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 can be common and 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) should have their associated injuries managed in conjunction with the nasal fracture.
Symptoms
Deformity, nasal pain, swelling, nose bleed.
Tests
A history and physical exam will be performed. X-rays are not helpful. If associated injuries are suspected then a CT or MRI scan will be done.
Treatment
Treatment includes: reduction if the fracture is dislocated, nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn) and pain medications such as acetaminophen (Tylenol). Surgery may be necessary.
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