A nasal fracture is often a result of a traumatic blow. It may also be associated with neurosurgical injuries of the nose or some other head trauma. Most nasal fractures are seen at the tip of the nose, and they are most frequently unilateral, but bilateral fractures can happen as well. Often nasal fractures are caused by motor vehicle accidents but not always.
The patient often complains of pain on palpation, and decreased sense of smell and taste can occur due to the blood vessels in this area being severed in the process. A history that includes falling, injury to the head, or trauma to the nose is necessary for diagnosis.
Treatment depends on the severity of the fracture. Treatment of nasal fractures consists of closed reduction and open reduction within two weeks for nondisplaced fractures. If a patient fails to respond to closed reduction, it is recommended that open reduction be performed.
In cases where fascial or septal injuries are suspected, these should be evaluated in the operating room under general anesthesia. If needed, fascial or septal surgery is performed to correct damages to these structures for proper healing of the nasal area. Nasal packing is not necessary but may be used in some cases.
The best treatment for nasal fracture
The patient needs to be placed in the supine position after the person has been stabilized on the back. Nasal packing must not be used if a fracture or fracture fragments are involved. The nose should be taped to prevent movement that could further damage the nose.
Perpendicular reduction is an external force applied to the nasal fragment with the fractured tip of the nose being held in place by a plaster bandage or piece of masking tape with additional pressure placed over this bandage/tape and afterward by a constricting application which is applied for about 5 minutes and then removed.
The opposite fragment is held in position by the direct pressure of a plaster bandage or piece of masking tape. Then pressure is applied with a constricting application for about 5 minutes, and this process is repeated for 3–4 consecutive days.
The fracture can also be reduced by using an inverted funnel technique which involves squeezing the tip of the patient’s nose and holding it in place with gentle digital pressure while placing gauze pads over this area. Over these gauze pads, a plaster cast or a piece of masking tape is applied, which provides additional support to reduce the nasal fracture.
These reduction techniques are often successful when done quickly.
In the previous method, gentle digital pressure holds the patient’s nose in place. In contrast, a plaster mask or tape is placed over roughly one-third of the tip of the nose, and this is followed by placing more tape or cast material over this area and then applying gentle pressure to reduce the nasal fracture.
This technique can often be used when it is necessary to reduce flat and depressed nasal fractures in a quick enough fashion for nasal traction, nasal packing, and septal surgery to be avoided.
The patient’s nose can also be reduced by using digital pressure to push the nasal tip back into place. A tight plaster cast or tape is placed over the end of the nose, and gentle downward pressure is applied for about 5–10 minutes. When using this technique, the patient must remain supine until the reduction occurs.
The nasal fracture can also be reduced by performing a combination of these techniques with gentle digital pressure, plaster casts or tape, and downward pressure, all playing a role in lowering nasal fractures in a quick enough fashion that nasal packing and septal surgery can often be avoided. For more information, please visit healthline.com
This is a solid remodeling of the nose which can be either an internal or external procedure. These procedures would involve soft tissue grafts of the skin and cartilage from areas such as the ear, forehead, groin, or other body areas combined to create a new nose.
In the case of a broken nose, the patient will experience disruption in the function of the olfactory system in that they cannot smell as well as their other nostrils or nostrils. There will be a chance that the fracture will leave a visible deformity. About 5 — 15% of broken noses are not set correctly during treatment.
The goal of this procedure was to maintain the patient’s tissue instead of synthetic materials, an excellent aesthetic result, and facial balance. The goal was to create a more inverted and symmetric nose.
Various techniques are used in these procedures, including nuchal flap, free tissue transfer, free tissue transfer with mesh grafting (formula 1), and island grafting. Combining these techniques can help reduce nasal deformity, provide a more aesthetically pleasing shape, and aid breathing.
1st step: cleaning and reduction of the nose. The damaged cartilage is removed, and the maxilla bone is placed in the nose. After this, skin grafting and the transferal of tissue from other parts of the body to rebuild the new nose are done.
2nd Step: to reform the nasal tip or nasal dorsum, a thick layer of grafted tissue is placed on each side of the nasal dorsum and total thickness skin grafts. The process starts with removing old scar tissue, cartilage, and other damaged bones or soft tissue types. The next stage is creating a new form of the nose with these tissues either being placed in the same area or a different part of the nose, depending on what type of procedure was done. For more information, please visit plasticsurgery.org
Various complications during this procedure include infection, damage to nearby blood vessels, and damage to nearby nerves. It is also possible for scar tissue to develop from the grafts, which could cause breathing issues if it either blocks air passage or causes swelling.
Nasal fractures are severe injuries that can happen to anyone. It is essential to take care of a nasal fracture as quickly as possible because otherwise, the nasal bones can shift out of place, causing problems with the way patients breathe. For more information, please visit webmd.com