Nasal Fractures

Nasal Fractures

The nose is one of the most sensitive and vulnerable areas of the face. It protrudes farther than the mouth, eyes or cheeks, and as a consequence, it is easily broken due to falls, accidents, sports or fighting. Dr. Samadi has many years of experiencing in treatment nasal fractures in children and he will help your child recover successfully from such a condition.

What is a nasal fracture?

A nasal fracture is a condition in which the nose is broken or cracked. Most nasal fractures appear above the bridge of the nose or inside the septum, which is the region which splits up the nostrils. Children in particular are vulnerable to nasal fractures because they frequently engage in activities that put themselves at risk for injuries. Nasal fractures may sometimes accompany other facial injuries.

Any object which strikes the nose with a sufficient amount of force will cause it to break.  Children may break their noses when they are involved in car accidents, fights in which their face is kicked or punched, falling down or being hit while engaged in a full contact sport.

What are the symptoms of a nasal fracture?

There are a number of warning signs that your child may have a broken nose. If their nose or the area around it is in intense pain, or it has a shape which is crooked, this could be a sign of a nasal fracture. Noses which are broken may also swell. Additional symptoms may include:

  • Profuse bleeding from the nose
  • Blocked nasal passages
  • Bruising around the nose
  • A grating sound whenever the nose is moved
  • A clear fluid leaks from the nose
  • The child has trouble breathing

How is the diagnosis established?

If parents suspect that the nose of their child is broken, under no circumstances should they attempt to move the nose or straighten it out. Dr. Samadi will perform an examination on the child, and he may also apply an anesthetic in order to numb the pain. Due to the swelling which frequently accompanies a nasal fracture, he may ask you to bring the child back to his office after a couple days, which allows time for the swelling to go down. Reduced swelling makes it easier for the injury to be examined. If the nasal fracture is severe, or appears in conjunction with other injuries to the face, Dr. Samadi may request an X-ray in order to determine the severity of the damage.

How are nasal fractures treated?

Nasal fractures are a serious condition, especially if left untreated. While parents may be able to perform first aid at home to deal with the initial injury, the child should be taken to a doctor for assistance. The child should be instructed to breathe through their mouth so that they don’t swallow blood.

Once the bleeding stops, the head should be elevated to lower pain. Ice packs can be applied to lower swelling, and pain relievers can be taken to soothe the pain. Nasal fractures treatment in severe cases will require surgery where the surgeons at ENT for Children will manually realign the nose, and they may also perform an operation called a septorhinoplasty, which involves restoring the nasal septum. Contact us for more information on treatments for this condition.