Złamanie nosa
Leczenie

Złamanie nosa stanowi około 40% wszystkich urazów kości twarzoczaszki i wymaga szybkiej oceny oraz adekwatnego leczenia, aby zapobiec deformacjom funkcjonalnym i kosmetycznym. Leczenie zależy od stopnia złamania, czasu od urazu oraz indywidualnych cech pacjenta. W przypadku złamań bez przemieszczenia stosuje się leczenie zachowawcze, obejmujące zimne okłady przez 10-20 minut co 1-2 godziny przez pierwsze 3 dni, uniesienie głowy, stosowanie paracetamolu oraz unikanie NLPZ przez 48 godzin. W złamaniach z przemieszczeniem kości i chrząstki nosa wskazana jest zamknięta redukcja manualna, najlepiej wykonana w ciągu 14 dni od urazu, z zastosowaniem znieczulenia miejscowego, tamponady nosowej (utrzymywanej około 7 dni) oraz profilaktyki antybiotykowej. W przypadkach poważniejszych złamań lub po upływie 14 dni od urazu konieczne może być leczenie chirurgiczne, takie jak rynoplastyka, septoplastyka lub septorynoplastyka, wykonywane zwykle w trybie ambulatoryjnym.

Złamanie nosa – leczenie

Złamanie nosa to jedno z najczęstszych złamań kości twarzoczaszki, stanowiące około 40% wszystkich urazów kości twarzy1. Jest to uraz, który wymaga szybkiej oceny i odpowiedniego leczenia, aby zapobiec zarówno funkcjonalnym, jak i kosmetycznym deformacjom nosa. Sposób leczenia zależy od stopnia złamania, czasu, który upłynął od urazu oraz indywidualnych cech pacjenta. Niniejszy artykuł szczegółowo przedstawia metody terapeutyczne stosowane w przypadku złamania nosa.

Postępowanie w warunkach domowych

W przypadku drobnych złamań, które nie spowodowały przemieszczenia kości nosa ani deformacji jego kształtu, często wystarczające jest leczenie zachowawcze w warunkach domowych12. Podstawowe działania, które należy podjąć to:

  • Stosowanie zimnych okładów (lodu) na okolicę nosa przez 10-20 minut co 1-2 godziny przez pierwsze 3 dni od urazu lub do czasu ustąpienia obrzęku. Należy pamiętać, aby umieścić cienką tkaninę między lodem a skórą34
  • Uniesienie głowy i utrzymywanie jej w pozycji podwyższonej, zwłaszcza podczas snu, aby zmniejszyć obrzęk. Można to osiągnąć, podkładając poduszki pod głowę i ramiona56
  • Przyjmowanie dostępnych bez recepty leków przeciwbólowych, takich jak paracetamol (np. Tylenol). Należy unikać stosowania niesteroidowych leków przeciwzapalnych (NLPZ), takich jak ibuprofen (Advil, Motrin) lub aspiryna, przez 48 godzin po urazie nosa, ponieważ mogą one zwiększać ryzyko krwawienia78
  • Oddychanie przez usta i pochylenie się do przodu w przypadku krwawienia z nosa, aby zapobiec spływaniu krwi do gardła9

Pomimo możliwości leczenia domowego, wskazane jest skonsultowanie się z lekarzem w ciągu kilku dni od urazu, aby ocenić stopień uszkodzenia i wykluczyć poważniejsze obrażenia10.

Kiedy należy szukać pomocy medycznej

Należy natychmiast zgłosić się do lekarza lub na oddział ratunkowy, jeśli występują następujące objawy1112:

  • Silne lub nieustające krwawienie z nosa
  • Wyciek przezroczystego płynu z nosa (możliwy wyciek płynu mózgowo-rdzeniowego)
  • Nasilający się ból, którego nie łagodzą leki przeciwbólowe
  • Widoczna deformacja lub asymetria nosa
  • Trudności z oddychaniem przez nos, utrzymujące się po ustąpieniu obrzęku
  • Obrzęk lub guz na przegrodzie nosowej (przegroda nosowa to cienka ściana oddzielająca nozdrza)
  • Zaburzenia widzenia lub podwójne widzenie
  • Gorączka lub objawy infekcji (zaczerwienienie, zwiększenie obrzęku, ropna wydzielina)

Należy pamiętać, że szybka ocena medyczna jest kluczowa, szczególnie w przypadku krwiaka przegrody nosowej (gromadzenie się krwi między chrząstką a otaczającą ją tkanką), który wymaga natychmiastowego drenażu, aby zapobiec martwicy chrząstki i trwałemu zniekształceniu nosa1314.

Metody leczenia złamań nosa

Redukcja zamknięta (nastawienie manualne)

Jeśli złamanie spowodowało przemieszczenie kości i chrząstki nosa, lekarz może przeprowadzić procedurę zwaną zamkniętą redukcją lub nastawieniem manualnym1516. Jest to najczęstsza metoda leczenia medycznego złamań nosa z przemieszczeniem. Procedura ta powinna być wykonana w ciągu 14 dni od urazu, najlepiej jak najwcześniej, zanim kości zaczną zrastać się w nieprawidłowej pozycji1718.

Przebieg procedury1920:

  1. Podanie znieczulenia miejscowego w postaci zastrzyku lub sprayu donosowego, aby zmniejszyć dyskomfort
  2. Otwarcie nozdrzy za pomocą wziernika nosowego
  3. Użycie specjalistycznych narzędzi do przywrócenia właściwej pozycji złamanych kości i chrząstki
  4. Założenie opatrunku zewnętrznego i/lub wewnętrznego w celu stabilizacji nosa podczas gojenia
  5. Zastosowanie tamponady nosowej, która zazwyczaj pozostaje w miejscu przez około tydzień
  6. Przepisanie antybiotyków w celu zapobiegania infekcji bakteriami, które normalnie mogą znajdować się w nosie

Procedura ta może być wykonywana w gabinecie lekarskim lub w warunkach szpitalnych, w zależności od stopnia złamania i preferencji lekarza21. W niektórych przypadkach redukcja zamknięta jest przeprowadzana w znieczuleniu ogólnym, szczególnie gdy doszło również do uszkodzenia przegrody nosowej22.

Leczenie operacyjne

W przypadku poważniejszych złamań, mnogich złamań lub złamań, które pozostawały nieleczone przez ponad 14 dni, może być konieczne leczenie chirurgiczne2324. Dostępne są różne rodzaje zabiegów chirurgicznych:

  • Rynoplastyka (operacja nosa) – zabieg, który ma na celu przywrócenie prawidłowego kształtu nosa poprzez ponowne ustawienie kości i chrząstki. Jest to procedura często stosowana w przypadkach, gdy standardowa redukcja zamknięta nie jest możliwa2526
  • Septoplastyka – procedura mająca na celu naprawę uszkodzonej przegrody nosowej. Podczas septoplastyki chirurg może usunąć części kości i chrząstki, a następnie zmienić kształt i pozycję struktur wewnętrznych. Pomaga to naprawić wszelkie perforacje i poprawić oddychanie2728
  • Septorynoplastyka – połączenie septoplastyki i rynoplastyki, stosowane w przypadkach, gdy złamanie uszkodziło zarówno strukturę zewnętrzną nosa, jak i przegrodę nosową, powodując zarówno deformację kosmetyczną, jak i problemy z oddychaniem2930

Zabiegi te są zwykle wykonywane w warunkach ambulatoryjnych, a pacjent może wrócić do domu tego samego dnia31. Ból i dyskomfort po tych zabiegach zwykle zmniejszają się w ciągu 72 godzin od procedury3233.

Drenaż krwiaka przegrody nosowej

Krwiak przegrody nosowej to stan nagły wymagający natychmiastowego leczenia34. Jest to zbiornik krwi między chrząstką a otaczającą ją tkanką (ochrzęstną), który jeśli nie zostanie odpowiednio leczony, może prowadzić do martwicy chrząstki, infekcji i trwałej deformacji nosa3536.

Procedura drenażu krwiaka polega na wykonaniu małego nacięcia w celu umożliwienia odpływu krwi37. Zabieg ten wykonuje się w znieczuleniu miejscowym i jest to procedura pilna, która powinna być przeprowadzona jak najszybciej po rozpoznaniu krwiaka38.

