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NYC Nasal Fracture (Broken Nose) Treatment

Treatment for a Nasal Fracture
In cases of facial trauma, nasal fractures are a common type of bone injury. This is largely due to the prominence and central location of the nose on the face and the weakness of the nasal cartilage. A nasal fracture is commonly the result of an injury from a car accident, a fall, a physical altercation, or a sports-related injury.

Untreated nasal fractures can negatively affect both the appearance and the function of the nose. Functional problems include chronic nasal obstruction or blockage, and a predisposition for sinusitis, infection, and nose bleeds.

If you suspect you are suffering from a nasal fracture, schedule an appointment with our NYC ear nose and throat practice as soon as possible. Dr. David Volpi is a board-certified ENT doctor with over 25 years of experience treating nasal fractures, sinusitis, and other ENT conditions. As a nationally-renowned ear nose and throat doctor, Dr. Volpi is highly qualified to diagnose and treat your nasal conditions. We look forward to helping you breathe and feel better!

Symptoms of Nasal fractures

Nasal fractures often go unnoticed by both physicians and patients as a combination of the symptoms, including tenderness, hemorrhaging, and deformity, may not occur for long or at all. Additional symptoms of nasal fractures may include:

  • Tenderness
  • Swelling of the nose or surrounding areas
  • Difficulty breathing through the nose
  • Crooked appearance of the nose
  • Bruising around the eyes
  • Nose bleeds
  • Pain
  • Feeling that one or both nasal passages are blocked

Diagnosis of Nasal Fractures

A nasal fracture is commonly diagnosed by a doctor by reviewing the patient’s symptoms and performing a physical examination of the nose. Dr. Volpi will most likely use a nasal speculum, a lighted instrument to check the inside of the nasal passageways and septum. He may order additional diagnostic tests to further inspect the severity of the nasal fracture, which include:

  • CT Scan
  • X-Ray

To prevent further complications, nasal fractures should be evaluated as soon as possible. Complications of a nasal fracture include:

  • Deviated septum – the part of the nose that separates the two sides can become crooked, potentially leading to nasal obstruction
  • Change to the appearance of the nose
  • Septal hematoma – the pooling of blood in the nasal cavity can add pressure to the septum, resulting in cartilage damage
  • Septal perforation – a hole in the nasal septum
  • Collapse of the bridge of the nose
  • Difficulty breathing
  • Sinus infection
  • Loss of sense of taste or smell

Treatment for a Nasal Fracture

A nasal fracture is immediately treated with ice and pain medications. Nasal decongestants may be prescribed to help make breathing easier while the nose is swollen. In cases where the nasal fracture is only a simple fracture, this may be the only treatment necessary.

If the bone or cartilage in the nose needs to be straightened, a doctor may use a splint or fill the area with gauze in technique known as nasal packing. For a more severe nasal fracture, surgery may be necessary to move the bone or cartilage back into the original position.

After treatment for a nasal fracture, most regular daily activities may be resumed. Patients may be advised to refrain from playing sports or performing strenuous physical activities for a few weeks after the initial treatment. When returning to sports or physical activities, doctors may recommend a nose guard.

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