height; after comprehensive treatment, she was discharged with her nasal breathing fully restored.
Fall on a wooden bridge
The woman was walking up the bridge when she caught her foot on a step, lost her balance and fell. The regional health ministry’s statement gives no further details about the incident.
After the injury, the patient was admitted to Vladimir City Clinical Hospital No. 5. Doctors found an open fracture of the nasal bones, a contused wound to the soft tissues of the face, and a closed traumatic brain injury. The nose and a substantial part of the cheek were almost completely separated from the underlying bone.
Examination and initial treatment
At the hospital, the patient underwent an X-ray examination of the nasal bones and a neurological assessment. The examination led to a diagnosis of closed traumatic brain injury; the health ministry’s statement gives no other diagnostic details.
The team of ENT surgeons first aligned the nostrils with the common nasal passages using standard medical spatulas. At the same time, bone fragments were removed from the damaged soft tissues, and anterior nasal packing was performed to prevent bleeding.
Restoring the shape of the nose
To stabilize the nose’s anatomical shape, the doctors applied a plaster splint. It was removed on the fifth day after the patient was admitted to the hospital, after which the medical team moved on to the next stage of treatment.
The surgeons later performed a full operation to restore the architecture of the nasal cavity. The regional health ministry described this approach as unconventional, but provided no details about the surgical technique or the duration of the operation itself.
Treatment outcome
After comprehensive treatment, the woman was discharged in satisfactory condition. The main functional outcome reported was the full restoration of her nasal breathing.
Several months later, the cosmetic defect had become almost unnoticeable. This account of the treatment outcome is not accompanied by further information about the follow-up period or other medical indicators for the patient.
What is known about the case
The Vladimir Region Health Ministry’s statement identified the patient’s age—49—and the hospital where she received treatment: Vladimir City Clinical Hospital No. 5. It also described the circumstances of the fall, the injuries and the main stages of treatment.
However, the source does not specify the date of the incident, the length of the hospital stay or the names of the specialists. The published information therefore supports only the conclusion that, after falling on a wooden bridge, the patient underwent several stages of treatment and her nasal breathing was restored.
In short, doctors at Hospital No. 5 reconstructed a 49-year-old patient’s nose after a severe injury, and several months later the visible defect had become almost unnoticeable.
