Broken nose repair: Broken nose – Diagnosis and treatment
How to Fix a Broken Nose | Albany ENT & Allergy Services
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Albany, NY 12205
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ENT Urgent Care: Mon-Fri: 8:30am-3:00pm
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Audiology Phone: 518-701-2087
123 Everett Rd
Albany, NY 12205
Clifton Park, NY
Address
1785 Route 9, Suite 201
Clifton Park, NY 12065
Phone
(518) 701-2075
Phone Hours Mon-Fri: 7:00am-7:00pm
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Mon: 8:00am-4:30pm
Tue: 9:00am-5:30pm
Wed: 8:00am-4:30pm
Thur: 7:30am-4:30pm
Fri: 8:00am-4:30pm
Allergy Injection Hours: Mon: 8:00am-4:30pm
Tue: 9:00am-5:30pm
Fri: 8:00am-4:30pm
Audiology Hours: Mon-Fri: 7:30am-4:00pm
Audiology Phone: 518-701-2087
Audiology Hours: Mon-Fri: 7:30am-4:30pm
Audiology Phone: 518-701-2087
1785 Route 9, Suite 201
Clifton Park, NY 12065
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Posted on by Albany ENT & Allergy Services
A broken nose isn’t just unsightly, it can also make breathing through your nose difficult. It’s important to seek care right away for the easiest treatment and best outcomes. Below we review everything you need to know to fix your broken nose.
What Causes a Broken Nose?
Nasal fractures are often the result of a contact sports injury. In fact, a broken nose is among the most common sports injuries. So be careful next time you’re playing a game of football at Dutch Field with your friends.
A broken nose may also be caused by a fall, accident or fight.
What Are the Symptoms of a Broken Nose?
If you’re unsure whether your nose is broken, look for the following signs:
- Pain around the nose.
- Nosebleed.
- Displaced bone and/or cartilage.
- Change of shape of the nose.
- Difficulty breathing through the nose.
- Swelling and bruising around the nose and eyelids.
Another symptom of a broken nose is a septal hematoma, which is a collection of blood that forms on the nasal septum. It’s important to see a doctor right away if you have the above symptoms so they can check for a septal hematoma.
How a Broken Nose Is Treated
A broken nose should be treated by a doctor. During your appointment, the doctor will ask questions about how the injury occurred and examine the nose, eyes, jaw and teeth. They may ask you questions about your overall health and request to see a photo of your nose before it was broken.
In some cases, like if the doctor suspects other facial fractures, they’ll order an X-ray or CT scan.
If your nose is fractured but still in position, you may need no treatment other than rest and being very careful to not bump it.
If your nose is badly broken and needs to be repositioned, the doctor can most likely perform this in the office. Your doctor may administer local or general anesthesia, depending on the severity of the fracture. They will then set it and hold it in place with a plastic, plaster or metal cast that should be worn for about a week.
If more than two weeks have passed since the injury, you may need to have your nose fixed surgically.
For more information about how to fix a broken nose or to schedule an appointment with an ear, nose and throat specialist, call Albany ENT & Allergy Services today.
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Broken nose surgery in Moscow, prices for correction, photos before and after surgery, reviews about surgery
Photos before and after nose surgery
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Testimonials from our patients
Rhinoplasty at Topclinic
Rhinoplasty at Topclinic
Rhinoplasty at Topclinic
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Blepharoplasty at Topclinic
Mammoplasty at Topclinic
Prices
Broken nose plastic surgery prices depend on the severity of the injury and the degree of deformation of the bone structures. Sometimes it is necessary to eliminate concomitant defects that were before the injury. Make an appointment with a plastic surgeon so that he can develop a treatment plan and determine the exact cost of the operation.
Indications
Operation performed after an injury that resulted in:
- nasal breathing disorder;
- nose deformities;
- curvature of the back of the nose, the appearance of a hump or retraction on it;
- deviated tip of the nose;
- combination of deformities in different parts of the nose.
Similar symptoms occur when bones and cartilages are not properly repositioned immediately after an injury.
Topclinic advantages
Park of expert-level cosmetic, laser and physiotherapy equipment.