Opieka pooperacyjna i zalecenia

Stosowanie leków

Po leczeniu złamania nosa, w zależności od zastosowanej metody terapeutycznej, lekarz może zalecić stosowanie następujących leków3940:

  • Leki przeciwbólowe – w celu łagodzenia bólu. Mogą to być leki dostępne bez recepty, takie jak paracetamol, lub silniejsze leki przeciwbólowe przepisane przez lekarza w przypadku intensywnego bólu
  • Antybiotyki – w celu zapobiegania infekcji, szczególnie jeśli zastosowano tamponadę nosową lub przeprowadzono zabieg chirurgiczny. Ważne jest, aby przyjąć pełen cykl antybiotyków, nawet jeśli objawy ustąpią wcześniej
  • Leki obkurczające naczynia krwionośne (dekongestanty) – aby ułatwić oddychanie po usunięciu szyny lub tamponady nosowej. Lekarz może przepisać te leki lub zalecić preparaty dostępne bez recepty

Należy ściśle przestrzegać zaleceń lekarza dotyczących dawkowania i czasu stosowania wszystkich leków41.

Pielęgnacja szyny i tamponady nosowej

Jeśli zastosowano szynę nosową lub tamponadę, należy przestrzegać następujących zaleceń4243:

  • Nie należy usuwać szyny ani tamponady nosowej samodzielnie – powinno to być wykonane przez lekarza
  • Szyna zewnętrzna zwykle pozostaje na miejscu przez około tydzień44
  • Tamponada nosowa może być usunięta po 2-5 dniach, w zależności od zaleceń lekarza45
  • Należy unikać dotykania lub manipulowania szyną lub tamponadą
  • Jeśli szyna lub tamponada się poluzuje, należy skontaktować się z lekarzem

Powrót do normalnej aktywności

Czas rekonwalescencji po złamaniu nosa zależy od stopnia urazu i zastosowanej metody leczenia46. Ogólne zalecenia dotyczące powrotu do aktywności obejmują4748:

  • Unikanie aktywności fizycznej przez co najmniej 2 tygodnie po urazie
  • Unikanie sportów kontaktowych (takich jak boks, zapasy, piłka nożna) przez co najmniej 6 tygodni po urazie
  • Noszenie odpowiednich ochraniaczy twarzy lub maski ochronnej podczas uprawiania sportu po powrocie do aktywności
  • Konsultacja z lekarzem przed powrotem do pełnej aktywności fizycznej

Całkowity czas gojenia złamania nosa wynosi zwykle około 3 tygodni, ale pełne wchłonięcie obrzęku i ostateczny efekt kosmetyczny mogą być widoczne dopiero po kilku miesiącach4950.

Powikłania i następstwa złamań nosa

Nieleczone lub niewłaściwie leczone złamanie nosa może prowadzić do różnych powikłań5152:

  • Deformacja kosmetyczna – nos może pozostać krzywy lub zniekształcony
  • Problemy z oddychaniem – z powodu niedrożności lub zwężenia dróg nosowych
  • Przewlekłe zapalenie zatok – z powodu zaburzeń w odpływie wydzieliny z zatok
  • Przewlekłe krwawienia z nosa – szczególnie jeśli doszło do uszkodzenia naczyń krwionośnych
  • Perforacja przegrody nosowej – dziura w przegrodzie nosowej, która może powodować świst podczas oddychania, krwawienia lub zapadnięcie się nosa
  • Zaburzenia węchu – spowodowane uszkodzeniem struktur odpowiedzialnych za percepcję zapachów

W przypadku wystąpienia jakichkolwiek z powyższych powikłań, konieczna może być ponowna konsultacja z lekarzem i rozważenie dodatkowego leczenia, w tym zabiegu rekonstrukcyjnego53.

Leczenie złamań zastarzałych

Jeśli od urazu upłynęło więcej niż 14 dni, złamanie uznaje się za zastarzałe i kości mogą zacząć zrastać się w nieprawidłowej pozycji54. W takich przypadkach proste nastawienie manualne zwykle nie jest możliwe i konieczne może być bardziej złożone leczenie chirurgiczne55.

Leczenie złamań zastarzałych może obejmować5657:

  • Osteotomię – procedurę, w której kości są ponownie łamane w kontrolowany sposób, aby umożliwić ich właściwe ustawienie
  • Rynoplastykę rekonstrukcyjną – zabieg mający na celu przywrócenie zarówno funkcji, jak i estetyki nosa
  • Septorynoplastykę – w przypadku uszkodzenia przegrody nosowej

Leczenie złamań zastarzałych jest zwykle bardziej skomplikowane i może wymagać dłuższego okresu rekonwalescencji. Zaleca się konsultację z chirurgiem plastycznym lub otolaryngologiem specjalizującym się w chirurgii nosa58.

Profilaktyka urazów nosa

Aby zmniejszyć ryzyko złamania nosa, zaleca się stosowanie następujących środków ostrożności5960:

  • Noszenie odpowiedniego sprzętu ochronnego podczas uprawiania sportów kontaktowych (np. kaski z osłoną twarzy, maski ochronne)
  • Zapinanie pasów bezpieczeństwa podczas jazdy samochodem
  • Stosowanie odpowiednich zabezpieczeń dla dzieci w pojazdach
  • Noszenie obuwia o dobrej przyczepności, szczególnie przez osoby starsze, aby zapobiec upadkom
  • Używanie kasków podczas jazdy na rowerze, motocyklu, deskorolce lub nartach

W przypadku osób, które już wcześniej doznały złamania nosa, szczególnie ważne jest stosowanie środków ochronnych podczas aktywności sportowych, ponieważ mogą być one bardziej podatne na ponowne urazy61.

Podsumowanie

Złamanie nosa to powszechny uraz, który wymaga odpowiedniej oceny i leczenia, aby zapobiec długotrwałym problemom funkcjonalnym i kosmetycznym62. Leczenie może obejmować metody zachowawcze, takie jak stosowanie zimnych okładów i leków przeciwbólowych, nastawienie manualne (redukcję zamkniętą) lub interwencję chirurgiczną w postaci rynoplastyki, septoplastyki czy septorynoplastyki6364.

Kluczowym czynnikiem determinującym wybór metody leczenia jest czas, który upłynął od urazu, oraz stopień przemieszczenia kości i chrząstki nosa65. W przypadku złamań z przemieszczeniem, najlepsze wyniki osiąga się, gdy leczenie zostanie wdrożone w ciągu 14 dni od urazu66.

Właściwa opieka pooperacyjna, w tym stosowanie zaleconych leków, ochrona nosa przed powtórnym urazem oraz regularne wizyty kontrolne, są niezbędne dla osiągnięcia optymalnych wyników leczenia i zapobiegania powikłaniom6768.

W przypadku wystąpienia jakichkolwiek objawów, które budzą niepokój, takich jak nasilający się ból, gorączka, trudności z oddychaniem czy krwawienie, należy niezwłocznie skontaktować się z lekarzem69.

