How is a broken nose diagnosed. What are the treatment options for a nasal fracture. When should you seek medical attention for a broken nose. What is the recovery process like after nose repair surgery.

Understanding Nasal Fractures: Causes and Symptoms

Nasal fractures, commonly known as broken noses, are one of the most frequent facial injuries. They can occur due to various reasons, ranging from sports accidents to falls and physical altercations. Understanding the causes and symptoms of a broken nose is crucial for prompt diagnosis and treatment.

Common Causes of Nasal Fractures

• Sports injuries, especially in contact sports like football, basketball, and boxing
• Accidental falls or collisions
• Motor vehicle accidents
• Physical altercations or fights
• Work-related accidents

Is a broken nose always caused by direct impact? Not necessarily. While direct blows to the nose are the most common cause, nasal fractures can also result from indirect forces transmitted through the facial bones during accidents or falls.

Recognizing the Symptoms of a Broken Nose

Identifying a broken nose early is essential for proper treatment. Here are the key symptoms to watch for:

• Pain and tenderness around the nose and surrounding areas
• Swelling of the nose and adjacent facial regions
• Bruising around the nose and under the eyes (often called “raccoon eyes”)
• Nosebleeds
• Difficulty breathing through the nose
• Visible deformity or misalignment of the nose
• Crepitus (a crunching or crackling sensation when touching the nose)

Can you have a broken nose without visible deformity? Yes, it’s possible. Some nasal fractures may not cause obvious external changes, which is why it’s important to seek medical evaluation if you suspect a broken nose, even if your nose appears normal.

Diagnosis of Nasal Fractures: Medical Evaluation and Imaging

When you suspect a broken nose, seeking prompt medical attention is crucial. The diagnosis process typically involves a thorough physical examination and may include imaging studies to assess the extent of the injury.

Physical Examination

During the initial evaluation, a healthcare provider will:

• Visually inspect the nose for signs of deformity or misalignment
• Gently palpate the nose to check for tenderness, swelling, and crepitus
• Examine the nasal passages using a nasal speculum to assess internal damage
• Check for signs of septal hematoma, a potentially serious complication
• Evaluate overall facial symmetry and check for other facial injuries

Imaging Studies

Are X-rays always necessary for diagnosing a broken nose? Not always. While X-rays can be helpful, they are not routinely used for simple nasal fractures. However, in some cases, imaging studies may be recommended:

• X-rays: To visualize the nasal bones and detect fractures
• CT scans: For more detailed imaging, especially if other facial injuries are suspected
• MRI: Rarely used, but may be necessary to evaluate soft tissue damage

Why might a doctor order a CT scan for a suspected broken nose? CT scans provide more detailed images of the facial bones and can help detect complex fractures or associated injuries that may not be visible on X-rays.

Treatment Options for Nasal Fractures: From Conservative Management to Surgery

The treatment approach for a broken nose depends on the severity of the fracture, the presence of associated injuries, and the timing of medical intervention. Treatment options range from conservative management to surgical intervention.

Conservative Management

For minor nasal fractures without significant displacement, conservative treatment may be sufficient:

• Rest and avoiding further trauma to the nose
• Ice application to reduce swelling and pain
• Pain management with over-the-counter or prescription medications
• Nasal decongestants to improve breathing

Closed Reduction

Closed reduction is a non-surgical procedure to realign the nasal bones and cartilage:

• Typically performed within 14 days of injury
• Can be done under local or general anesthesia
• Involves manually repositioning the nasal structures
• May require nasal packing or external splinting

How long after injury can a closed reduction be performed effectively? Ideally, closed reduction should be done within 14 days of the injury. After this period, the nasal bones begin to heal, making non-surgical realignment more challenging.