For minimal tissue trauma, fast recovery and maximum efficiency.
Topclinic specialists with over 10 years of experience.
Our doctors are experts in cosmetology and plastic surgery, conduct scientific and teaching work, conduct master classes, exchange experience at international congresses and conferences, train young professionals as mentors.
Comfortable environment and friendly staff.
We work as a close-knit team of professionals to maintain beauty, health, and improve the quality of life of our patients.
Fast recovery after plastic surgery.
All examinations and dressings after plastic surgery are free of charge. The developed programs with the use of physiotherapy and cosmetic procedures can reduce postoperative rehabilitation by 2 times.
Preservation of natural appearance, health, prevention of aging and the principle of “do no harm”.
These are our priorities!
Types of surgery
After a nose fracture, you need to visit the surgeon within the first two days, then the bone structures can be returned to the correct position. If the patient did not receive assistance in the first days after the injury, then the operation can be done only six months later, after the callus has formed and the deformity is obvious.
Surgical treatment is indicated for deformities of the external nose and deviated septum with difficulty in nasal breathing. Therefore, rhinoplasty of a broken nose is most often performed in combination with septoplasty.
The operation can be performed:
- through open access with an incision along the skin part of the nasal septum;
- through closed access with an incision along the mucous membrane of the nasal passages.
What you get as a result
After correction, the nose gets the correct shape, nasal breathing is restored. The effect is noticeable immediately, but the final result will appear after six months or a year, when the edema completely subsides, microcirculation is restored and the scarring process ends.
How the operation is performed
Tests in 1 day
You can undergo the necessary tests and examinations at the Topclinic Diagnostic Center by appointment in one day without queues and waiting. Test results will be ready the next day.
Preparation for surgery
Preparation for surgery begins with a visit to a plastic surgeon. The specialist conducts an examination to decide the appropriateness of rhinoplasty and its technique.
Rhinoplasty is performed under general anesthesia, so you need to undergo a full clinical and laboratory examination, which is necessary for a planned operation in order to exclude contraindications. Diagnostics includes:
- blood tests – biochemical, general, hepatitis B and C, HIV and RW, coagulogram;
- urinalysis;
- electrocardiogram with interpretation;
- chest x-ray;
- radiography or computed tomography of the nose and paranasal sinuses;
- Ultrasound of the veins of the lower extremities for the prevention of thromboembolic complications;
- consultation of an anesthesiologist-resuscitator, therapist, otorhinolaryngologist.
All examinations can be performed at the Topclinic diagnostic center in one day by appointment. You will receive the results the next day.
If you are taking drugs that affect blood clotting, you should stop taking them 7-10 days before plastic surgery to prevent bleeding. On the evening of the day before surgery, a light dinner is allowed. On the day of the operation, you can not eat or drink.
How a broken nose job is performed
A nose job after a fracture is performed under anesthesia. Topclinic specialists select the type of anesthesia and drugs taking into account the state of health, age, and allergic history.
During the operation, the surgeon makes an endonasal incision, exfoliates the soft tissues to visualize the bony and cartilaginous framework of the nose. Incorrectly fused areas break and give them the desired position. If necessary, aesthetic correction of the nose is done – for example: raising, narrowing the back, tip or nasal wings, septoplasty.
After completion of the necessary manipulations, stitches are applied, tampons are placed in the nasal passages for 1-2 days. The tissues in the correct position are fixed with a special splint or plaster splint.
Broken nose rhinoplasty lasts 1.5-3 hours.
Tests in 1 day
You can undergo the necessary tests and examinations at the Topclinic Diagnostic Center by appointment in one day without queues and waiting. Test results will be ready the next day.
Broken nose surgeons
Recovery after surgery
The first day the patient spends in the hospital under round-the-clock supervision of medical personnel. Topclinic in Moscow has all the conditions for a comfortable stay – spacious rooms, TV, internet and three meals a day.
Rhinoplasty after a fracture occurs with a violation of the integrity of the skin and mucous membranes, so antibacterial and anti-inflammatory therapy can be prescribed to prevent complications.