Kolejne rozdziały

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Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Management of Acute Nasal Fractures | AAFP
    https://www.aafp.org/pubs/afp/issues/2004/1001/p1315.html
    In cases of facial trauma, nasal fractures account for approximately 40 percent of bone injuries. Treatment in the primary care setting begins with evaluating the injury, taking an accurate history of the situation in which the injury occurred, and ascertaining how the face and nose appeared and functioned before the injury occurred. Serious injuries should be treated, then nasal inspection and palpation may be performed to assess for airway patency, mucosal laceration, and septal deformity. Treatment in the primary care setting consists of evaluation, pain and infection management, minimal debridement and, when the physician is appropriately trained, closed reduction. If an immediate referral is not indicated, close follow-up, possibly with a subspecialist, should be arranged within three to five days after the injury.
  • #1 Broken nose – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/broken-nose/diagnosis-treatment/drc-20370444
    If you have a minor fracture that hasn’t caused your nose to become crooked or otherwise misshapen, you may not need professional medical treatment. You may be fine just using ice on the area and taking over-the-counter pain medications. […] If the break has displaced the bones and cartilage in your nose, your health care provider may be able to manually realign them. This needs to be done within 14 days from when the fracture occurred, preferably sooner. […] During this procedure, medication will numb your nose. In some cases, health care providers can push the nose back in place with their fingers. Sometimes, they may need to use special tools to help realign the broken bones and cartilage. […] Severe breaks, multiple breaks or breaks that have gone untreated for more than 14 days may need surgery. Surgery can realign the bones and reshape your nose, if necessary. […] If the break has damaged your nasal septum the middle part of your nose that divides your nostril your breathing may feel blocked or you may feel like you have a stuffy nose. Reconstructive surgery may be recommended.
  • #2 Broken Nose (Nasal Fracture)
    https://www.cham.org/HealthwiseArticle.aspx?id=aa49289spec
    Most broken noses do not require medical treatment. If treatment is needed, it’s usually done within 2 to 14 days of breaking your nose. […] A simple fracture may be treated by straightening the bone or cartilage in your nose, if it is crooked. Splints or packing the nose with gauze (nasal packing) also may be needed. […] A more complicated fracture may require surgery. Your doctor may need to move the bone or cartilage back into place. You may also need a splint or nasal packing. Antibiotics are usually given to prevent infection. Your nose may be rechecked and the packing may be removed in 2 to 5 days. […] Put ice or a cold pack on your nose for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the first 3 days (when you are awake) or until the swelling goes down. Put a thin cloth between the ice pack and your skin.
  • #3
    https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=aa49289spec
    Put ice or a cold pack on your nose for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the first 3 days (when you are awake) or until the swelling goes down. Put a thin cloth between the ice pack and your skin. […] Sleep with your head slightly raised until the swelling goes down. Prop up your head and shoulders on pillows. […] Ask your doctor when it’s okay to return to your normal activities.
  • #4 Broken Nose (Nasal Fracture)
    https://www.cham.org/HealthwiseArticle.aspx?id=aa49289spec
    Most broken noses do not require medical treatment. If treatment is needed, it’s usually done within 2 to 14 days of breaking your nose. […] A simple fracture may be treated by straightening the bone or cartilage in your nose, if it is crooked. Splints or packing the nose with gauze (nasal packing) also may be needed. […] A more complicated fracture may require surgery. Your doctor may need to move the bone or cartilage back into place. You may also need a splint or nasal packing. Antibiotics are usually given to prevent infection. Your nose may be rechecked and the packing may be removed in 2 to 5 days. […] Put ice or a cold pack on your nose for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the first 3 days (when you are awake) or until the swelling goes down. Put a thin cloth between the ice pack and your skin.
  • #5 Broken Nose (Nasal Fracture)
    https://www.cham.org/HealthwiseArticle.aspx?id=aa49289spec
    Sleep with your head slightly raised until the swelling goes down. Prop up your head and shoulders on pillows. […] If you have a nasal splint or packing, leave it in place until a doctor removes it. […] Take decongestants as directed to help you breathe after the splint or packing is removed. Your doctor may give you a prescription or suggest over-the-counter medicine. […] Ask your doctor if you can take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). Be safe with medicines. Read and follow all instructions on the label. […] If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Ask your doctor when it’s okay to return to your usual activities.
  • #6
    https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=aa49289spec
    Put ice or a cold pack on your nose for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the first 3 days (when you are awake) or until the swelling goes down. Put a thin cloth between the ice pack and your skin. […] Sleep with your head slightly raised until the swelling goes down. Prop up your head and shoulders on pillows. […] Ask your doctor when it’s okay to return to your normal activities.
  • #7
    https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=aa49289spec
    Immediately after the fracture, apply ice and keep your head elevated. You may need pain medicine, such as acetaminophen (for example, Tylenol). Be safe with medicines. Read and follow all instructions on the label. Do not take non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil or Motrin) or aspirin, for 48 hours after a nose injury. Do not take aspirin if you are younger than 18 because of the risk of Reye syndrome. […] Treatment, if needed, usually is done within 7 to 14 days of breaking your nose. Most broken noses do not require treatment other than controlling pain and other symptoms. […] Your doctor may treat a simple fracture by straightening the bone or cartilage in your nose, if it is crooked. Splints or nasal packing (packing the nose with gauze) also may be necessary.
  • #8 Broken Nose (Fractured Nose): Symptoms and Treatments
    https://www.verywellhealth.com/broken-nose-8702951
    A broken nose, also known as a nasal bone fracture, can cause swelling, bruising, and pain. […] Recognizing the symptoms of a broken nose can help ensure you receive appropriate treatment. […] Contact a healthcare provider if your nasal trauma symptoms are severe or persist for more than three to five days after the initial injury. If your nose looks deformed or has lost its usual shape, you may have a complicated break that needs to be reset by a medical professional. […] Applying ice or cold packs for 10 to 15 minutes every hour to reduce swelling and alleviate pain is a gold standard first-aid regimen when treating a broken nose at home during the first 24 to 48 hours after a nasal fracture. […] Over-the-counter (OTC) analgesics can be used for pain relief. When treating a broken nose at home, use Tylenol (acetaminophen) instead of nonsteroidal anti-inflammatory drugs (NSAIDs) like Advil or Motrin (ibuprofen). NSAIDs can increase bleeding within the first 48 hours after a nose injury and may slow a nasal fracture’s healing process.
  • #9 Broken Nose Repair and Treatment | Westside Head & Neck
    https://www.westsidehn.com/nasal-fracture-broken-nose/broken-nose-repair-and-treatment/
    These surgical procedures should be performed when there is reduced inflammation that occurs between three and ten days after the break. […] Patients should expect discomfort and pain due to the break to subside after surgery for nasal fracture reconstruction in Los Angeles. […] Most broken noses heal without encountering any problems. […] However, suppose you are not satisfied with the final look of your nose or experience breathing difficulty. […] You can seek the services of nasal surgeons to correct it. […] It would be best if you acted quickly on your first break by breathing through the mouth and leaning forward to minimize blood draining into the throat. […] Apply cold compresses or ice packs promptly on the injury not less than four times a day to lessen swelling for the first two days.
  • #10 Broken Nose: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17772-broken-nose
    A broken nose is an injury that requires immediate medical attention. Without treatment, a broken nose can lead to complications. Treatment ranges from using ice for swelling to surgery to repair your nose. […] Treatments range from putting ice on your broken nose to having surgery to repair it. The treatment that’s right for you depends on the severity of your injuries. […] You may need surgery if you have a severely broken nose, or you can’t breathe through your nose. Surgeries to fix your broken nose include: Septoplasty. This procedure reshapes your septum. During septoplasty, a surgeon may remove parts of your bone and cartilage, then reshape and reposition the underlying structures. This repairs any holes or perforations and improves breathing. […] You should seek medical care if you think you have a broken nose. Getting treatment right away can reduce your risk of complications.
  • #11 Broken Nose Treatment: First Aid Information for Broken Nose
    https://www.webmd.com/first-aid/broken-nose-treatment
    Go to a hospital emergency room or see a health care provider immediately if: […] Apply ice for pain and swelling. […] If the nose is not out of position, rest and home treatment may be all that’s needed. […] To stop bleeding, the health care provider may pack the nostrils with gauze. […] For a simple fracture, the health care provider may straighten the nose. […] Surgery may be needed to move bone or cartilage back in place for a more complicated fracture.
  • #12
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7723