Surgical Repair

In cases of severe fractures or when closed reduction is unsuccessful, surgical repair may be necessary:

• Open reduction: Involves making incisions to directly access and realign the nasal bones
• Septoplasty: Surgery to correct a deviated septum
• Rhinoplasty: May be required for significant deformities or functional issues

Is surgical repair always necessary for a broken nose? No, many nasal fractures can be successfully treated with closed reduction or conservative management. Surgery is typically reserved for complex cases or when non-surgical methods fail to achieve satisfactory results.

Immediate Care and First Aid for Suspected Nasal Fractures

When a nasal injury occurs, proper immediate care can help manage symptoms and prevent complications. Here are essential first aid steps for a suspected broken nose:

Steps for Immediate Care

1. Apply ice or a cold compress to the nose and surrounding areas to reduce swelling and pain
2. Gently pinch the nostrils together to control any bleeding
3. Keep the head elevated to minimize blood flow to the nose
4. Avoid blowing the nose or manipulating the nasal structures
5. Take over-the-counter pain relievers if needed, avoiding aspirin which can increase bleeding

Should you attempt to realign a visibly crooked nose yourself? No, attempting to realign a broken nose without medical expertise can lead to further damage. Always seek professional medical care for proper evaluation and treatment.

When to Seek Emergency Care

While not all nasal fractures require immediate emergency care, certain symptoms warrant urgent medical attention:

• Severe or uncontrolled bleeding
• Clear fluid draining from the nose, which may indicate cerebrospinal fluid leak
• Difficulty breathing or airway obstruction
• Signs of concussion or other head injury
• Severe pain or facial deformity

How can you differentiate between a simple nosebleed and a more serious injury? If bleeding persists for more than 15-20 minutes despite applying pressure, or if the bleeding is exceptionally heavy, it may indicate a more severe injury requiring immediate medical evaluation.

Complications and Long-Term Effects of Untreated Nasal Fractures

Leaving a broken nose untreated can lead to various complications and long-term effects that may impact both appearance and function. Understanding these potential issues underscores the importance of timely and appropriate treatment.

Potential Complications

• Septal hematoma: A collection of blood in the nasal septum that can lead to cartilage necrosis if untreated
• Chronic nasal obstruction: Difficulty breathing through the nose due to structural changes
• Persistent pain or discomfort
• Recurrent sinus infections
• Nasal deformity: Visible changes in the shape or alignment of the nose
• Septal perforation: A hole in the nasal septum that can cause whistling sounds or nosebleeds

Can an untreated nasal fracture heal on its own? While minor fractures may heal without intervention, untreated significant fractures often lead to permanent deformities or functional problems. Professional evaluation is crucial to ensure proper healing.

Long-Term Effects

Untreated nasal fractures can have lasting impacts on both physical appearance and quality of life:

• Aesthetic changes: Crooked or misshapen nose affecting facial symmetry
• Breathing difficulties: Chronic nasal congestion or obstruction
• Sleep disturbances: Increased risk of snoring or sleep apnea
• Sinus problems: Recurrent sinusitis or other sinus-related issues
• Psychological effects: Self-consciousness or decreased self-esteem due to altered appearance

How long after an injury can a nasal fracture be effectively treated? While immediate treatment is ideal, significant improvements can often be made even years after the initial injury through reconstructive procedures. However, early intervention typically yields the best results with less invasive techniques.

Recovery and Aftercare Following Nasal Fracture Treatment

The recovery process after treatment for a nasal fracture is crucial for ensuring proper healing and optimal outcomes. Whether you’ve undergone conservative management, closed reduction, or surgical repair, following proper aftercare instructions is essential.

Immediate Post-Treatment Care

• Rest and limit physical activities, especially those that could result in nasal injury
• Keep the head elevated, even while sleeping, to reduce swelling
• Apply cold compresses as directed to minimize swelling and discomfort
• Take prescribed medications, including pain relievers and antibiotics if indicated
• Avoid blowing the nose or inserting objects into the nasal passages
• Maintain nasal packing or splints as instructed by your healthcare provider

How long should you avoid strenuous activities after nasal fracture treatment? Generally, it’s advisable to avoid strenuous activities and contact sports for at least 4-6 weeks after treatment. However, always follow your doctor’s specific recommendations, as recovery times can vary based on the severity of the injury and the type of treatment received.

