Step 1: Understanding the Question:
The lateral X-ray of the nose shows a nasal bone fracture.
The management of a displaced nasal fracture requires reduction, and the question asks for the appropriate instrument used for this procedure. Step 2: Detailed Explanation:
Nasal Fracture Reduction:
The goal is to restore the functional and aesthetic appearance of the nose.
Walsham's Forceps (D): These are specifically designed for the reduction of nasal bone fractures. They have one blade padded (to protect the skin) and one blade unpadded (inserted into the nasal cavity). They are used to grasp and manipulate the fractured nasal bone fragment back into place.
Other ENT Instruments:
Asche's Forceps: Used for the reduction of septal fractures/dislocations.
Luc's Forceps (B): Primarily used in sinus surgeries (like Caldwell-Luc) or for removing nasal polyps.
Tilley's Probe (A): Used for packing the nose or exploring nasal cavities.
Step 3: Final Answer:
Walsham’s forceps are the standard instrument used for the manipulative reduction of a nasal bone fracture.