    Put ice or a cold pack on your nose for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the first 3 days (when you are awake) or until the swelling goes down. Put a thin cloth between the ice pack and your skin. Sleep with your head slightly raised until the swelling goes down. Prop up your head and shoulders on pillows. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have signs of infection, such as: Increased pain, swelling, warmth, or redness. Red streaks leading from the area. Pus draining from the area. A fever. You have clear fluid draining from your nose. You have vision changes. You have swelling or a bump on the thin wall (nasal septum) between the nostrils of your nose. Your nose is bleeding. You have new or worse pain. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You do not get better as expected.
  • #13 Management of Acute Nasal Fractures | AAFP
    https://www.aafp.org/pubs/afp/issues/2004/1001/p1315.html
    Reduction of acute nasal fractures in the primary care setting is confined largely to the closed reduction of mild unilateral fractures. However, on rare occasions, open reduction in an operating room is necessary. It is worthwhile for family physicians to understand how closed reduction of a nasal fracture is performed, although it is not considered a standard family medicine procedure. […] The goal of closed reduction is to realign cartilaginous and bony structures to their locations before the injury to decrease discomfort and maximize airway patency. […] A septal hematoma is a blood-filled cavity between the cartilage and the supporting perichondrium. If left untreated, these pockets of blood easily become infected. The resulting necrosis of the underlying cartilaginous support may result in permanent saddle nose deformity. When a septal hematoma is identified, it should be aspirated immediately or incised with the aid of local anesthesia.
  • #14 Nose Injuries: Types, Treatment, and When to See a Doctor | University of Utah Health
    https://healthcare.utah.edu/healthfeed/2025/02/nose-injuries-types-treatment-and-when-see-doctor
    A broken nose isnt always obvious, so knowing what type of injury you may have can help you make the best decisions about caring for it. […] A nasal fracture, or broken nose, is the most common type of facial fracture and varies in severity. It involves a break or crack in the bones or cartilage of your nose and can cause pain, swelling, bruising, bleeding, difficulty breathing through your nostrils, or a misshapen nose. […] Most nasal bone fractures that require treatment are also associated with a substantial nose bleed, and thats one of the hints that we use to guide us in terms of whether or not someone has broken their nose, says Kristine Smith, MD, an otolaryngologist at University of Utah Health. […] Failing to medically treat a septal hematoma can lead to permanent nose deformities, chronic nasal blockage, and risk of infection.
  • #15 Broken nose – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/broken-nose/diagnosis-treatment/drc-20370444
    If you have a minor fracture that hasn’t caused your nose to become crooked or otherwise misshapen, you may not need professional medical treatment. You may be fine just using ice on the area and taking over-the-counter pain medications. […] If the break has displaced the bones and cartilage in your nose, your health care provider may be able to manually realign them. This needs to be done within 14 days from when the fracture occurred, preferably sooner. […] During this procedure, medication will numb your nose. In some cases, health care providers can push the nose back in place with their fingers. Sometimes, they may need to use special tools to help realign the broken bones and cartilage. […] Severe breaks, multiple breaks or breaks that have gone untreated for more than 14 days may need surgery. Surgery can realign the bones and reshape your nose, if necessary. […] If the break has damaged your nasal septum the middle part of your nose that divides your nostril your breathing may feel blocked or you may feel like you have a stuffy nose. Reconstructive surgery may be recommended.
  • #16 A Broken Nose – Broken Nose Surgery – ENT Clinic Sydney
    https://ent-surgery.com.au/face/a-broken-nose/
    A broken nose, also called a nasal fracture or nose fracture, is a break or crack in a bone and / or in the cartilage in your nose. […] Treatment for a broken nose may include procedures to realign your nose. […] For noticeably displaced bones, surgeons often attempt to return the nasal bones to a straighter position under local or general anesthesia. This is usually done within seven to ten days after injury, so that the bones don’t heal in a displaced position. […] Corrective nasal surgery, typically rhinoplasty surgery, may then be needed. […] If the break has displaced the bones and cartilage in your nose, your doctor may be able to manually realign them with a nonsurgical procedure called closed reduction. […] During this procedure, your doctor uses a nasal speculum to open your nostrils. Special instruments are used to help realign your broken bones and cartilage and return them to their original positions.
  • #17 Nose Injuries: Types, Treatment, and When to See a Doctor | University of Utah Health
    https://healthcare.utah.edu/healthfeed/2025/02/nose-injuries-types-treatment-and-when-see-doctor
    You can take steps at home to care for a nose injury before determining if professional care is needed. […] Start by applying firm pressure on the nose to stop bleeding. […] Never attempt to put the bones back in place yourself, as you risk repositioning them incorrectly. See a doctor in a timely manner if you suspect a more serious injury. […] The bones in your face start to lock themselves back into place within about 10 to 14 days of the injury, so if you have a deformity, you really need to see someone that can help put those bones in place within that time frame, Smith says. Otherwise, you miss the window for us to put the bones back where they belong, and that usually means you need to wait at least a year before you could have surgery to re-break the nose and put them where theyre supposed to be.
  • #18 Nasal Fracture Reduction – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK538299/
    An accumulation of blood underneath the mucoperichondrial layer of the nasal septum normally presents as pain and nasal obstruction with boggy swelling of the septum. […] If not drained, a hematoma can lead to septal abscess formation, cartilage necrosis, and even a nasal saddle deformity. […] Clear rhinorrhoea following nasal trauma should raise suspicion for a CSF leak. […] Most nasal fractures can be left to heal on their own, provided the patient understands that a long-term cosmetic deformity and nasal obstruction are liable to result. […] In the acute period, within about two weeks from the injury, most nasal fractures can be reduced in a closed fashion, but after this period, closed osteotomies or even a formal open rhinoplasty may be required for definitive management. […] The most common adverse outcome of nasal fracture reduction is dissatisfaction with the result, from a cosmetic or functional standpoint, or both.
  • #19 Broken Nose Treatment New York NY – Nasal Fracture NYC
    https://www.newyorkent.com/ent-conditions/nose-allergy-sinus/broken-nose/
    Professional Medical Care for Broken Nose: Manual realignment. This procedure is performed within 14 days of the break, and is usually done when a break has misaligned the bones or cartilage in the nose. During the procedure, an ENT specialist will: Administer pain medication to ease discomfort, Open nostrils with a nasal speculum, Realign the broken bones with special medical tools. […] Surgery is required when a break is severe or occurred more than 14 days prior to seeking treatment from New York ENT. Patients recommended for nasal realignment surgery are usually suffering from nasal obstruction or deviated septum that is causing breathing problems due to the break.
  • #20 A Broken Nose – Broken Nose Surgery – ENT Clinic Sydney
    https://ent-surgery.com.au/face/a-broken-nose/
    A broken nose, also called a nasal fracture or nose fracture, is a break or crack in a bone and / or in the cartilage in your nose. […] Treatment for a broken nose may include procedures to realign your nose. […] For noticeably displaced bones, surgeons often attempt to return the nasal bones to a straighter position under local or general anesthesia. This is usually done within seven to ten days after injury, so that the bones don’t heal in a displaced position. […] Corrective nasal surgery, typically rhinoplasty surgery, may then be needed. […] If the break has displaced the bones and cartilage in your nose, your doctor may be able to manually realign them with a nonsurgical procedure called closed reduction. […] During this procedure, your doctor uses a nasal speculum to open your nostrils. Special instruments are used to help realign your broken bones and cartilage and return them to their original positions.
  • #21 Nasal Fractures – ENT Health
    https://www.enthealth.org/conditions/nasal-fractures/
    Your doctor will ask you several questions and examine your nose and face. You will be asked to explain how the fracture occurred, the state of your general health, and how your nose looked before the injury (bring a picture to your appointment, if possible). Your doctor will examine not only your nose, but also the surrounding areas including your eyes, jaw, and teeth, and will look for bruising, cuts, and swelling. […] If your nose is broken so badly that it needs to be repositioned, you have several options. Your nose can be repaired in the office in some situations. However, many situations require general anesthesia, particularly if the septum has also been damaged. Your doctor can give you local anesthesia, reposition the broken bones into place, and then hold them in the right location with a plastic, plaster, or metal cast. This cast will then stay in place for one week. In the first two weeks after the injury, your doctor may offer you this kind of repair, or a similar approach using general anesthesia in the operating room.
  • #22 Nasal Fractures – ENT Health
    https://www.enthealth.org/conditions/nasal-fractures/
    Your doctor will ask you several questions and examine your nose and face. You will be asked to explain how the fracture occurred, the state of your general health, and how your nose looked before the injury (bring a picture to your appointment, if possible). Your doctor will examine not only your nose, but also the surrounding areas including your eyes, jaw, and teeth, and will look for bruising, cuts, and swelling. […] If your nose is broken so badly that it needs to be repositioned, you have several options. Your nose can be repaired in the office in some situations. However, many situations require general anesthesia, particularly if the septum has also been damaged. Your doctor can give you local anesthesia, reposition the broken bones into place, and then hold them in the right location with a plastic, plaster, or metal cast. This cast will then stay in place for one week. In the first two weeks after the injury, your doctor may offer you this kind of repair, or a similar approach using general anesthesia in the operating room.
