Tuesday, May 10, 2016

Broken Nose – Symptoms, Causes, Treatment, Surgery

Broken Nose – Symptoms, Causes, Treatment, Surgery

What is there to know about a Broken nose?


A nose that is broken is also known as a fracture of the nose, and is a crack or break of a bone in the nose – most frequently the bone which is above the bridge of the nose.










The most common reasons of a nose that is broken can include sports which involve contact, fights, and falls as well as vehicle accidents which cause facial trauma.


Symptoms and signs of a nose that is broken include swelling, pain, bruising around the nose and especially under the eyes. The nose can appear crooked and it can be hard to breathe.


Management of a nose that is broken can include measures to realign the nose. Surgery normally is not necessary.


Broken Nose Symptoms


Symptoms as well as signs of a nose which is broken can develop immediately or can in some cases occur up to 3 days later. Symptoms and signs can include:



  • Tenderness or pain, particularly when touching the nose

  • Bleeding from the nose

  • Nose as well as surrounding area has swelling

  • Bruising around the eyes or nose

  • Misshapen or crooked nose

  • Problems breathing thru the nose

  • Mucus discharge from the nose

  • Sensation that either one or both of the passages of the nose are blocked


An individual should seek medical consideration if they experience an injury of the nose accompanied by:



  • Neck or head injury that may be accompanied by severe neck pain, Headache, loss of consciousness or vomiting,

  • Problems with breathing

  • Bleeding that can not be stopped

  • Visible altering in the contour of the nose that is not linked to swelling, for instance a twisted or crooked appearance

  • Fluid which is clear draining from the nose


Broken Nose Causes


Since the nose is one of the more outstanding features of the face – it protrudes unprotected from the profile – it is also the feature of the face which is more at risk of being injured. Broken noses are reported for about 40% of all fractures of the face.


The nose is sustained by bone (on the bridge and back) and cartilage (in the front). When this structure of cartilage and bone is hit with force, bones may fracture or crack – which results in a nose that is broken.


Causes which are common for a nose being broken include:



  • Damage while playing contact sports, for instance hockey or football

  • Fights such as whed fists are throwing

  • Car accidents

  • Falls


A nose that is broken can also be caused by actions for example walking into an object which is fixed such as a glass door or by wrestling, rough type play with children.


Any activities which increase the possibility of an injury of the face can increase the risk of a nose getting broken. Such actions can be:



  • Contact sports for instance football or hockey, especially when an individual does not wear a face mask or helmet for protection

  • Physical fighting

  • Weight lifting without a spotter

  • Bicycle riding

  • Not using a seat belt when riding in a car


Injuries or complications which are linked to a nose which is broken can include:
Deviated Septum
Nasal fractures can cause a “deviated septum”, which is a condition which happens when the thin wall between the 2 sides of the nose (nasal septum) is dislocated to one side, therefore tapering the nasal passage on that side. Drugs, such as decongestants as well as antihistamines may help manage a deviated septum, but surgery is needed to correct the condition.


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Blood Collection
Often blood will collect – called a septal hematoma – and can accompany a nasal fracture. This septal hemotoma may block 1 or both nostrils. It requires rapid drainage surgical to avert damage to the cartilage.


Cartilage fracture
When the fracture is because of a forceful blow, such as from an auto accident, you can also experience a fracture of the cartilage. When the injury is severe enough to need surgical treatment, this surgery will address both your cartilage as well as bone injuries.


Injury of the Neck
Fractures of the nose because of high-velocity injuries – like those received in a motor vehicle accident – can be accompanied by injuries to the neck or cervical spine. If the blow was strong enough to break the nose, it can also be strong enough to damage bones in the neck.


Broken Nose Treatment


If an individual has a slight fracture which has not caused the nose to be crooked or otherwise deformed, medical treatment by a professional can be avoidable. Your primary care physician can recommend very trouble-free self-care methods, such as using icepacks on the region as well as taking OTC pain medications.


If there are displacements as well as breaks, your doctor can use one of 2 approaches:


Closed Reduction
If the fracture has relocated the cartilage or bones in the nose, the doctor can be able to by hand realign them with a nonsurgical method called “closed reduction”. Closed reduction ought to be done no more than 2 weeks past the fracture.


Throughout this process, the physician uses a nasal speculum to open the nostrils. He or she then uses unique instruments to help realign the broken cartilage as well as the broken bones and return them to normal arrangements. He will prescribe pain drugs, and will use local injections or nasal sprays, before this procedure.


If there is unrelenting bleeding connected to any nasal facture, the doctor can pack the nostrils with gauze strips which are moistened. The strips will also likely include an antibiotic ointment in order to aid in preventing infection.


Surgery
Breaks which are more severe, numerous breaks or those breaks which have gone unprocessed for more than 2 week can not be managed with closed reduction. These cases will need to have surgery to reshape as well as realign the nose – rhinoplasty.


If the fracture has done any damage to the nasal septum, which causes difficulty or obstruction to breathing, reconstructive surgery known as septorhinoplasty can be necessary.


Both of these surgeries are normally executed on an outpatient basis. Most people decide to stay home during the progression of recovery, since there is considerable bruising as well as swelling. Swelling, discomfort as well as bruising normally improves greatly after 1 week.






Broken Nose Pictures












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