57:
341:
be attempted, usually with good results. Manually alignment should be performed in adults within 10 days of injury (prior to the bone healing in the misaligned state). For children, bone healing occurs faster, so manual alignment should ideally be performed within 4 days of injury. Injuries involving other structures (Types 2 and 3) must be recognized and treated surgically.
262:
340:
Minor nasal fractures may be allowed to heal on their own provided there is not significant cosmetic deformity. Ice and pain medication may be prescribed to ease discomfort during the healing process. For nasal fractures where the nose has been deformed, manual alignment (ie, closed reduction) may
313:
Nasal fractures are usually identified visually and through physical examination. In addition, relevant questions to ask the patient include whether there is a noticeable cosmetic deformity and whether the patient has difficulty breathing through the nose after the injury.
322:(Types 2 and 3). In simple Type 1 fractures X-Rays supply surprisingly little information beyond clinical examination. However, diagnosis may be confirmed with X-rays or CT scans, and these are required if other facial injuries are suspected.
753:
738:
318:
is generally not recommended. A priority is to distinguish simple fractures limited to the nasal bones (Type 1) from fractures that also involve other facial bones and/or the
328:
Although treatment of an uncomplicated fracture of nasal bones is not urgent—a referral for specific treatment in five to seven days usually suffices—an associated injury,
301:
to the face. Common sources of nasal fractures include sports injuries, fighting, falls, and car accidents in the younger age groups, and falls from
253:. Outcomes are generally good. Nasal fractures are common, comprising about 40% of facial fractures. Males in their 20s are most commonly affected.
285:, tenderness, pain, deformity, and/or bleeding of the nose and nasal region of the face. The patient may have difficulty breathing, or excessive
325:
A fracture that runs horizontally across the septum is sometimes called a "Jarjavay fracture", and a vertical one, a "Chevallet fracture".
656:
332:, occurs in about 5% of cases and does require urgent treatment and should be looked for during the assessment of nasal injuries.
891:
28:
796:
395:
Das D, Salazar L (April 2017). "Maxillofacial Trauma: Managing
Potentially Dangerous And Disfiguring Complex Injuries".
1284:
650:
547:
249:. Reduction, if needed, can typically occur after the swelling has come down. Depending on the type of fracture
1040:
959:
250:
349:
Bone stability after a fracture occurs between 3 and 5 weeks. Full bone fusion occurs between 4 and 8 weeks.
670:
1045:
17:
56:
934:
809:
1409:
1269:
1035:
939:
886:
211:, swelling, bruising, and an inability to breathe through the nose. They may be complicated by other
231:
137:
537:
1115:
1100:
789:
98:
1085:
929:
866:
289:(if the nasal mucosa are damaged). The patient may also have bruising around one or both eyes.
640:
234:. Diagnosis is typically based on the signs and symptoms and may occasionally be confirmed by
1293:
1228:
1149:
944:
329:
1298:
1264:
1110:
8:
1154:
1105:
1095:
949:
876:
843:
833:
828:
757:
78:
1383:
1373:
1303:
1069:
954:
782:
664:
508:
483:
451:
302:
282:
227:
133:
85:
74:
762:
684:
Mondin V, Rinaldo A, Ferlito A (May–June 2005). "Management of nasal bone fractures".
1274:
1223:
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1139:
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1007:
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994:
914:
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646:
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144:
69:
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1332:
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212:
107:
1363:
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697:
439:
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246:
242:
216:
164:
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103:
1378:
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1233:
1204:
1159:
919:
604:
Bremke M, Gedeon H, Windfuhr JP, Werner JA, Sesterhenn AM (November 2009). "".
423:
270:
747:
579:
566:
Marston AP, O'Brien EK, Hamilton GS (April 2017). "Nasal
Injuries in Sports".
1403:
1355:
1313:
1164:
1131:
1074:
1064:
838:
805:
1341:
1017:
979:
705:
625:
617:
587:
517:
447:
408:
319:
150:
235:
730:
1388:
858:
208:
204:
111:
90:
499:
286:
266:
172:
278:
223:
129:
488:
742:
428:
Current
Opinion in Otolaryngology & Head and Neck Surgery
261:
200:
603:
565:
971:
539:
720:
683:
804:
638:
424:"Current concepts in midface fracture management"
1401:
167:, possible reduction post resolution of swelling
27:"Broken nose" redirects here. For the song, see
481:
790:
421:
797:
783:
394:
149:Typically based on symptoms, occasionally
55:
561:
559:
531:
529:
527:
507:
390:
388:
386:
384:
382:
599:
597:
542:(3 ed.). Elsevier Health Sciences.
