Nasal trauma (injury)


Description

Traumatic injury to the nose is common, with fractures and nose bleeds being the most frequent injuries. The majority of traumatic nose bleeds stop without treatment. 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 trauma.

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:
Internal Medicine, Pediatrics, Family Practice, Ear, Nose, and Throat (ENT), Pediatric ENT (Otolaryngology)

Treatment

Treatment includes: nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn or Aleve) and pain medications such as acetaminophen (Tylenol). In some cases, surgery may be necessary.
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