Fractured Nose

Nasal Fractures – Assessment and Treatment

A nasal fracture is a break in one or more of the bones that form the structure of the nose. These injuries may result from physical trauma and can lead to changes in nasal appearance, swelling, bruising, or difficulty breathing through the nose.

Understanding Nasal Fractures

Common causes of nasal fractures include:

• Falls or physical accidents
• Sporting injuries
• Motor vehicle collisions
• Interpersonal trauma or physical altercations

Symptoms may include:

• Facial asymmetry or deviation of the nasal bridge
• Swelling and bruising around the eyes and nose
• Pain or tenderness
• Nasal obstruction
• Nosebleeds or lacerations

Why Early Assessment Matters

Early clinical evaluation is important following a nasal injury. In some cases, repositioning of the nasal bones may be more straightforward within the first few weeks after injury, while the bones are still mobile. If treatment is delayed, the bones may heal in their displaced position, and surgery at a later stage may be more complex. Outcomes depend on the nature of the injury, timing of treatment, and individual healing.

Treatment Options

Closed Reduction

If clinically appropriate, a closed reduction procedure may be performed under general anaesthesia. This involves manually repositioning the fractured nasal bones without external incisions. The procedure generally lasts around 20 minutes and is performed as a day procedure.

• A nasal splint is applied to stabilise the bones.
• The splint is usually removed after 7 to 8 days, depending on individual progress.
• Patients are advised to avoid contact sports or high-impact activity for 6 to 10 weeks to prevent re-injury.

Rhinoplasty After Fracture

If a nasal fracture heals in a displaced position, some individuals may explore the option of rhinoplasty at a later stage. This more complex surgical procedure is typically deferred for 6 to 12 months to allow full healing before reassessment and further intervention.

Note: Surgical results may vary. In some cases, complete restoration of pre-injury appearance or function may not be achievable.

Making an Informed Decision

Before any procedure, you will receive comprehensive, written information outlining:

• The nature and purpose of the surgery
• Anaesthesia and pain management plans
• Where the procedure will take place
• Risks and complications (general and patient-specific)
• Expected outcomes and limitations
• Possible need for revision surgery
• Post-operative care and recovery expectations

A second opinion from an appropriately qualified health practitioner is recommended before proceeding with any surgical procedure.

Consultation with Dr Shahidi

Dr Shahidi, Otolaryngology, Head and Neck Surgery (MED 0001167352), is a registered specialist ENT (Ear, Nose and Throat) surgeon in Australia. He has maintained a clinical focus on rhinoplasty and other nasal procedures since 2003. Dr Shahidi is a Fellow of the Royal Australasian College of Surgeons (FRACS), which indicates completion of accredited specialist surgical training in Australia, and has undertaken further training in facial plastic surgery through the Australasian Academy of Facial Plastic Surgery (AAFPS). He also maintains membership in the European Academy of Facial Plastic Surgery (EAFPS).

His practice includes comprehensive clinical assessment and provision of information about potential treatment options, risks, and recovery considerations, to assist patients in making informed decisions.

Arrange a Consultation

If you’ve experienced nasal trauma or suspect a fracture, Early clinical evaluation may be beneficial in some cases. A consultation with Dr Shahidi will include a full clinical assessment and discussion of all available treatment options based on your condition and goals.

All surgical procedures carry risks. A second opinion from an appropriately qualified health practitioner is recommended before proceeding with any surgical or invasive procedure.

To arrange an appointment, please contact our clinic directly. (02) 8488 7585