Nasal fracture (broken nose)


Description

Fractures of the nose are common and represent 40% of all facial fractures. Proper treatment can preserve function and aesthetics. Associated injuries commonly occur. Patients with septal hematomas (blue mass on septum), cerebrospinal fluid rhinorrhea (clear fluid from the nose), malocclusion (malalignment of the teeth), or extra ocular movement defects (double vision) will need their associated injuries managed in conjunction with the nasal fracture.

Symptoms

Deformity, nasal pain, swelling, nose bleed.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. X-rays are usually not helpful. If associated injuries are suspected then a CT or MRI scan will be done.

Specialists:
Ear, Nose, and Throat (ENT), Pediatric ENT (Otolaryngology), Oral and Maxillofacial Surgery

Treatment

Treatment includes: reduction if the fracture is dislocated, nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn or Aleve) and pain medications such as acetaminophen (Tylenol). Surgery may be necessary.
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