A nose fracture is a break in the bones of the nose.
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A nose fracture is caused by a blunt, hard blow to the nose. It often occurs along with injuries to other parts of the nose and face.
Factors that may increase your chance of a nose fracture include:
Any condition that causes frequent falls, such as:
Advanced ageSeizure disorderAlcohol use disorderPrevious nose fracture or nose injuryParticipating in sports, especially contact sportsReckless behavior during recreational activities or driving
Failure to wear a
—keep in mind that airbags can also sometimes cause injury
A nose fracture may cause: Pain in the bridge of the noseInflammation of the nose or surrounding area of the faceBleeding from the nose (often heavy)Difficulty breathing through the nose or nostrilDiscoloration of the noseBlack eyes
The doctor will ask about your symptoms and how the injury occurred, and will examine your nose and face for: Irregularities in the shapeMovement of the bones of the nose and faceRough sensation when your nose is movedPain or tenderness to touch at the nasal bridgeInjury to the nasal septum (especially hematoma)Any fluid from the nose, such as blood or cerebrospinal fluid (in severe cases)
Although not necessary, imaging tests may be done to confirm the fracture, and check its location and severity. They usually are not done until the inflammation goes down. Imaging tests may include: X-raysCT scan
Treatment depends on the severity of the fracture. If your nose is broken and in position, the only treatment you will need is home care. It is important to be careful to not bump your nose while it heals. More severe fractures may need realignment or surgery.
Ice helps reduce inflammation and pain. Apply an ice pack to your nose for 15-20 minutes at a time. Place a towel between the ice pack and your skin.
Prescription or over-the-counter medications may be given to help reduce inflammation and pain.
If it is determined that your nose is out of position, obstructing your breathing, or causing other problems your doctor may: 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 downStabilizing the bone with gauze packing on the inside and a splint or tape on the outside
Surgery may be needed to set the fracture if: The fracture is severe and will not heal without surgeryThe nose is severely misshapenThe fracture impairs breathing
Nose fractures may not always be preventable, but you can reduce your risk: 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 situations that may involve a fight.
Fractures of the nose. Merck Manual Professional Version website. Available at:
http://www.merckmanuals.com/professional/injuries-poisoning/facial-trauma/fractures-of-the-nose. Updated March 2013. Accessed August 21, 2014.
Nasal fractures. American Academy of Otolaryngology—Head and Neck Surgery website. Available at:
http://www.entnet.org/content/nasal-fractures. Accessed August 21, 2014.
Ondik MP, Lipinski L, Dezfoli S, Fedok FG. The treatment of nasal fractures: a changing paradigm. Arch Facial Plast Surg. 2009;11(5):296-302.
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Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. Philadelphia, PA; Mosby Elsevier; 2006.
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Last reviewed September 2016 by Michael Woods, MD, FAAP
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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