  • #23 Broken nose – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/broken-nose/diagnosis-treatment/drc-20370444
    If you have a minor fracture that hasn’t caused your nose to become crooked or otherwise misshapen, you may not need professional medical treatment. You may be fine just using ice on the area and taking over-the-counter pain medications. […] If the break has displaced the bones and cartilage in your nose, your health care provider may be able to manually realign them. This needs to be done within 14 days from when the fracture occurred, preferably sooner. […] During this procedure, medication will numb your nose. In some cases, health care providers can push the nose back in place with their fingers. Sometimes, they may need to use special tools to help realign the broken bones and cartilage. […] Severe breaks, multiple breaks or breaks that have gone untreated for more than 14 days may need surgery. Surgery can realign the bones and reshape your nose, if necessary. […] If the break has damaged your nasal septum the middle part of your nose that divides your nostril your breathing may feel blocked or you may feel like you have a stuffy nose. Reconstructive surgery may be recommended.
  • #24 A Broken Nose – Broken Nose Surgery – ENT Clinic Sydney
    https://ent-surgery.com.au/face/a-broken-nose/
    Severe breaks, multiple breaks or breaks that have gone untreated for more than 14 days may not be candidates for closed reduction. In these cases, surgery to realign the bones and reshape your nose (rhinoplasty) may be necessary. […] If the break has damaged your nasal septum, causing a deviated septum with resulting obstruction or difficulty breathing, then reconstructive surgery called septorhinoplasty (rhinoplasty and deviated septum surgery) may be recommended.
  • #25 Broken Nose (Nasal Fracture) – Harvard Health
    https://www.health.harvard.edu/a_to_z/broken-nose-nasal-fracture-a-to-z
    If your injured nose is deformed or misaligned and you seek emergency treatment, the doctor may attempt to realign your nose immediately. This can be done with or without surgery. For persistent bleeding, the doctor may pack the front of your nose with a hemostatic sponge or gauze. If there is a bruise or blood clot on your nasal septum (a septal hematoma), the doctor will make a small incision to allow the blood clot to drain. A septal hematoma that is not drained can lead to permanent deformity of the nose. […] In many cases, the nose can be realigned within the first 10 days after injury in a nonsurgical procedure called a closed reduction. After that time, the realignment can be done surgically with a procedure called a rhinoplasty, which reshapes your nose to improve its appearance. When the nasal septum needs to be repaired as well, the procedure is called a septorhinoplasty.
  • #26 Nasal Fracture Treatment & Care in Jupiter, FL
    https://www.jupitersinusandallergy.com/nasal-health/nasal-fracture/
    If your broken nose is not misshapen or crooked, we can often give you over-the-counter pain relievers. We recommend using an ice pack to help ease the pain and swelling. […] In some severe cases, patients develop a nasal hematoma on one or both sides of the septum. This collection of blood in the septum can lead to a perforation in your septum or a collapsed nasal bridge. We can avoid these complications by draining the septal hematoma as soon as possible. […] If your nasal structure has been moved due to an injury, we will have to adjust it back. We numb the area using a local anesthetic and carefully maneuver your bones and cartilage back into the original position. […] A severe nasal fracture may necessitate a surgical procedure to reposition your nasal bones and ease blocked breathing. Our medical professionals will administer general anesthesia for your comfort during the nasal reconstruction operation.
  • #27 Broken Nose: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17772-broken-nose
    A broken nose is an injury that requires immediate medical attention. Without treatment, a broken nose can lead to complications. Treatment ranges from using ice for swelling to surgery to repair your nose. […] Treatments range from putting ice on your broken nose to having surgery to repair it. The treatment that’s right for you depends on the severity of your injuries. […] You may need surgery if you have a severely broken nose, or you can’t breathe through your nose. Surgeries to fix your broken nose include: Septoplasty. This procedure reshapes your septum. During septoplasty, a surgeon may remove parts of your bone and cartilage, then reshape and reposition the underlying structures. This repairs any holes or perforations and improves breathing. […] You should seek medical care if you think you have a broken nose. Getting treatment right away can reduce your risk of complications.
  • #28 Nasal Fracture Treatment & Care in Jupiter, FL
    https://www.jupitersinusandallergy.com/nasal-health/nasal-fracture/
    A septoplasty procedure modifies the shape of your septum. During septoplasty, we may excise pieces of your bone and cartilage, reshape them, and move the underlying structures. It helps repair any holes or perforations and enhances breathing. […] During a rhinoplasty, we augment, reduce, or rearrange the bone and cartilage to devise a new shape for your nose and eliminate obstructions. A rhinoplasty mirrors the same cosmetic procedure that individuals undergo to improve the look of the nose.
  • #29 Treatment for Broken Nose (Nasal Fracture) in Children | UMass Memorial Health
    https://www.ummhealth.org/health-library/treatment-for-broken-nose-nasal-fracture-in-children
    If your childs nasal fracture is more severe, they might need a more complex surgery after the injury. This is called septorhinoplasty. It can help restore the normal look of the nose. It also fixes a displaced nasal septum and blocked nasal airway. […] Complications often need treatment, such as antibiotics or surgery. […] After a nasal fracture, the nose needs time to heal. The nose is easy to injure again during this time. For this reason, most health care providers advise that children not play any sports for at least 2 weeks. Your child should not play contact sports, such as football or wrestling, for at least 6 weeks.
  • #30 Nasal Fracture Treatment & Care in Jupiter, FL
    https://www.jupitersinusandallergy.com/nasal-health/nasal-fracture/
    A septoplasty procedure modifies the shape of your septum. During septoplasty, we may excise pieces of your bone and cartilage, reshape them, and move the underlying structures. It helps repair any holes or perforations and enhances breathing. […] During a rhinoplasty, we augment, reduce, or rearrange the bone and cartilage to devise a new shape for your nose and eliminate obstructions. A rhinoplasty mirrors the same cosmetic procedure that individuals undergo to improve the look of the nose.
  • #31 Broken Nose Repair and Treatment | Westside Head & Neck
    https://www.westsidehn.com/nasal-fracture-broken-nose/broken-nose-repair-and-treatment/
    Patients with a severe break or multiple nose breaks fail to become eligible candidates for a manual realignment. […] Additionally, patients with a broken nose that involves the displacement of nasal cartilage or bones and fail to receive therapy within the first 14 days can correct the problem by visiting a nasal fracture reconstruction. […] A break that damages your nasal septum would cause breathing difficulty or obstruction, which calls for surgery from Los Angeles nasal trauma rhinoplasty physicians. […] Nose surgery to correct a break is performed on a patient, and they are released on the same day. […] Nasal trauma rhinoplasty surgeons in LA realign the nose through a rhinoplasty technique while repairing damaged nasal septum occurs via septorhinoplasty. […] LA Nasal fracture reconstruction is a closed reduction surgical procedure to administer a local anesthetic to desensitize the nose and realign it manually.
  • #32 Broken Nose: Symptoms, Treatment, and Prevention
    https://www.healthline.com/health/nose-fracture
    How is a broken nose treated? […] Depending on your symptoms, you may need immediate medical treatment or you may be able to perform first aid at home and see a doctor at your convenience. […] If you dont have symptoms that warrant immediate medical treatment, there are a few things you can do at home before seeing your doctor: […] Its ideal if facial trauma is evaluated immediately to fully assess the extent of injuries. […] Not all broken noses require extensive treatment. […] If your injuries are severe enough, your doctor may do one of the following: […] Closed reduction, rhinoplasty, and septorhinoplasty arent usually performed until three to 10 days after your injury, after the swelling goes down. […] Medical treatment may not be necessary when only minor fractures with no misalignment are present.
  • #33 Nose Fracture Treatment, Ear Nose And Throat (ENT) | Mya Care
    https://myacare.com/procedure/nose-fracture-treatment
    Septorhinoplasty, a surgery to repair nasal septum, is required if the break has damaged patients nasal septum and creating an obstruction as well as difficulty breathing. Rhinoplasty is a surgery which is used to realign the nose that cannot be done manually. […] Pain and discomfort from these surgeries generally reduces within 72 hours of the procedure. Patient should not play any sports for the first two weeks after treatment and avoid contact sports for minimum six weeks after the injury.
  • #34 Nasal Fractures – ENT Health
    https://www.enthealth.org/conditions/nasal-fractures/
    A broken nose, or nasal fracture, can significantly alter your appearance. It can also make it much harder to breathe through your nose. […] If you’ve been struck in the nose, it’s important to see a physician to check for septal hematoma. Seeing your primary care or an emergency room physician is usually the best way to determine if you have a septal hematoma or other associated problems from your accident. If a septal hematoma is present, it must be treated promptly to prevent worse problems from developing in the nose. […] If you suspect your nose may be broken, you should see an ENT (ears, nose, and throat) specialist, or otolaryngologist, within one week of the injury. If you are seen within one to two weeks (one week for children), it may be possible to repair your nose immediately. If you wait longer than two weeks, you will likely need to wait several months before your nose can be surgically straightened and fixed. An untreated broken nose can leave you with an undesirable appearance, as well as permanent breathing difficulty.
  • #35 Management of Acute Nasal Fractures | AAFP
    https://www.aafp.org/pubs/afp/issues/2004/1001/p1315.html
