Nasal Fracture or Contusion

Injuries to the nose are one of the most common facial afflictions. These injuries may include fractures of the nasal bones, or trauma to the soft tissue (contusion). The upper one-third of the nose is bone, while the lower two-thirds is composed of cartilage. It is a fracture to the upper bony section of the nose that defines nasal fracture. Nasal injuries may also have associated injury to the orbit (bony cavity containing the eye), sinuses, or nasal septum (the partition that divides the nose and forms the nostrils).

COMMON FINDINGS IN NASAL BONE FRACTURE

Deformity of the nose.

Swelling and bruising to the nose.

Crepitation, or abnormal motion of the nasal bones.

Periorbital ecchymosis (black eyes).

Subconjunctival hemorrhage (blood in the whites of the eye).

Lip swelling.

Nosebleed

Evaluation will include examination for lacerations, septal swelling [which may require special treatment], and any clear nasal discharge that indicates skull fracture. Nasal x-rays will reveal a fracture and the extent of the deformity. Treatment of most simple nasal fractures is conservative. Nondisplaced nasal fractures often require a decongestant which constricts vessels to control bleeding. Oral antibiotics may also be necessary to reduce the possibility of secondary infection. Surgical repair of displaced nasal fractures is often delayed until swelling has subsided (usually 7 to 10 days later). In all cases, patients should avoid hot liquids and aspirin [as it promotes bleeding]. The use of cold compresses will reduce swelling. Pain medications (acetaminophen) may be used for mild discomfort. Any lacerations to the skin overlying the fracture site must be cleansed and sutured. Protruding nasal bones due to an overlying laceration, requires special treatment. A protracted nasal hemorrhage (nosebleed) may require nasal packing. Special consideration must be given to the child with a displaced nasal fracture. Inappropriate realignment, or failure to receive treatment, can result in abnormal growth of the nose. Follow-up with an ENT Specialist or Plastic Surgeon is recommended.

Hope this article will provide you information about nasal fracture or contusion.


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INJURIES

Abdominal Injury
Abdominal Injury: Contusion
Abrasion
Amputations
Animal Bites
Ankle Fracture
Ankle Injury
Ankle Injury: Contusion
Ankle Sprain
Back Injury
Back Injury : Sacrococcygeal Injury
Back Strain
Burns
Carbon Monoxide Poisoning
Chemical Burns
Chest Injuries
Chest Injury: Aortic Rupture
Chest Injury: Hemothorax
Chest Injury: Myocardial Contusion
Chest Injury : Pneumothorax
Chest Injury: Pulmonary Contusion
Chronic Back Pain
Clavicle Fracture
Compression Fractures
Contusions
Decompression Sickness
Disc Disease
Gunshot Wounds
Hand Injury: Fingertip Amputations
Head Injury
Liver Injury
Marine Stings
Muscle Strains
Rib Fracture
Ruptured Spleen
Shoulder Injury: A-C Separation
Spider Bites
Spinal Cord Injury
Sternum Fracture
Testicular Injury
Wrist Injury
hi Scuba Related Injuries
i Hand Injury Finger Amputaion
de Lecerations
de Cold Injury and Hypothermia
dd Dental Injury
xs Facial Injury
sdf Neck Injury
e Shoulder Injury Dislocation
e Ear Injury
ed Elbow Injury
de Elbow Injury Fracture
dfe Elbow Injury Nursemaids
ee Electrical Injury
de Eye Injury
ed Facial Injury General Considerations
fr Facial Injury Contusion
ed Hand Injury Finger Sprains
ded Fingernail and Toenail Injuries
dd Hand Injury Fractures
23 Head Injury Skull Fracture and Concussion
44 Chest Injury Myocardial Contusion
fde Heat Illness
ed Hest Injury Hemothorax
y Back Injury Disc Disease
;l High Altitude Illness


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