Upon discharge, the patient receives detailed instructions. During the first two weeks, he visits the clinic for dressings. Later, you can contact the doctor by phone or come for a consultation if you have any questions.
The cast is indicated to be worn for 10-14 days. Up to 3 weeks after rhinoplasty, swelling, hemorrhages, and lymphostasis remain, which disappear on their own. After three weeks, the patient can return to normal life.
In the rehabilitation period:
- it is necessary to observe the hygiene of the nasal cavity with the use of water antiseptics;
- avoid repeated injury, exercise, alcohol and smoking;
- do not take too hot or cold food;
- it is not recommended to visit the sauna, bath, swimming pool, solarium for 2 months.
Complete shaping of the nose shape is completed in 10-12 months, this is individual.
Contraindications
Operation on a broken nose is not performed in case of acute infections, oncological processes, diseases of the heart and blood vessels, circulatory system, respiratory failure and exacerbation of chronic pathology.
Temporary contraindications – pregnancy and lactation, menstruation.
FAQ
Why can surgery for a broken nose be done only six months after the injury?
This tactic is due to the fact that time must pass for the bones and cartilage to grow together and complete the natural process of callus formation. Even when the bones don’t heal properly, you have to wait. If a broken nose is corrected early, proper alignment of bones and cartilage will be problematic and the subsequent outcome unpredictable.
Fractures with what maximum statute of limitations can be corrected?
The statute of limitations does not matter: we do plastic surgery of a broken nose and after a year, 5 and 15 years, we get the same aesthetic result and restoration of nasal breathing, as with a “fresh” fracture.
Will scars remain after plastic surgery?
Rhinoplasty after a fracture can be performed with an open or closed technique. The open method involves incisions along the skin of the nasal septum, while the closed method involves incisions in the cavity of the nasal passages. Accordingly, scars will be on the skin only with open plastic surgery, but they are hardly noticeable and are not conspicuous. How to carry out the intervention, the plastic surgeon decides, taking into account the depth of the injury, the degree of displacement of bone and cartilage structures, and the type of deformation.
- Rhinoplasty
- Revision rhinoplasty
Elimination of consequences after a broken nose in Yaroslavl at the KONSTANTA Clinic
A broken nose is a fairly common facial injury. It is often damaged by athletes, drivers in road accidents, children and adults in fights, during falls on slippery surfaces and outdoor activities. It can be difficult to distinguish a fracture from a bruise due to the similarity of symptoms and due to swelling. It is necessary to consult a doctor as soon as possible, since nasal injuries entail serious violations of the functions of breathing and smell. But even if a broken nose has already grown together incorrectly without receiving medical assistance, it is possible to eliminate its deformities at the KONSTANTA Clinic in Yaroslavl.
Types of fractures, possible actions to reduce the nose
Depending on the location and degree of damage, the following injuries are distinguished:
- fractures of bones and nasal septum;
- violations of the integrity of the walls of the sinuses and cartilage;
- separation of tissues between the nasal bones or frontal processes, characteristic of children, without fracture of the bones, which are more elastic than in adults;
- hematomas in the nose and under the eyes.
Fractures of the bones of the nose are: | |
---|---|
Open and closed | With or without offset |
Closed fracture without damage to the soft tissue surface is eliminated by manual (outside) and instrumental (inside) reduction of the bones. | Non-displaced fracture leaves damaged bones in normal position. The task of the doctor is to fix them until they are completely fused, preventing the possibility of curvature. |
Open form fracture after correction of the bones of the nose involves the connection of injured soft tissues with the imposition of cosmetic sutures. | Fragment displacement relative to each other due to injury or unsuccessful first aid is eliminated by surgery. After it, a plaster cast is applied and tampons are introduced into the nose to prevent the displacement of the set bones. |
To choose a technique for eliminating violations (reposition) of an injured nose, the type of its deformation matters. On this basis, plastic surgeons distinguish fractures:
- with recessed back of the nose;
- inward depression, which makes the nose visually shorter or wider;
- lateral displacement of bones;
- Hump formation on the nose.