Long-Term Recovery and Follow-Up

The healing process for a nasal fracture can extend beyond the initial recovery period:

• Attend all scheduled follow-up appointments to monitor healing progress
• Gradually resume normal activities as directed by your healthcare provider
• Be patient with the healing process, as final results may take several months to become apparent
• Report any persistent symptoms or concerns to your doctor promptly
• Consider scar management techniques if surgical intervention was required

When can you expect to see the final results after nasal fracture treatment? While initial improvements are often noticeable within weeks, the final aesthetic and functional outcomes may take 6-12 months to fully develop as swelling subsides and tissues settle.

Prevention Strategies: Minimizing the Risk of Nasal Fractures

While accidents can’t always be prevented, there are several strategies you can employ to reduce the risk of nasal fractures. Implementing these preventive measures can help protect your nose from injury during various activities.

Sports and Recreational Activities

• Wear appropriate protective gear, such as face masks or helmets, during contact sports
• Follow proper techniques and rules in sports to avoid collisions
• Use well-maintained equipment and play on safe surfaces
• Consider custom-fitted mouthguards that can also protect the nose

Everyday Safety Measures

• Wear seatbelts and ensure airbags are functional in vehicles
• Implement fall prevention strategies, especially for older adults or in hazardous environments
• Use proper lighting and remove tripping hazards in living spaces
• Practice caution when participating in activities with a high risk of facial injury

Are some individuals more prone to nasal fractures? Yes, certain factors can increase the risk of nasal fractures, including participation in contact sports, a history of previous nasal injuries, and anatomical factors like a prominent nasal bridge. However, anyone can potentially experience a nasal fracture, underscoring the importance of general safety precautions.

Workplace Safety

For those in occupations with a higher risk of facial injuries:

• Adhere to workplace safety protocols and wear required protective equipment
• Ensure proper training in the use of tools and machinery
• Maintain a clean and organized work environment to prevent accidents
• Report unsafe conditions or practices to appropriate supervisors

Can lifestyle changes help prevent nasal fractures? Absolutely. While some accidents are unavoidable, making conscious choices to prioritize safety in daily activities, sports, and work environments can significantly reduce the risk of nasal and other facial injuries.

How to Fix a Broken Nose | Albany ENT & Allergy Services

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ENT Urgent Care: Mon-Fri: 8:30am-3:00pm
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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

Learn About the Doctor’s Office of the Future

Posted on April 23, 2021 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.