477:
475:
473:
471:
469:
467:
465:
380:
378:
376:
374:
372:
370:
368:
366:
364:
362:
260:
659:from the original on 10 September 2017.
535:
14:
1402:
556:
524:
778:
642:Key Clinical Topics in Otolaryngology
594:
462:
359:
256:
892:Zygomaticomaxillary complex fracture
639:Sethi N, Pearson A, Bajaj Y (2016).
305:or impaired balance in the elderly.
64:Plain X-ray showing a nasal fracture
29:Adam and Eve (Catherine Wheel album)
24:
1285:Combined tibia and fibula fracture
686:American Journal of Otolaryngology
422:Nastri, A. L.; Gurney, B. (2016).
277:Symptoms of a broken nose include
25:
1421:
716:
482:KĂĽhnel TS, Reichert TE (2015).
251:reduction may be closed or open
222:The most common causes include
960:Vertebral compression fracture
677:
632:
415:
297:Nasal fractures are caused by
199:, is a fracture of one of the
13:
1:
352:
698:10.1016/j.amjoto.2004.11.006
440:10.1097/moo.0000000000000267
344:
335:
308:
241:Treatment is typically with
195:, commonly referred to as a
7:
397:Emergency Medicine Practice
10:
1426:
935:Craniocervical instability
568:Clinics in Sports Medicine
26:
1354:
1331:
1312:
1283:
1270:Le Fort fracture of ankle
1254:
1203:
1196:
1173:
1130:
1054:
1025:
1016:
993:
970:
940:Flexion teardrop fracture
905:
887:Le Fort fracture of skull
857:
816:
724:
580:10.1016/j.csm.2016.11.004
181:
171:
156:
143:
125:
117:
97:
84:
68:
63:
54:
46:
41:
669:: CS1 maint: location (
606:Laryngo- Rhino- Otologie
292:
232:motor vehicle collisions
226:, trauma during sports,
138:motor vehicle collisions
132:, trauma during sports,
1116:Essex-Lopresti fracture
1046:Holstein–Lewis fracture
645:. 191: JP Medical Ltd.
484:"Trauma of the midface"
207:. Symptoms may include
930:Clay-shoveler fracture
867:Basilar skull fracture
618:10.1055/s-0029-1224106
274:
1294:Trimalleolar fracture
330:nasal septal hematoma
264:
1299:Bimalleolar fracture
1265:Maisonneuve fracture
265:Fractured nose with
93:, swelling, bruising
950:Holdsworth fracture
877:Mandibular fracture
844:Pathologic fracture
834:Greenstick fracture
829:Chalkstick fracture
536:Fonseca RJ (2017).
79:otorhinolaryngology
1229:Toddler's fracture
1070:Monteggia fracture
955:Jefferson fracture
945:Hangman's fracture
275:
269:; the result of a
257:Signs and symptoms
75:Emergency medicine
1397:
1396:
1350:
1349:
1275:Bosworth fracture
1224:Gosselin fracture
1183:Duverney fracture
1126:
1125:
995:Shoulder fracture
915:Cervical fracture
824:Avulsion fracture
772:
771:
500:10.3205/cto000121
189:
188:
145:Diagnostic method
36:Medical condition
16:(Redirected from
1417:
1410:Injuries of head
1333:Femoral fracture
1323:Patella fracture
1256:Fibular fracture
1246:Tillaux fracture
1239:Plafond fracture
1201:
1200:
1056:Forearm fracture
1027:Humerus fracture
1023:
1022:
985:Sternal fracture
872:Blowout fracture
810:cartilage damage
799:
792:
785:
776:
775:
722:
721:
710:
709:
681:
675:
674:
668:
660:
636:
630:
629:
601:
592:
591:
563:
554:
553:
533:
522:
521:
511:
479:
460:
459:
419:
413:
412:
392:
213:facial fractures
108:facial fractures
59:
39:
38:
21:
1425:
1424:
1420:
1419:
1418:
1416:
1415:
1414:
1400:
1399:
1398:
1393:
1346:
1327:
1308:
1304:Pott's fracture
1279:
1250:
1219:Segond fracture
1214:Bumper fracture
1192:
1188:Pipkin fracture
1175:Pelvic fracture
1169:
1122:
1082:Radius fracture
1050:
1012:
989:
966:
925:Chance fracture
907:Spinal fracture
901:
897:Zygoma fracture
853:
849:Spiral fracture
812:
803:
773:
768:
767:
733:
719:
714:
713:
