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How Do I Know if my Nose is Broken? NYC New York NY
Ok, i got in a little scuffle and my nose is hurt and swollen - how do I know if it's broken?
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23 Doctor Answers | Asked by Eva S in Seattle, WA
Doctor Answers (23)
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+2
Broken nose?
Besides obviously having a crooked nose after nasal trauma, patients may have broken their nose and have more subtle findings. One good indication that you may have broken your nose is if you had a bloody nose immediately after a particular nasal trauma event. The reason why, is the nasal bones blood supply is provided by a structure called the periosteum. This structure surrounds the nasal bone and is as thin and fragile as tissue paper. So when the bone fractures,the periosteum overlying... more
Edward S. Kwak, MD
3 reviews
Manhattan Facial Plastic Surgeon
www.eskfps.com
+2
How to treat a broken nose
Here is my take on broken noses: A nose can be technically broken but not have outward or inward deformity and not cause any cosmetic or functional change: You look the same (after the swelling goes down in a week) and you have no change in nasal breathing. Thus, regardless of an x-ray finding, nothing needs to be done. If there is an obvious deformity or difficulty breathing after a week, then further treatment is indicated.
Possible broben nose
It can actually be very difficult to tell if a nose is broken. Obviously if the nose is way off to one side it probably was broken, if it is severely flattened and depressed it is probably broken, and if the bones move it is broken. However if the nose is generally swollen and basically in the middle it is hard to tell. Even x-rays can be deceptive at this time. I always tell patients like this to wait 10 days and then reevaluate . By then enough swelling should be gone to tell... more
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+2
Nasal Fracture
Diagnosis of nasal fracture is typically best performed by an in person evaluation with an experienced physician in nasal anatomy. The physician can palpate your nose, examine the inside of your nose with anterior rhinoscopy, and order additional studies if necessary. While a plain x-ray is sometimes required by an insurance company for diagnosis, there is little to no diagnostic value in ordering this. An experienced nasal surgeon can: Determine the location of... more
Best time to examine/reduse nasal bones is 7 days post injury
Nasal fractures are very common. Many young children fracture their noses and don’t even know it. As an adult if you sustain a nasal fracture you can expect significant swelling and bruising within a few hours of the injury. Whether or not your nose is fractured may not be that important. If it still looks good, your breathing returns to normal and you have no other symptoms, fractured or not it doesn't require any treatment. I recommend seeing an ENT surgeon 1 week after the... more
Enough nonsense. Plain x-rays are pointless.
Please ignore the advice to get an x-ray of your nasal bones. It's nonsense! The only role for x-rays might be if there were concern about fractures other than the nasal bones (e.g., the orbits, mandible, maxilla, etc.) but then in those cases a maxillofacial CT scan is better. So assuming that the only concern is a nasal fracture, here's why x-rays are a waste of time and money: 1) if the nose is obviously crooked when the swelling subsides (and wasn't crooked before), then you know it's... more
+2
Nasal Fracture? How Do You Know if Your Nose is Broken?
Hi Joe Joe, If you had trauma to your nose and have new difficulty breathing, it is important to be examined to make sure that you do not have a nasal septal hematoma (which could destroy your nasal cartilage, resulting in a "saddle nose" deformity). If your nose is off to one side of your face like a Picasso, and not swollen yet, it can be reset, but don't wait too long because swelling is on its way. Once the nose is swollen, you should wait 5 days and then be evaluated by a... more
Wait for the swelling to go down
If the nose did not bleed, it is probably not broken. Wait for the swelling to go down (a few weeks) and if you think the nose looks the same, do nothing. You save money and time.
Evaluating a nose for a possible fracture
Identifying a broken or fractured nose is not always straight forward. 1. If there is obvious displacement then it is most likely fractured. You should definitely see a nose surgeon if this is the case because a simple closed reduction (manipulation to re straighten the nose) may then be necessary. 2. An xray may or may not always pick up a broken nose because the nasal bones are small and sometimes it may just be cartilage that is fractured and this usually... more
How Do I Know if my Nose is Broken
The main sign would be epistaxis or nosebleed. Next there would swelling and pain or disfigurement. It is important for the emergency physician to examine inside the nasal passages and look for a septal hematoma and if present then drain it immediately. An x-ray is virtually a worthless study and a CAT scan of the facial bones should be done to look at the nose and surrounding facial bones. If there are fractures the swelling should be allowed to subside and then reduction