Differences in the treatment of fresh and old fractures
Specialists of the Constanta Clinic also share the reduction of fresh fractures of the nose, which patients treat immediately after injury, and chronic , when the consequences of a long-standing injury have to be corrected. The most easily correctable fracture is a fracture that has passed no more than 14 days . When the patient is treated in the first days after the injury, the operation may be postponed until the swelling that prevents surgical intervention is removed. In addition, before it, you need to take an x-ray and, if necessary, a tomography of the nose area.
After 2-3 weeks the process of ossification of injured tissues begins. Due to the loss of mobility of fragments, their return to their place becomes difficult and does not guarantee the absence of aesthetic defects (humps or pits on the bridge of the nose). In this case, the operation must be postponed for several months until the injury is completely healed. After fusion of bones without medical assistance, repair of the nose is a more complex and lengthy surgical operation than the treatment of a fresh fracture.
Features of correction of the nose after a fracture
KONSTANTA clinic offers a broken nose repair service that solves two problems:
- Return of the bones to the correct position;
- Restoration of the functionality of impaired nasal breathing.
Before surgery, our specialists relieve the patient of pain shock, swelling, and stop bleeding. The fracture site is anesthetized by irrigating the nasal cavity with an anesthetic composition and injecting it with a syringe. In the presence of a large number of fragments after reposition, tampons with paraffin are inserted into the nasal cavity for proper bone fusion.
Repositioning with timely treatment
A fresh injury does not require procedures in the operating room and general anesthesia. When a patient broke his nose and promptly sought medical help at our Clinic, a specialist in the ENT room will be able to set it under local anesthesia. The doctor performs reduction from the outside with his fingers, acting inside the nose with a special tool (an elevator or tweezers, the ends of which are protected by a fabric winding and a rubber tube). After the necessary procedures and the application of a protective bandage, the patient can immediately go home.
But even with timely seeking medical help, non-surgical correction of a broken nose is not always possible. The indications for surgery are:
- post-traumatic deformity of the outer part of the nose;
- severe damage to the walls of the sinuses and soft tissues;
- fracture, deviated septum requiring anesthesia and major surgery, including implantation;
- extensive hematomas in the area of the septum, which must be drained to exclude the risk of cartilage necrosis.
Correction of the nose for an old injury
If you did not have time to see a doctor in the first weeks after the injury, the fracture has already begun to heal, and the fusion often occurs at the wrong point. This is fraught with a violation of free breathing and a number of aesthetic problems:
- sideways nose;
- hump back;
- fossa on the bridge of the nose.
Our Clinic performs successful treatment of nasal fractures even years after the injury. The surgery in this case is a complex process performed under general anesthesia for several hours.
Stages of surgical correction of the nose after an old fracture
STAGE I | II STAGE | STAGE III |
---|---|---|
Osteotomy | Restoration of the correct position of the bones | Aesthetic rhinoplasty |
Through incisions in the skin, the surgeon accesses the incorrectly fused bones of the nose and gently breaks them. | The doctor manually using elevators restores the normal position of fragments | Rhinoplasty may include elimination of a hump or fossa, narrowing of the back, wings, tip of the nose, correction of the skin area between the nostrils, etc. |
Postoperative rehabilitation
For each case, the duration of the rehabilitation period is individual and depends on the volume of surgery, the condition of the patient’s tissues:
- Tamponade lasts for about a week , preventing displacement of the nasal bones.
- 4-6 days to wear a postoperative cast.
- At least 6 weeks lasts for complete tissue healing.
- After 7-14 days the main part of the edema will disappear and the patient, depending on the state of health, can return to normal life.
- In the first months after surgery, it is necessary to treat the nasal cavity with antiseptic solutions and ointments.
To accelerate healing during the rehabilitation period, it is necessary to follow the recommendations of the doctors of the Clinic and some restrictions:
- Do not bend over, lift weights, wear glasses, sleep face down.
- We’ll have to temporarily give up hot baths, cold showers, solarium, sun exposure.
- The recovery period is difficult for the patient due to the need to wear a bandage, breathing through the mouth, discomfort from possible bruising under the eyes.
It is worth going through in order to get healthy breathing, the aesthetic effect of correcting the nose and forget about all the consequences of a fracture forever.