    Reduction of acute nasal fractures in the primary care setting is confined largely to the closed reduction of mild unilateral fractures. However, on rare occasions, open reduction in an operating room is necessary. It is worthwhile for family physicians to understand how closed reduction of a nasal fracture is performed, although it is not considered a standard family medicine procedure. […] The goal of closed reduction is to realign cartilaginous and bony structures to their locations before the injury to decrease discomfort and maximize airway patency. […] A septal hematoma is a blood-filled cavity between the cartilage and the supporting perichondrium. If left untreated, these pockets of blood easily become infected. The resulting necrosis of the underlying cartilaginous support may result in permanent saddle nose deformity. When a septal hematoma is identified, it should be aspirated immediately or incised with the aid of local anesthesia.
  • #36 Nasal Fracture Treatment & Care in Jupiter, FL
    https://www.jupitersinusandallergy.com/nasal-health/nasal-fracture/
    If your broken nose is not misshapen or crooked, we can often give you over-the-counter pain relievers. We recommend using an ice pack to help ease the pain and swelling. […] In some severe cases, patients develop a nasal hematoma on one or both sides of the septum. This collection of blood in the septum can lead to a perforation in your septum or a collapsed nasal bridge. We can avoid these complications by draining the septal hematoma as soon as possible. […] If your nasal structure has been moved due to an injury, we will have to adjust it back. We numb the area using a local anesthetic and carefully maneuver your bones and cartilage back into the original position. […] A severe nasal fracture may necessitate a surgical procedure to reposition your nasal bones and ease blocked breathing. Our medical professionals will administer general anesthesia for your comfort during the nasal reconstruction operation.
  • #37 Broken Nose (Nasal Fracture) – Harvard Health
    https://www.health.harvard.edu/a_to_z/broken-nose-nasal-fracture-a-to-z
    If your injured nose is deformed or misaligned and you seek emergency treatment, the doctor may attempt to realign your nose immediately. This can be done with or without surgery. For persistent bleeding, the doctor may pack the front of your nose with a hemostatic sponge or gauze. If there is a bruise or blood clot on your nasal septum (a septal hematoma), the doctor will make a small incision to allow the blood clot to drain. A septal hematoma that is not drained can lead to permanent deformity of the nose. […] In many cases, the nose can be realigned within the first 10 days after injury in a nonsurgical procedure called a closed reduction. After that time, the realignment can be done surgically with a procedure called a rhinoplasty, which reshapes your nose to improve its appearance. When the nasal septum needs to be repaired as well, the procedure is called a septorhinoplasty.
  • #38 Fractures of the Nose – Injuries and Poisoning – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/injuries-and-poisoning/facial-injuries/fractures-of-the-nose
    Septal hematomas are drained as soon as possible. Blood must be removed to prevent the destruction of the cartilage. […] The fracture itself can wait. Doctors usually wait 3 to 5 days after an injury for the swelling to go down before they push the broken pieces of bone back into place (called reduction). […] Many nasal fractures do not disrupt alignment and do not have to be reduced. […] By pressing with their fingers and lifting with an instrument inserted into the nose, doctors manipulate the bones into their normal position. The nose is then stabilized with an external splint. […] Antibiotics are given while the packing is in place to decrease the risk of infection. Nasal bone fractures heal in about 6 weeks.
  • #39 Broken Nose (Nasal Fracture)
    https://www.cham.org/HealthwiseArticle.aspx?id=aa49289spec
    Sleep with your head slightly raised until the swelling goes down. Prop up your head and shoulders on pillows. […] If you have a nasal splint or packing, leave it in place until a doctor removes it. […] Take decongestants as directed to help you breathe after the splint or packing is removed. Your doctor may give you a prescription or suggest over-the-counter medicine. […] Ask your doctor if you can take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). Be safe with medicines. Read and follow all instructions on the label. […] If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Ask your doctor when it’s okay to return to your usual activities.
  • #40
    https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=aa49289spec
    Surgery may be needed to treat a more complicated fracture. Your doctor may need to move the bone or cartilage back into place. Splints or nasal packing may be necessary. Antibiotics are usually given to prevent infection. Your nose may be rechecked and the packing may be removed in 48 to 72 hours. […] If you have a nasal splint or packing, leave it in place until a doctor removes it. […] If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Take decongestants as directed to help you breathe after the splint or packing is removed. Your doctor may give you a prescription or suggest over-the-counter medicine. […] Be safe with medicines. Take pain medicines exactly as directed.
  • #41 Broken Nose (Nasal Fracture) – Women’s Health – Associates for Women’s Medicine – Syracuse NY Gynecologist, Gynecology, Obstetrics, OBGYN, OB Physicians, Syracuse New York, Fayetteville, North Syracuse, LiverpoolBroken Nose (Nasal Fracture)
    https://www.afwomensmed.com/health-library/hw-view.php?DOCHWID=aa49289spec
    Sleep with your head slightly raised until the swelling goes down. Prop up your head and shoulders on pillows. […] If you have a nasal splint or packing, leave it in place until a doctor removes it. […] Take decongestants as directed to help you breathe after the splint or packing is removed. Your doctor may give you a prescription or suggest over-the-counter medicine. […] Ask your doctor if you can take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). Be safe with medicines. Read and follow all instructions on the label. […] If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Ask your doctor when it’s okay to return to your usual activities.
  • #42 Broken Nose (Nasal Fracture)
    https://www.cham.org/HealthwiseArticle.aspx?id=aa49289spec
    Sleep with your head slightly raised until the swelling goes down. Prop up your head and shoulders on pillows. […] If you have a nasal splint or packing, leave it in place until a doctor removes it. […] Take decongestants as directed to help you breathe after the splint or packing is removed. Your doctor may give you a prescription or suggest over-the-counter medicine. […] Ask your doctor if you can take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). Be safe with medicines. Read and follow all instructions on the label. […] If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Ask your doctor when it’s okay to return to your usual activities.
  • #43
    https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=aa49289spec
    Surgery may be needed to treat a more complicated fracture. Your doctor may need to move the bone or cartilage back into place. Splints or nasal packing may be necessary. Antibiotics are usually given to prevent infection. Your nose may be rechecked and the packing may be removed in 48 to 72 hours. […] If you have a nasal splint or packing, leave it in place until a doctor removes it. […] If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Take decongestants as directed to help you breathe after the splint or packing is removed. Your doctor may give you a prescription or suggest over-the-counter medicine. […] Be safe with medicines. Take pain medicines exactly as directed.
  • #44 Management of Acute Nasal Fractures | AAFP
    https://www.aafp.org/pubs/afp/issues/2004/1001/p1315.html
    The physician should complete a final external and internal (endoscopic, if possible) examination before releasing a patient who has undergone manipulation and reduction of a nasal fracture. This examination should ensure alignment of the nose and the absence of significant epistaxis or hematomas. When completed, an external splint or cast should be applied to the nasal dorsum for about one week. […] Although most family physicians routinely will not perform closed reduction of nasal fractures, it is still important to understand the preliminary assessment and basic management principles. Furthermore, because of the uncertainty of functional and cosmetic outcomes following a nasal fracture reduction, referral to an otolaryngologist or plastic surgeon within three to five days post-reduction, while not absolutely necessary, usually is appropriate.
  • #45 Broken Nose (Nasal Fracture)
    https://www.cham.org/HealthwiseArticle.aspx?id=aa49289spec
    Most broken noses do not require medical treatment. If treatment is needed, it’s usually done within 2 to 14 days of breaking your nose. […] A simple fracture may be treated by straightening the bone or cartilage in your nose, if it is crooked. Splints or packing the nose with gauze (nasal packing) also may be needed. […] A more complicated fracture may require surgery. Your doctor may need to move the bone or cartilage back into place. You may also need a splint or nasal packing. Antibiotics are usually given to prevent infection. Your nose may be rechecked and the packing may be removed in 2 to 5 days. […] Put ice or a cold pack on your nose for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the first 3 days (when you are awake) or until the swelling goes down. Put a thin cloth between the ice pack and your skin.
  • #46 Broken Nose (Fractured Nose): Symptoms and Treatments
    https://www.verywellhealth.com/broken-nose-8702951
    Manual realignment by a healthcare provider is the most common medical treatment for a broken nose. In severe cases, surgical interventions may be necessary. […] Manual realignment, also known as closed reduction, is a nonsurgical procedure that resets nasal bones displaced by a traumatic event using a doctor’s fingers. […] It takes about six weeks for a broken nose to heal. […] Although most broken noses heal on their own, it’s important to see a healthcare provider or visit a hospital emergency department if you have a nasal fracture. Getting a broken nose realigned manually within 14 days of the injury is crucial for proper healing. […] Most broken noses don’t require surgery but are realigned by a trained medical professional using their fingers within two weeks of the injury. Ice packs are a vital part of first aid for nasal fractures because they reduce inflammation. Over-the-counter pills like Tylenol can help relieve pain, but antiinflammatories like Advil shouldn’t be used in the first 48 hours after breaking your nose.
