Reconstructive Nose Surgery
A nose can break in many situations whether it’s from playing sports, falling down, fights or accidents. It may be hard to tell if the nose is broken due to the initial significant amount of swelling, and will appear crooked. Once the swelling has subsided, you can tell if your nose is truly crooked and possibly broken.
What are the signs and symptoms of a nasal fracture / broken nose?
- Nose pain and swelling
- Bent or crooked appearance
- Bruising around nose and eyes
- Runny nose or bleeding
- Blocked nasal passages
- Change in sense of smell
- Difficulty breathing
- Nose infection with a large amount of blood in nasal septum
How is a nasal fracture/ broken nose diagnosed?
A broken nose is diagnosed through a physical exam and medical history. An X-ray or CT may be taken to determine the extent of the injury or to rule out other injuries as well.
What is the treatment for a nasal fracture / broken nose?
Immediately after the fracture, apply ice and keep your head elevated. Avoid aspirin if you are younger than 20 because of the risk of Reyes syndrome or NSAIDS for 48hrs after the injury, acetaminophen (Tylenol) is fine to use. NSAIDS such as ibuprofen (Motrin), Aleve, Advil, and naproxen thin the blood therefore promoting bleeding and bruising.
SEEK IMMEDIATE MEDICAL ATTENTION if there is a large amount of blood in the septum (inside the nose), if it is a nose bleed that does not stop, and if there is clear drainage.
Treatment, if needed, is usually recommended within 7-14 days of your broken nose. Most do not require extensive treatment other than pain control and symptoms.
If surgery is needed, the cartilage or the bone needs to be put back into place. Splints or packing may be needed. Antibiotics are given to prevent infection.
Dr. Boris Volshteyn is a board certified plastic surgeon specializing in traumatic injuries to the face. If you or a loved one has suffered from a broken nose or nasal fracture, please call our office 732-641-3350