Broken nose – treatment of nasal fractures
Broken nose or Nasal fractures are the most common facial injury. This injury can be caused by a car or motorcycle accident, a sports activity such as football or hockey, physical fights and punches, falling or even hitting a door or wall.
It is best for people to see a doctor as soon as possible after seeing the symptoms of a broken nose so that they do not get into trouble.
What are the symptoms of a broken nose?
Feeling pain, especially when touching the nose
Swelling of the nose and its surroundings
Bruising around the nose and eyes
The nose is crooked or twisted or deformed
Feeling that one of the nostrils or both of them is cramped
By the time you get to the doctor, try to stop the bleeding by doing the following and reduce the pain and swelling.
1- Stop the bleeding:
Sit straight; Don’t lie down and rely on anything. The nose should be higher than the heart.
Keep your head forward so that the blood does not reach the back of your throat.
Hold the soft part of the nose between your thumb and forefinger. Hold it tight for 5 minutes.
If the bleeding does not stop, hold it again for 10 minutes between your fingers.
2- Pain relief:
Use over-the-counter painkillers such as acetaminophen or ibuprofen.
Put your head on a few extra pillows and sleep.
3- Reducing swelling:
Pour the ice into a plastic bag and wrap the towel around it. Keep the ice towel on your nose for 10 minutes; Then remove for 10 minutes. Repeat this several times.
Do not press the towel on the nose. Doing so may damage your nose.
In the first two days after the injury, apply ice to your nose at least four times a day.
How should we go to the emergency room immediately?
Head or neck injury that may be accompanied by severe headache, neck pain, vomiting, or loss of consciousness.
Hard to breathe
Bleeding that does not stop
A drastic change in the shape of the nose that has nothing to do with swelling; Like a crooked or twisted look.
Clear discharge of fluid from the nose
What are the risk factors that cause a broken nose?
Any activity that increases the risk of facial injury increases the risk of a broken nose. These activities include:
Sports such as football and hockey, especially if they are without a masked hat
Driving without seat belts
What are the complications of a broken nose?
1- Deviation of the nasal septum:
A broken nose can lead to a deviated nose. When the thin wall between the two nostrils is tilted, a deviation of the nose occurs, which narrows the airway in the nose. Nasal anticonvulsants and antihistamines help control the consequences, but rhinoplasty should be performed to permanently correct the complication. During surgery, the rhino surgeon can repair the fracture and deviation at the same time.
Occasionally, blood clots build up in the broken nose, causing a condition called hematoma or nasal septal abscess. Hematoma of the nasal septum blocks one or both nostrils. These clots must be surgically removed so that the nasal cartilage is not damaged.
3- Failure of nasal cartilage:
When a nasal fracture is like an accident due to a severe blow, a cartilage fracture may also affect the nose. If the injury is so severe that surgery is needed, the surgeon should examine both the bone and the cartilage and repair them.
4- Neck injury:
Rapid nasal fractures (such as car accidents) may be associated with neck injuries. If the blow is so severe that the nose is broken, then the neck bones may have been damaged as well.
What are the treatments for nasal fractures?
1- Manual correction method (non-surgical)
Sometimes the nasal bone breaks but remains in place. In this case, surgery is not needed and the bone will heal on its own. If your doctor determines that surgery is not needed, treatment should be given one to two weeks after the nasal fracture and the symptoms of the fracture have disappeared. If it lasts longer, the injury will heal on its own, which can lead to a runny nose.
Your doctor may plaster your nose to protect it during recovery. The doctor will put something like a splint inside your nose and dress it outside, which will allow the nose to be in place during treatment. Several antibiotics will also be prescribed to prevent infection.
When a broken nose is severe or lasts more than two weeks, your doctor may choose the surgery. The goal of this surgery is to return the nasal bone to its proper place and, if necessary, reshape the nose. In such cases, surgery improves the patient’s breathing. Rhinoplasty usually does not require hospitalization, but the patient must stay at home for about a week to relieve swelling and bruising.
How to Manage and Reduce Bruising After a rhinoplasty