Management of nasal bone fractures

Vanni Mondin, Alessandra Rinaldo, Alfio Ferlito
American Journal of Otolaryngology 2005, 26 (3): 181-5
This review discusses treatment options for nasal fracture, a common condition due mainly to road accidents, sport injuries, and physical confrontations. Being frequently associated with multiple trauma, many broken noses are not promptly diagnosed and treated, leading to secondary nasal deformities and chronic obstructions. A description of nasal anatomy is followed by considerations on the pathogenesis of nasal fracture and its clinical assessment. Each patient's history must be recorded (cause of trauma, previous facial injuries, prior nasal deformity, or obstruction) and careful physical examination guides the choice of treatment (open vs closed reduction), its timing, and the type of anesthesia required. Adequate follow-up is essential. Manipulation under local anesthesia is an effective first-line treatment for simple nasal fractures and should become a standard practice, but any associated septal injury can be responsible for postoperative nasal deformity and obstruction so other options may need to be considered.

Full Text Links

Find Full Text Links for this Article


You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.