Alternative MedicinesInfectionInjuries
   Arm or Leg Fractures
   Blunt Chest Injuries
   Blunt and Penetrating Abdominal Injuries
   Cerebral Contusion
   Cold Injuries
   Decompression Sickness
   Dislocated or Fractured Jaw
   Dislocations and Subluxations
   Electric Shock
   Fractured Nose
   Heat Syndrome
   Insect Bites and Stings
   Near Drowning
   Open Trauma Wounds
   Penetrating Chest Wounds
   Perforated Eardrum
   Poisonous Snakebites
   Radiation Exposure
   Rape Trauma Syndrome
   Skull Fractures
   Spinal Injuries
   Sprains and Strains
   Traumatic Amputation
   Whiplash Injuries

Fractured Nose

A fractured nose is the most common facial fracture. It usually results from blunt injury and is commonly associated with other facial fractures. The severity of the fracture depends on the direction, force, and type of the blow. A severe comminuted fracture may cause extreme swelling or bleeding that may jeopardize the airway and require a tracheotomy during early treatment.


Fractures of the nasal bones usually result from direct trauma. The causative injury can be relatively minor such as a fall, or more severe such as a motor vehicle accident.


Swelling, pain, bruising, and bleeding can be expected. Your face may feel numb or tingle. If the break has pushed the bones out of place, the nose may seem out of shape.

Diagnostic tests

X-rays help to confirm the diagnosis and determine the extent of injury.


The patient may not need treatment unless he has suffered bone displacement, septal deviation, or a cosmetic deformity.

When necessary, prompt treatment restores normal facial appearance and reestablishes bilateral nasal passages after swelling subsides. Reduction of the fracture (restoring the displaced bone fragments to their normal positions) corrects alignment; immobilization (intranasal packing and an external splint shaped to the nose and taped) maintains it.

Nasal fractures should be reduced within the first 24 hours if possible, using local anesthesia for an adult and general anesthesia for a child. Severe swelling may delay treatment for several days to per week, making reduction more difficult. In this case, the patient may need general anesthesia.

If CSF leakage occurs, the patient needs close observation and antibiotic therapy. Septal hematoma requires incision and drainage to prevent necrosis.

  • Protective headgear should be worn while playing contact sports, riding bicycles, skateboards, roller-skates, or roller blades.
  • DO NOT try to straighten a broken nose.
  • Seatbelts and appropriate car seats should be used.
  • Apply cold compresses to the nose to reduce swelling. If possible, the victim should hold the compress so that excessive pressure is not applied.

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