Nasal fractures
THE AILMENT
WHAT ARE NASAL FRACTURES?
Projecting prominently from the central part of the face, it is no surprise that the nose is the most commonly broken bone on the head. A broken nose (nasal fracture) can significantly alter your appearance. It can also make it much harder to breathe through the nose.
WHAT is Rhinoplasty?
Getting struck on the nose, whether by another person, a door, or the floor is not pleasant. Your nose will hurt—usually a lot. You’ll likely have a nose bleed and soon find it difficult to breathe through your nose. Swelling develops both inside and outside the nose, and you may get dark bruises around your eyes (“black eyes”).
Nasal fractures can affect both bone and cartilage. A collection of blood (called a “septal hematoma”) can sometimes form on the nasal septum (a wall made of bone and cartilage inside the nose that separates the sides of the nose).
What causes a nasal fracture
Nasal fractures, or broken noses, result from facial injuries in contact sports or falls. Injuries affecting the teeth and mouth may also affect the nose.
When should I see Dr. Zimm
If you’ve been struck in the nose, it’s important to see Dr. Zimm to check for septal hematoma. Seeing Dr. Zimm is usually adequate to determine if you have a septal hematoma or other associated problems from your accident. If a septal hematoma is present, it must be treated promptly to prevent worse problems from developing in the nose. If you suspect your nose may be broken, see Dr. Zimm within one week of the injury. If you are seen within one to two weeks, it may be possible to repair your nose immediately. If you wait longer than two weeks (one week for children) you will likely need to wait several months before your nose can be surgically straightened and fixed.
If left untreated, a broken nose can leave you with an undesirable appearance as well as permanent difficulty in trying to breathe.
What are my treatment options
If your nose is broken but not out of position, you may need no treatment other than rest and being careful not to bump your nose.
If your nose is broken so badly that it needs to be repositioned, you have several options. You can have your nose repaired in the office in some situations. Dr. Zimm can give you some local anesthesia, reposition the broken bones into place, and then hold them in the right location with a “cast” made of plastic, plaster, or metal. This cast will then stay in place for a week. In the first two weeks after the injury, Dr. Zimm may offer you this kind of repair, or a similar approach using general anesthesia in the operating room.
How can I prevent a broken nose
- Wear protective gear to shield your face when participating in contact sports
- Avoid fist fights
How will Dr. Zimm determine if I have a broken nose
Dr. Zimm will ask you several questions and will examine your nose and face. You will be asked to explain how the fracture occurred, the state of your general health, and how your nose looked before the injury. Dr. Zimm will examine not only your nose, but also the surrounding areas including your eyes, jaw, and teeth, and will look for bruising, lacerations, and swelling.
Sometimes Dr. Zimm will recommend an x-ray or computed tomography (CT) scan. These can help to identify other facial fractures but are not always helpful in determining if you have a broken nose. The best way to determine that your nose is broken is if it looks very different or is harder to breathe through.
What if I need surgery
If more than two weeks have passed since the time of your injury, you may need to wait a while before having your nose straightened surgically. It may be necessary to wait two to three months before a good repair can be done, by which time there will be less swelling and your nose will have begun to heal. Reduced swelling will allow Dr. Zimm to get a more accurate picture of how your nose originally looked. This type of surgery is considered reconstructive plastic surgery, as its goal is to restore your appearance to the way it was prior to injury. If your repair is done within two weeks of the injury, restoring prior appearance is the only possible goal. If you have waited several months for the repair, it is often possible to change the appearance of your nose as you desire. Should you be interested in this kind of appearance change as well as repair, you can feel confident that Dr. Zimm is a specialist in all surgery of the nose. No other specialty has more training in surgery on the nose, and some otolaryngologists focus exclusively on plastic surgery of the face.
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Frequently asked questions
The ideal age varies depending on the procedure. Some surgeries, like rhinoplasty, are often performed in late teens or early twenties, while others are more common among older adults seeking anti-aging treatments.
When performed by a board-certified plastic surgeon in a accredited facility, plastic surgery is generally safe. However, all surgical procedures carry inherent risks, and individual factors also play a role in safety.
Recovery time varies depending on the procedure and individual healing abilities. Some treatments may have minimal downtime, while others may require several weeks of recuperation.
Skilled surgeons strive to provide natural-looking outcomes. Open communication with your surgeon about your expectations and goals is crucial for achieving the results you desire.
Most surgeries result in some scarring, but plastic surgeons aim to minimize scarring through careful incision placement and suturing techniques. Scar management post-surgery can also help.
The cost varies by procedure and location. We do not accept insurance.
It's crucial to select a board-certified plastic surgeon with extensive experience in the specific procedure you're interested in. Reading reviews, checking credentials, and scheduling consultations can help with this decision.
Risks include infection, scarring, anesthesia complications, and dissatisfaction with results. An open discussion with your surgeon about potential risks and how they can be minimized is essential.
