Nasal Trauma (Injury)
Description
Common with fractures and nose bleeds being the most frequent injuries. The majority of traumatic nose bleeds stop without treatment. 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 trauma.
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: nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn) and pain medications such as acetaminophen (Tylenol).
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