Broken Nose
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Broken Nose

Overview

A broken nose, also called a nasal fracture or nose fracture, is a break or crack in the bone or cartilage of your nose. These breaks typically occur over the bridge of the nose or in the septum, which is the area that divides your nostrils.

What causes a broken nose?

Causes

A sudden impact to your nose is the most common cause of a break. Broken noses often occur with other facial or neck injuries. Common causes of broken noses include:

  • walking into a wall
  • falling down
  • getting hit in the nose during a contact sport
  • motor vehicle accidents
  • getting punched or kicked in the nose

How can you tell if your nose is broken?

Symptoms

The symptoms of a broken nose include:

  • pain in or around your nose
  • a bent or crooked nose
  • a swollen nose or swelling around your nose, which can cause your nose to look bent or crooked even if it’s not broken
  • bleeding from your nose
  • a stuffy nose that won’t drain, which can mean your nasal passages are blocked
  • bruising around your nose and eyes, which usually disappears after two or three days
  • a rubbing or grating sound or feeling when you move your nose

Symptoms requiring immediate medical treatment

Call 911 or seek immediate medical treatment if you break your nose and have any of the following symptoms:

  • Your nose is bleeding heavily and won’t stop.
  • You have clear fluid draining from your nose.
  • You are having difficulty breathing.
  • Your nose looks crooked or misshapen. (Don’t try to straighten your nose yourself.)

If you suspect you have a head or neck injury, avoid moving to prevent further damage.

Who is at risk for a broken nose?

Risk Factors

Accidents can happen to anyone, so everyone has a risk of experiencing a broken nose at some point in their lives. Certain activities, however, can increase your risk of a nasal fracture.

People who participate in most contact sports are at increased risk for a broken nose. Some contact sports include:

  • basketball
  • boxing
  • football
  • hockey
  • martial arts
  • soccer

Other activities that can put you at risk include:

  • being involved in a physical altercation
  • riding in a motor vehicle, especially if you don’t wear a seat belt
  • riding a bicycle

Groups at higher risk

Some groups are automatically at a higher risk for a broken nose, regardless of their participation in sports or other physical activities. They are children and older adults. Bone health is a particular concern for both groups, and falls are also common among them.

Children are at a higher risk for nose fractures, as they’re still building bone mass. Toddlers and young children are particularly vulnerable.

The proper gear should always be worn during contact sports and physical activities.

How is a broken nose diagnosed?

Diagnosis

Your doctor can usually diagnose a broken nose by performing a physical examination. This involves looking at and touching your nose and face. If you have a lot of pain, your doctor may apply a local anesthetic to numb your nose before the physical examination.

Your doctor may ask you to return in two or three days once the swelling has gone down and it’s easier to view your injuries. If your nose injury appears to be severe or is accompanied by other facial injuries, your doctor may order an X-ray or CT scan. They can help determine the extent of damage to your nose and face.

How is a broken nose treated?

Treatment

Depending on your symptoms, you may need immediate medical treatment or you may be able to perform first aid at home and see a doctor at your convenience.

First aid at home

If you don’t have symptoms that warrant immediate medical treatment, there are a few things you can do at home before seeing your doctor:

  • If your nose is bleeding, sit down and lean forward while breathing through your mouth. This way, the blood doesn’t drain down your throat.
  • If you’re not bleeding, elevate your head to reduce throbbing pain.
  • To reduce swelling, apply a cold compress or ice wrapped in a washcloth to your nose for 15 to 20 minutes, three or four times a day.
  • Take acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) to relieve pain.

It’s ideal if facial trauma is evaluated immediately to fully assess the extent of injuries. People often don’t realize all of the structures that can be affected by facial injury and a broken nose. It’s easier to fix a broken or fractured nose within one to two weeks of the injury.

Medical treatment

Not all broken noses require medical treatment. If your injuries are severe enough, your doctor may do one of the following:

  • pack your nose with gauze and possibly place a splint on it
  • prescribe pain medication and possibly antibiotics
  • perform a closed reduction surgery, in which your doctor gives you a local anesthetic to numb your nose and manually realigns it
  • perform a rhinoplasty, which is a surgery to realign your nose
  • perform a septorhinoplasty, which is a surgery to repair your nasal septum

Closed reduction, rhinoplasty, and septorhinoplasty aren’t usually performed until three to 10 days after your injury, after the swelling goes down.

Medical treatment may not be necessary when only minor fractures with no misalignment are present. However, assessment by a doctor is always needed so they can determine if and what treatment is appropriate. Moderate to severe injuries may require surgery.

Surgery should happen within 14 days of injury, and pain and discomfort from the surgery should start to decrease within 72 hours of the procedure.

Different medical treatments will vary in costs, affected by factors including the extent of treatment and your insurance. If caused by an injury, rhinoplasty is covered under most insurance policies, as are diagnostic expenses such as X-rays and examinations with a doctor.

Prevention

Prevention

You can take these precautions to reduce the risk of a broken nose:

  • Wear shoes with good traction to prevent falls.
  • During contact sports, wear protective face gear to prevent injuries to your nose.
  • Wear a helmet when riding a bike or operating a motorcycle.
  • Wear your seatbelt while riding in a motor vehicle, and make sure children are properly restrained.

Will your nose be the same?

Outlook

Your broken nose will most likely heal without any problems. If you’re unhappy with the way your nose looks after it heals or if you’re having difficulty breathing normally, reconstructive nose surgery is an option.

You Asked, We Answered

  • My growing child is very active and often falls down. How concerned should I be about broken noses?
  • A broken nose can happen with any traumatic injury to the face. Safe play areas can limit injuries due to falls. Here are some tips for creating safe play spaces for children:

    • Make your home kid-friendly by using safety gates for stairs, covering sharp corners of furniture, eliminating throw rugs, and properly anchoring bookshelves and large cabinets to walls.
    • Ensure children have properly fitting footwear to limit tripping.
    • Caution children about running on slippery or wet surfaces.
    • Encourage bare feet rather than socks when playing indoors.
    • Encourage play on natural surfaces like grass and sand.
    - Judith Marcin, MD

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