682:
678:
662:
661:
653:
637:
633:
602:
595:
564:
557:
550:
534:
525:
480:
463:
420:
416:
393:
360:
355:
347:
338:
316:Medical imaging
311:
299:physical trauma
295:
259:
247:cold compresses
243:pain medication
217:septal hematoma
165:cold compresses
161:Pain medication
104:Septal hematoma
37:
32:
23:
22:
15:
12:
11:
5:
1423:
1413:
1412:
1395:
1394:
1392:
1391:
1386:
1381:
1376:
1371:
1366:
1360:
1358:
1352:
1351:
1348:
1347:
1345:
1344:
1338:
1336:
1329:
1328:
1326:
1325:
1319:
1317:
1310:
1309:
1307:
1306:
1301:
1296:
1290:
1288:
1281:
1280:
1278:
1277:
1272:
1267:
1261:
1259:
1252:
1251:
1249:
1248:
1243:
1242:
1241:
1234:Pilon fracture
1231:
1226:
1221:
1216:
1210:
1208:
1205:Tibia fracture
1198:
1194:
1193:
1191:
1190:
1185:
1179:
1177:
1171:
1170:
1168:
1167:
1162:
1157:
1152:
1147:
1142:
1136:
1134:
1128:
1127:
1124:
1123:
1121:
1120:
1119:
1118:
1113:
1108:
1103:
1098:
1093:
1079:
1078:
1077:
1072:
1061:
1059:
1052:
1051:
1049:
1048:
1043:
1038:
1032:
1030:
1020:
1014:
1013:
1011:
1010:
1005:
999:
997:
991:
990:
988:
987:
982:
976:
974:
968:
967:
965:
964:
963:
962:
957:
952:
947:
942:
937:
932:
927:
922:
920:Burst fracture
911:
909:
903:
902:
900:
899:
894:
889:
884:
882:Nasal fracture
879:
874:
869:
863:
861:
855:
854:
852:
851:
846:
841:
836:
831:
826:
820:
818:
814:
813:
802:
801:
794:
787:
779:
770:
769:
766:
765:
750:
734:
729:
728:
726:
725:Classification
718:
717:External links
715:
712:
711:
676:
651:
631:
593:
574:(2): 337–353.
555:
548:
523:
461:
434:(4): 368–375.
414:
357:
356:
354:
351:
346:
343:
337:
334:
310:
307:
294:
291:
258:
255:
193:nasal fracture
187:
186:
183:
179:
178:
177:Generally good
175:
169:
168:
158:
154:
153:
147:
141:
140:
127:
123:
122:
119:
115:
114:
101:
95:
94:
88:
82:
81:
72:
66:
65:
61:
60:
52:
51:
48:
44:
43:
42:Nasal fracture
35:
9:
6:
4:
3:
2:
1422:
1411:
1408:
1407:
1405:
1390:
1387:
1385:
1382:
1380:
1377:
1375:
1372:
1370:
1367:
1365:
1362:
1361:
1359:
1357:
1356:Foot fracture
1353:
1343:
1340:
1339:
1337:
1334:
1330:
1324:
1321:
1320:
1318:
1315:
1314:Crus fracture
1311:
1305:
1302:
1300:
1297:
1295:
1292:
1291:
1289:
1286:
1282:
1276:
1273:
1271:
1268:
1266:
1263:
1262:
1260:
1257:
1253:
1247:
1244:
1240:
1237:
1236:
1235:
1232:
1230:
1227:
1225:
1222:
1220:
1217:
1215:
1212:
1211:
1209:
1206:
1202:
1199:
1195:
1189:
1186:
1184:
1181:
1180:
1178:
1176:
1172:
1166:
1165:Broken finger
1163:
1161:
1158:
1156:
1153:
1151:
1148:
1146:
1143:
1141:
1138:
1137:
1135:
1133:
1132:Hand fracture
1129:
1117:
1114:
1112:
1109:
1107:
1104:
1102:
1099:
1097:
1094:
1092:
1089:
1088:
1087:
1086:Distal radius
1083:
1080:
1076:
1075:Hume fracture
1073:
1071:
1068:
1067:
1066:
1065:Ulna fracture
1063:
1062:
1060:
1057:
1053:
1047:
1044:
1042:
1041:Supracondylar
1039:
1037:
1034:
1033:
1031:
1028:
1024:
1021:
1019:
1015:
1009:
1006:
1004:
1001:
1000:
998:
996:
992:
986:
983:
981:
978:
977:
975:
973:
969:
961:
958:
956:
953:
951:
948:
946:
943:
941:
938:
936:
933:
931:
928:
926:
923:
921:
918:
917:
916:
913:
912:
910:
908:
904:
898:
895:
893:
890:
888:
885:
883:
880:
878:
875:
873:
870:
868:
865:
864:
862:
860:
856:
850:
847:
845:
842:
840:
839:Open fracture
837:
835:
832:
830:
827:
825:
822:
821:
819:
815:
811:
807:
800:
795:
793:
788:
786:
781:
780:
777:
764:
760:
759:
755:
751:
749:
745:
744:
740:
736:
735:
732:
727:
723:
707:
703:
699:
695:
691:
687:
680:
672:
666:
658:
654:
652:9781909836358
648:
644:
643:
635:
627:
623:
619:
615:
612:(11): 711–6.