  • #47 Broken Nose Repair and Treatment | Westside Head & Neck
    https://www.westsidehn.com/nasal-fracture-broken-nose/broken-nose-repair-and-treatment/
    You should avoid applying excessive pressure or placing the ice directly on the injury because it can lead to further nose damage and pain. […] You can relieve pain from the nose fracture by taking over-the-counter drugs designed for pain control such as ibuprofen, naproxen sodium, and acetaminophen. […] Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen prevent inflammation and control fever apart from relieving pain. […] If acetaminophen and NSAIDs are not helping alleviate the pain, your doctor can prescribe for you a more potent pain reliever. […] It would be best if you elevated your head to prevent the worsening of throbbing and swelling of the injury site, especially when sleeping. […] You should avoid contact activities and sports such as boxing and martial arts after the nose injury for not less than six weeks or at least two weeks for other sports like hockey and basketball after receiving treatment.
  • #48 Broken Nose (Nasal Fracture) | Symptoms and treatment | SportsMD
    https://www.sportsmd.com/concussions-head-injuries/broken-nose-nasal-fracture/
    If a broken nose is present, the athlete may have his/her nose repositioned if needed by an emergency room physician or may be referred to an ear, nose, and throat specialist. To have the fracture repositioned without surgical repair, this should be done either immediately after the injury or 3 to 7 days later when the swelling has reduced. […] Athletes can safely return to sport when they have been cleared by a physician to return and only if they wear a protective splint or faceguard. These can be purchased by sports medicine companies or can be custom made for the individual. The athlete should wear the face guard for at least six weeks post-injury or until the physician states that it is safe.
  • #49 Broken nose
    https://www.nhs.uk/conditions/broken-nose/
    A broken nose usually heals on its own within 3 weeks. Get medical help if it’s not getting better or your nose has changed shape. […] You can usually treat a broken nose yourself. It should start getting better within 3 days and be fully healed within 3 weeks. […] A GP might prescribe stronger painkillers if paracetamol is not helping with pain caused by a broken nose. […] If you have a severe broken nose or it’s changed shape, you may be referred to a specialist in hospital for assessment and treatment. […] A doctor in hospital may be able to make your nose straighter using a procedure called manipulation. […] You might have to go home and wait for the swelling to go down first, but the procedure should be done within 3 weeks of you breaking your nose, before the bones start to set. […] Manipulation is done using local anaesthetic so that your nose is numbed. It does not always make your nose look exactly the same as it was before, but it often helps. […] The wound will usually be cleaned and sealed with stitches or strips in hospital.
  • #50 Broken Nose (Fractured Nose): Symptoms and Treatments
    https://www.verywellhealth.com/broken-nose-8702951
    Manual realignment by a healthcare provider is the most common medical treatment for a broken nose. In severe cases, surgical interventions may be necessary. […] Manual realignment, also known as closed reduction, is a nonsurgical procedure that resets nasal bones displaced by a traumatic event using a doctor’s fingers. […] It takes about six weeks for a broken nose to heal. […] Although most broken noses heal on their own, it’s important to see a healthcare provider or visit a hospital emergency department if you have a nasal fracture. Getting a broken nose realigned manually within 14 days of the injury is crucial for proper healing. […] Most broken noses don’t require surgery but are realigned by a trained medical professional using their fingers within two weeks of the injury. Ice packs are a vital part of first aid for nasal fractures because they reduce inflammation. Over-the-counter pills like Tylenol can help relieve pain, but antiinflammatories like Advil shouldn’t be used in the first 48 hours after breaking your nose.
  • #51 Broken Nose: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17772-broken-nose
    A broken nose is an injury that requires immediate medical attention. Without treatment, a broken nose can lead to complications. Treatment ranges from using ice for swelling to surgery to repair your nose. […] Treatments range from putting ice on your broken nose to having surgery to repair it. The treatment that’s right for you depends on the severity of your injuries. […] You may need surgery if you have a severely broken nose, or you can’t breathe through your nose. Surgeries to fix your broken nose include: Septoplasty. This procedure reshapes your septum. During septoplasty, a surgeon may remove parts of your bone and cartilage, then reshape and reposition the underlying structures. This repairs any holes or perforations and improves breathing. […] You should seek medical care if you think you have a broken nose. Getting treatment right away can reduce your risk of complications.
  • #52 Nasal Fractures | Nose, Sinus & Allergies | Conditions & Treatments | Ear, Nose & Throat Services | University Hospitals | Cleveland, OH | University Hospitals
    https://www.uhhospitals.org/services/ear-nose-and-throat-services/conditions-and-treatments/sinus-skull-and-allergy/nasal-fractures
    A nasal fracture, more commonly known as a broken nose, is when the bone in your nose is broken or cracked. […] If left untreated, nasal fractures can not only lead to long-term cosmetic problems (crooked nose), it can lead to breathing problems caused by nasal obstruction and/or collapse. […] If you suspect you have a broken nose, it is important to consult with an ear, nose and throat specialist if you have any of the following issues: […] Your doctor can usually diagnose a broken nose by performing a visual and physical examination, which will require touching your nose and face. […] Confirming a diagnosis of nasal fracture, will usually require an X-ray or CT scan of the nose. […] This type of nasal fracture can be treated with a surgical procedure called a closed nasal reduction.
  • #53 Broken Nose: Symptoms, Treatment, and Prevention
    https://www.healthline.com/health/nose-fracture
    However, assessment by a doctor is always needed so they can determine if and what treatment is appropriate. […] Moderate to severe injuries may require surgery. […] Surgery should happen within 14 days of injury, and pain and discomfort from the surgery should start to decrease within 72 hours of the procedure. […] Different medical treatments will vary in costs, affected by factors including the extent of treatment and your insurance. […] If caused by an injury, rhinoplasty is covered under most insurance policies, as are diagnostic expenses such as X-rays and examinations with a doctor.
  • #54 Nasal Fracture Reduction – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK538299/
    An accumulation of blood underneath the mucoperichondrial layer of the nasal septum normally presents as pain and nasal obstruction with boggy swelling of the septum. […] If not drained, a hematoma can lead to septal abscess formation, cartilage necrosis, and even a nasal saddle deformity. […] Clear rhinorrhoea following nasal trauma should raise suspicion for a CSF leak. […] Most nasal fractures can be left to heal on their own, provided the patient understands that a long-term cosmetic deformity and nasal obstruction are liable to result. […] In the acute period, within about two weeks from the injury, most nasal fractures can be reduced in a closed fashion, but after this period, closed osteotomies or even a formal open rhinoplasty may be required for definitive management. […] The most common adverse outcome of nasal fracture reduction is dissatisfaction with the result, from a cosmetic or functional standpoint, or both.
  • #55 A Broken Nose – Broken Nose Surgery – ENT Clinic Sydney
    https://ent-surgery.com.au/face/a-broken-nose/
    Severe breaks, multiple breaks or breaks that have gone untreated for more than 14 days may not be candidates for closed reduction. In these cases, surgery to realign the bones and reshape your nose (rhinoplasty) may be necessary. […] If the break has damaged your nasal septum, causing a deviated septum with resulting obstruction or difficulty breathing, then reconstructive surgery called septorhinoplasty (rhinoplasty and deviated septum surgery) may be recommended.
  • #56 Nasal Fractures – ENT Health
    https://www.enthealth.org/conditions/nasal-fractures/
    If more than two weeks have passed since the time of your injury, you may need to wait a while before having your nose straightened surgically. It may be necessary to wait two to three months before a good repair can be done, by which time there will be less swelling, and your nose will begin to heal as best it can. Reduced swelling will allow the surgeon to get a more accurate picture of how your nose originally looked. This type of surgery is considered reconstructive plastic surgery, as its goal is to restore your appearance to the way it was prior to injury. […] If your repair is done within two weeks of the injury, restoring prior appearance and breathing is the only possible goal. If you have waited several months for the repair, it is often possible to change the appearance of your nose as you desire through combined nasal fracture repair and rhinoplasty procedures.
  • #57 How to Fix a Broken Nose | After Years of Being Broken
    https://www.sedghplasticsurgery.com/blog/how-to-fix-a-broken-nose-after-years-of-no-treatment/
    When a broken nose requires professional medical treatment, the sooner it can be fixed, the better. […] Yes. Depending on the severity of the damage, surgery can help treat some years-old nose injuries. […] Ideally, a broken nose should be seen and repaired by a doctor within 14 days of when the injury occurred. […] If the damage is minor, such as simple broken bones or displacements, a doctor can do manual realignment to fix the nose. […] Otherwise, a corrective surgical procedure may be required. […] The answer is rhinoplasty. […] A corrective rhinoplasty procedure will likely be performed to repair a years-old broken nose. […] If you are unsure if your old nose injury is a candidate for a rhinoplasty treatment, consult a doctor for an assessment. […] If you are considering undergoing nose surgery to correct an old fracture or injury, one of the crucial parts of the process is choosing the right surgeon.
  • #58 Nasal Fractures – ENT Health
    https://www.enthealth.org/conditions/nasal-fractures/