Repairing and Treating Broken Noses

Did you just break your nose? It is very important to have your broken nose repaired within two weeks. After 2 weeks, your nasal bones heal in the wrong position, and can no longer be easily moved into the right position. For this reason, it is very important to be seen by a board-certified facial plastic surgeon / otolaryngologist as soon as possible. When repaired within the first two weeks or so, even severe nasal fractures can generally be repaired without any incisions whatsoever! Incision-free techniques (that means no cutting and no stitches) can be used to reposition all the bones and cartilage where they belong, enabling your nose to heal in a normal fashion. A timely repair can get your nose looking good again, and breathing well. Will my medical insurance cover treatment for my broken nose? Yes. It is medically necessary, and therefore covered by medical insurance. What will my doctor do for me when I come in for a broken nose? Dr. Greene will thoroughly examine you, take photographs, and create the documentation necessary to get you the maximum insurance coverage possible. If there is pain from the injury, then you will be given pain medication. If there is any nasal bleeding, it will be treated immediately. Next, after allowing some time for your nasal swelling to go down, the fracture will be repaired. A combination of local anesthesia, and sedation or general anesthesia will be done so that you feel no pain. Generally, you will be asleep during the entire procedure and you won’t feel a thing. When you wake up, you should feel good. You will notice that you have a splint on your nose to hold everything in place. You will be able to go home the same day. Dr. Greene will see you the following day, and remove the splint one week later. What to do if your nose was broken more than two weeks ago. After two weeks, the bones get frozen and scar down in the wrong position. Do not lose hope! Your nose can still be repaired and restored. New, minimally invasive techniques are available to free up your broken nasal bones and restore them to the correct position, and restore your nose to a normal appearance. I can’t breathe well because of my broken nose. Can this be repaired as well? Yes. The goal of repairing the nose is to restore both form and function. The repair corrects the nasal fracture, straighten out the nose and make it look normal again. The repair also opens up the nasal airways, to get you breathing well again. For many people, they breathe even better than they did before the nose was broken. If I break my nose, how soon should I be seen? You should get seen within the first week to 10 days. Since the nose swells up a lot making accurate correction of the fracture difficult, we generally let the nose settle down for about a week before the fracture repair is done. Letting the swelling go down enables us to do a much more accurate correction than doing the repair immediately when the nose is maximally swollen. I was never happy with how my nose looked even before the fracture. Can Dr. Greene do anything to improve the appearance of my nose? Yes, Dr. Greene is a Double Board-Certified Facial Plastic Surgeon, who did his fellowship in Facial Plastic Surgery at Stanford University Medical School, residency training at the University of California, and education at Harvard University and Yale University School of Medicine. Dr. Greene performs rhinoplasty, septoplasty, and the full range of nasal plastic surgery to improve the appearance and function of your nose. I broke my nose years ago. Can I still have it repaired? Absolutely! Reduction of nasal fractures, septoplasty, rhinoplasty, and multiple other techniques are offered by Dr. Greene, which can repair your nose even decades after your fracture occurred. Nasal surgery performed to restore your ability to breathe, and restore the normal shape of your nose, is generally covered by insurance. I suffer from sinusitis. Can Dr. Greene correct this problem as well? Yes! Dr. Greene is a board-certified otolaryngologist, specializing in nasal and sinus surgery. He is a Fellow of The American Rhinologic (sinus & nasal) Society, and provides the full range of care for your sinuses, including advanced and minimally invasive sinus surgery and in-office procedures for nasal blockage, congestion, and sinusitis. Back to Services & Procedures main page   png”/>   Awards & Honors Some of the awards, honors and affiliations for Dr. David Greene can be found below. “Top Doctors”, Castle-Connolly 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2014, 2015, 2016 “Guide to America’s Top Physicians”, Consumers Research Council of America. 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011 The Gulfshore’s “Top Doctors,” Gulfshore Life, Naples, FL; 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2014 Who’s Who in Medicine and Healthcare 2003, 2004, 2005, 2006, 2007, 2008, 2009 Who’s Who in America, Marquis 2003, 2004, 2005, 2006, 2007, 2008, 2009 Who’s Who in the World, Marquis 2004, 2005, 2006, 2007 Who’s Who in Science and Engineering 2003, 2004, 2006, 2007 Vitals Top Ten Patients’ Choice Award 2014 Patients’ Choice Award 2012 Fellow, American College of Surgeons Fellow, American Academy of Otolaryngology Fellow, American Rhinologic Society Articles & Presentations Throughout my career, I have had the opportunity to contribute to over 40 research studies, papers and publications and have given over 180 presentations around the world in various medical fields.

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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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.

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:

1. with recessed back of the nose;
2. inward depression, which makes the nose visually shorter or wider;
3. lateral displacement of bones;
4. 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:

1. Return of the bones to the correct position;
2. 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

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:

1. Tamponade lasts for about a week , preventing displacement of the nasal bones.
2. 4-6 days to wear a postoperative cast.
3. At least 6 weeks lasts for complete tissue healing.
4. 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.
5. 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.