611:
607:
600:
598:
589:
585:
581:
577:
573:
569:
562:
560:
551:
549:9780323444422
545:
541:
540:
532:
530:
528:
519:
515:
510:
505:
501:
497:
493:
489:
485:
478:
476:
474:
472:
470:
468:
466:
457:
453:
449:
445:
441:
437:
433:
429:
425:
418:
410:
406:
402:
398:
391:
389:
387:
385:
383:
381:
379:
377:
375:
373:
371:
369:
367:
365:
363:
358:
350:
342:
333:
331:
326:
323:
321:
317:
306:
304:
300:
290:
288:
284:
280:
272:
268:
263:
254:
252:
248:
244:
239:
237:
233:
229:
225:
220:
218:
214:
210:
206:
202:
198:
194:
184:
180:
176:
174:
170:
166:
162:
159:
155:
152:
148:
146:
142:
139:
135:
131:
128:
124:
120:
116:
113:
109:
105:
102:
100:
99:Complications
96:
92:
89:
87:
83:
80:
76:
73:
71:
67:
62:
58:
53:
49:
45:
40:
34:
30:
19:
1342:Hip fracture
1018:Arm fracture
980:Rib fracture
881:
752:
737:
692:(3): 181–5.
689:
685:
679:
641:
634:
609:
605:
571:
567:
538:
491:
487:
431:
427:
417:
400:
396:
348:
339:
327:
324:
320:nasal septum
312:
296:
276:
240:
221:
196:
192:
190:
151:plain X rays
33:
1101:Chauffeur's
403:(4): 1–24.
236:plain X-ray
197:broken nose
121:Young males
118:Usual onset
50:Broken nose
47:Other names
18:Broken nose
1389:Broken toe
353:References
287:nosebleeds
112:meningitis
91:Nose bleed
1384:Calcaneal
1374:Cuneiform
1150:Bennett's
806:Fractures
665:cite book
494:: Doc06.
345:Prognosis
336:Treatment
309:Diagnosis
267:epistaxis
182:Frequency
173:Prognosis
157:Treatment
70:Specialty
1404:Category
1364:Lisfranc
1140:Scaphoid
1111:Barton's
1091:Galeazzi
1036:Proximal
1008:Scapular
1003:Clavicle
706:15858774
657:Archived
626:19562655
588:28314421
518:26770280
456:46767666
448:27348349
409:28362252
283:swelling
279:bruising
209:bleeding
106:, other
86:Symptoms
1160:Busch's
1155:Boxer's
1145:Rolando
1106:Smith's
1096:Colles'
817:General
509:4702055
303:syncope
273:injury.
224:assault
203:of the
130:Assault
704:
649:
624:
586:
546:
516:
506:
454:
446:
407:
230:, and
185:Common
126:Causes
1379:March
1369:Jones
763:802.0
748:S02.2
452:S2CID
293:Cause
271:rugby
228:falls
215:or a
201:bones
134:falls
972:Ribs
859:Head
808:and
758:9-CM
702:PMID
671:link
647:ISBN
622:PMID
584:PMID
544:ISBN
514:PMID
444:PMID
405:PMID
245:and
205:nose
1197:Leg
754:ICD
739:ICD
694:doi
614:doi
576:doi
504:PMC
496:doi
436:doi
1406::
761::
746::
743:10
700:.
690:26
688:.
667:}}
663:{{
655:.
620:.
610:88
608:.
596:^
582:.
572:36
570:.
558:^
526:^
512:.
502:.
492:14
490:.
486:.
464:^
450:.
442:.
432:24
430:.
426:.
401:19
399:.
361:^
281:,
238:.
219:.
191:A
163:,
136:,
110:,
77:,
1335::
1316::
1287::
1258::
1207::
1084:/
1058::
1029::
798:e
791:t
784:v
756:-
741:-
731:D
708:.
696::
673:)
628:.
616::
590:.
578::
552:.
520:.
498::
458:.
438::
411:.
31:.
20:)
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.