    If more than two weeks have passed since the time of your injury, you may need to wait a while before having your nose straightened surgically. It may be necessary to wait two to three months before a good repair can be done, by which time there will be less swelling, and your nose will begin to heal as best it can. Reduced swelling will allow the surgeon to get a more accurate picture of how your nose originally looked. This type of surgery is considered reconstructive plastic surgery, as its goal is to restore your appearance to the way it was prior to injury. […] If your repair is done within two weeks of the injury, restoring prior appearance and breathing is the only possible goal. If you have waited several months for the repair, it is often possible to change the appearance of your nose as you desire through combined nasal fracture repair and rhinoplasty procedures.
  • #59 Broken Nose Repair and Treatment | Westside Head & Neck
    https://www.westsidehn.com/nasal-fracture-broken-nose/broken-nose-repair-and-treatment/
    Health practitioners advise high-risk individuals such as older adults and children to wear shoes with an excellent grip to prevent falls. […] Athletes who engage in contact sports such as boxing are advised to adorn protective face gear to avoid nose injuries. […] Individuals riding bicycles, motorcycles, skis, snowboards, and skateboards are recommended to wear helmets to avoid breaking their noses. […] Furthermore, you should wear a seat belt when riding or driving a vehicle, and you should make sure kids are adequately restrained to prevent nasal fractures.
  • #60 Nasal Fracture Treatment – Nasal Bone Fracture Surgery
    http://facialplasticsbh.com/rhinoplasty/specific-considerations-in-rhinoplasty/nasal-fractures/
    Dr. Azizzadeh strives to teach his patients about all available treatments for nasal fractures. […] After a nasal fracture, seek out medical care immediately. […] If cartilage has been dislodged (upper lateral cartilage is the most commonly dislodged), that cannot be repaired until six to 12 months later. […] By meeting with a doctor, anyone can take the necessary steps to treat nose trauma. […] Most health insurance plans will cover some or all of the cost of repairing a broken nose and restoring its functionality, which is another reason not to delay nose fracture repair. […] A nasal bone fracture is sometimes preventable if an individual takes precautions prior to engaging in physical activity.
  • #61 Broken Nose (Nasal Fracture) | Symptoms and treatment | SportsMD
    https://www.sportsmd.com/concussions-head-injuries/broken-nose-nasal-fracture/
    If a broken nose is present, the athlete may have his/her nose repositioned if needed by an emergency room physician or may be referred to an ear, nose, and throat specialist. To have the fracture repositioned without surgical repair, this should be done either immediately after the injury or 3 to 7 days later when the swelling has reduced. […] Athletes can safely return to sport when they have been cleared by a physician to return and only if they wear a protective splint or faceguard. These can be purchased by sports medicine companies or can be custom made for the individual. The athlete should wear the face guard for at least six weeks post-injury or until the physician states that it is safe.
  • #62 Management of Acute Nasal Fractures | AAFP
    https://www.aafp.org/pubs/afp/issues/2004/1001/p1315.html
    In cases of facial trauma, nasal fractures account for approximately 40 percent of bone injuries. Treatment in the primary care setting begins with evaluating the injury, taking an accurate history of the situation in which the injury occurred, and ascertaining how the face and nose appeared and functioned before the injury occurred. Serious injuries should be treated, then nasal inspection and palpation may be performed to assess for airway patency, mucosal laceration, and septal deformity. Treatment in the primary care setting consists of evaluation, pain and infection management, minimal debridement and, when the physician is appropriately trained, closed reduction. If an immediate referral is not indicated, close follow-up, possibly with a subspecialist, should be arranged within three to five days after the injury.
  • #63 Broken nose – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/broken-nose/diagnosis-treatment/drc-20370444
    If you have a minor fracture that hasn’t caused your nose to become crooked or otherwise misshapen, you may not need professional medical treatment. You may be fine just using ice on the area and taking over-the-counter pain medications. […] If the break has displaced the bones and cartilage in your nose, your health care provider may be able to manually realign them. This needs to be done within 14 days from when the fracture occurred, preferably sooner. […] During this procedure, medication will numb your nose. In some cases, health care providers can push the nose back in place with their fingers. Sometimes, they may need to use special tools to help realign the broken bones and cartilage. […] Severe breaks, multiple breaks or breaks that have gone untreated for more than 14 days may need surgery. Surgery can realign the bones and reshape your nose, if necessary. […] If the break has damaged your nasal septum the middle part of your nose that divides your nostril your breathing may feel blocked or you may feel like you have a stuffy nose. Reconstructive surgery may be recommended.
  • #64 Nasal Fracture Treatment & Care in Jupiter, FL
    https://www.jupitersinusandallergy.com/nasal-health/nasal-fracture/
    If your broken nose is not misshapen or crooked, we can often give you over-the-counter pain relievers. We recommend using an ice pack to help ease the pain and swelling. […] In some severe cases, patients develop a nasal hematoma on one or both sides of the septum. This collection of blood in the septum can lead to a perforation in your septum or a collapsed nasal bridge. We can avoid these complications by draining the septal hematoma as soon as possible. […] If your nasal structure has been moved due to an injury, we will have to adjust it back. We numb the area using a local anesthetic and carefully maneuver your bones and cartilage back into the original position. […] A severe nasal fracture may necessitate a surgical procedure to reposition your nasal bones and ease blocked breathing. Our medical professionals will administer general anesthesia for your comfort during the nasal reconstruction operation.
  • #65 Nose Injuries: Types, Treatment, and When to See a Doctor | University of Utah Health
    https://healthcare.utah.edu/healthfeed/2025/02/nose-injuries-types-treatment-and-when-see-doctor
    You can take steps at home to care for a nose injury before determining if professional care is needed. […] Start by applying firm pressure on the nose to stop bleeding. […] Never attempt to put the bones back in place yourself, as you risk repositioning them incorrectly. See a doctor in a timely manner if you suspect a more serious injury. […] The bones in your face start to lock themselves back into place within about 10 to 14 days of the injury, so if you have a deformity, you really need to see someone that can help put those bones in place within that time frame, Smith says. Otherwise, you miss the window for us to put the bones back where they belong, and that usually means you need to wait at least a year before you could have surgery to re-break the nose and put them where theyre supposed to be.
  • #66 Nasal Fracture Reduction – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK538299/
    An accumulation of blood underneath the mucoperichondrial layer of the nasal septum normally presents as pain and nasal obstruction with boggy swelling of the septum. […] If not drained, a hematoma can lead to septal abscess formation, cartilage necrosis, and even a nasal saddle deformity. […] Clear rhinorrhoea following nasal trauma should raise suspicion for a CSF leak. […] Most nasal fractures can be left to heal on their own, provided the patient understands that a long-term cosmetic deformity and nasal obstruction are liable to result. […] In the acute period, within about two weeks from the injury, most nasal fractures can be reduced in a closed fashion, but after this period, closed osteotomies or even a formal open rhinoplasty may be required for definitive management. […] The most common adverse outcome of nasal fracture reduction is dissatisfaction with the result, from a cosmetic or functional standpoint, or both.
  • #67 Broken Nose (Nasal Fracture)
    https://www.cham.org/HealthwiseArticle.aspx?id=aa49289spec
    Sleep with your head slightly raised until the swelling goes down. Prop up your head and shoulders on pillows. […] If you have a nasal splint or packing, leave it in place until a doctor removes it. […] Take decongestants as directed to help you breathe after the splint or packing is removed. Your doctor may give you a prescription or suggest over-the-counter medicine. […] Ask your doctor if you can take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). Be safe with medicines. Read and follow all instructions on the label. […] If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Ask your doctor when it’s okay to return to your usual activities.
  • #68
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7723
    A broken nose is a break, or fracture, of the bone or cartilage. Most broken noses need only home care and a follow-up visit with a doctor. The swelling should go down in a few days. Bruises around your eyes and nose should go away in 2 to 3 weeks. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] If you have a nasal splint or packing, leave it in place until a doctor removes it. If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. Take decongestants as directed to help you breathe after the splint or packing is removed. Your doctor may give you a prescription or suggest over-the-counter medicine.
  • #69
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7723
    Put ice or a cold pack on your nose for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the first 3 days (when you are awake) or until the swelling goes down. Put a thin cloth between the ice pack and your skin. Sleep with your head slightly raised until the swelling goes down. Prop up your head and shoulders on pillows. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have signs of infection, such as: Increased pain, swelling, warmth, or redness. Red streaks leading from the area. Pus draining from the area. A fever. You have clear fluid draining from your nose. You have vision changes. You have swelling or a bump on the thin wall (nasal septum) between the nostrils of your nose. Your nose is bleeding. You have new or worse pain. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You do not get better as expected.