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- Any condition that causes frequent falls, such as:
- Previous nose fracture or nose injury
- Participating in sports, especially contact sports
- Reckless behavior during recreational activities or driving
- Failure to wear a seat belt —keep in mind that airbags can also sometimes cause injury
- Pain in the bridge of the nose
- Inflammation of the nose or surrounding area of the face
- Bleeding from the nose (often heavy)
- Difficulty breathing through the nose or nostril
- Discoloration of the nose
- Black eyes
- Irregularities in the shape
- Movement of the bones of the nose and face
- Rough sensation when your nose is moved
- Pain or tenderness to touch at the nasal bridge
- Injury to the nasal septum (especially hematoma)
- Any fluid from the nose, such as blood or even cerebrospinal fluid in severe cases
Realigning the Bones
- Drain any blood that may have collected in or around the septum
Set the fracture by:
- Moving the bone back to its normal position after the inflammation has gone down
- Stabilizing the bone with gauze packing on the inside and a splint or tape on the outside
- The fracture is severe and will not heal without surgery
- The nose is severely misshapen
- The fracture impairs breathing
- Wear protective headgear with face masks when playing contact sports, or when riding a bicycle or motorcycle.
- Wear a seat belt when driving or riding in a car.
- Avoid fights.
American Academy of Cosmetic Surgery http://cosmeticsurgery.org
American Academy of Family Physicians http://familydoctor.org
Canadian Family Physician http://www.cfpc.ca
The Canadian Society of Plastic Surgeons http://www.plasticsurgery.ca
Fractures of the nose. The Merck Manual of Diagnosis and Therapy website. Available at: http://www.merckmanuals.com/professional/print/injuries%5Fpoisoning/facial%5Ftrauma/fractures%5Fof%5Fthe%5Fnose.html . Updated March 2013. Accessed August 27, 2013.
Nasal fractures. American Academy of Otolaryngology—Head and Neck Surgery website. Available at: http://www.entnet.org/HealthInformation/Nasal-Fractures.cfm . Accessed August 27, 2013.
Ondik MP, Lipinski L, et al. The treatment of nasal fractures: a changing paradigm. Arch Facial Plast Surg. 2009;11(5):296-302.
Rosen P, Marx JA, Hockberger RS, Walls RM, Adams J. Rosen's Emergency Medicine: Concepts and Clinical Practice . 6th ed. Philadelphia, PA; Mosby Elsevier; 2006.
Rother T, Riechelmann H, Gronau S. Secondarily accelerated foreign bodies as a source of danger from airbag deployment. HNO. 2006;54:967-970.
- Reviewer: Michael Woods, MD
- Review Date: 09/2013
- Update Date: 09/30/2013