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Broken Nose (Nose Fracture)

A nose fracture is a break in the bone or cartilage over the bridge, in the sidewall, or septum (line dividing the nostrils) of the nose.

Considerations

A fractured nose is the most common fracture of the face. It usually occurs after an injury and often occurs with other facial fractures.

Sometimes, as a result of a blunt injury, the wall dividing the nostrils (septum) can separate.

Nose injuries and neck injuries are often seen together because a blow that is forceful enough to injure the nose may be hard enough to injure the neck.

Serious nose injuries cause problems that require a doctor's attention right away. For example, damage to the the lining of the septal cartilage can result in a collection of blood forming inside the nose. If not drained promptly, this can result in an abscess or a permanent deformity that causes a nasal blockage. It may ultimately result in tissue death and collapse of the nose itself.

However, for minor nose injuries, the doctor may prefer to see the patient within the first week after the injury if the nose may have become deformed.

Occasionally, surgery may be needed to correct a deformity of the nose or septum caused by a trauma.

Symptoms

  • Blood coming from the nose
  • Bruising around the eyes
  • Difficulty breathing through the nose
  • Misshapen appearance (may not be obvious until swelling goes down)
  • Pain
  • Swelling
  • The bruised appearance usually disappears after 2 weeks.

The symptoms may be the same as those of a fractured nose.

What to Do for a Broken Nose

  1. Reassure the patient and try to keep the patient calm.
  2. Have the patient breathe through the mouth and lean forward in a sitting position in order to keep blood from going down the back of the throat.
  3. Apply cold compresses to the nose to reduce swelling. If possible, the patient should hold the compress so that there isn't too much pressure on the nose.
  4. To help relieve pain, acetaminophen (Tylenol) is recommended.

What NOT TO DO

  • Do NOT try to straighten a broken nose.
  • Do NOT move the person if there is reason to suspect a head or neck injury.

Additional Information

Learn more about a broken nose.