Nasal Fracture

at Allergy & ENT Associates of Middle TN

A nasal fracture—commonly referred to as a broken nose—is a break or crack in the bone of the nose. Nasal fractures often occur after contact with a fixed object such as a wall or door. They are also common in contact sports (including hockey and football) and motor vehicle accidents.



Because nasal fractures can affect breathing and nasal structure, evaluation is important to determine the severity and appropriate treatment.

What a Nasal Fracture Can Affect

A broken nose can cause both discomfort and functional issues, including:


  • Pain and swelling



  • Nasal bleeding


  • Changes in nasal shape


  • Difficulty breathing through the nose


If symptoms are severe, prompt medical attention is recommended.

What Causes a Nasal Fracture?

Nasal fractures are usually caused by trauma to the face or nose. Common causes include:


  • Contact with a fixed object (door, wall, etc.)


  • Contact sports injuries



  • Motor vehicle accidents


Because the nose is prominent and exposed, it is particularly vulnerable to injury.

Symptoms of a Nasal Fracture

Common symptoms of a nasal fracture include:


  • Pain when the nose is touched


  • Swelling of the nose

  

  • Bleeding from the nose



If a nose injury is accompanied by difficulty breathing, unstoppable bleeding, or a noticeable change in the shape of the nose, medical attention should be sought, as the nose is likely broken.


To confirm a nasal fracture, your doctor will perform a physical examination. This typically includes pressing on the sides of the nose and examining inside the nostrils for signs of broken bones. Topical anesthetics may be used to reduce pain during the exam.


Imaging is usually not required. However, depending on the severity of the injury, a CT scan may be recommended if the physical exam is too painful or if additional injury is suspected.

Treatment Options for a Nasal Fracture

Treatment depends on the severity of the fracture.


A minor fracture that does not change the shape of the nose may not require medical treatment and may heal on its own.


More significant fractures may require the doctor to manually realign the nose. This procedure is performed using injected anesthesia. A nasal speculum is inserted into the nostrils, and specialty instruments are used to reposition the bone and cartilage.



An internal and external splint may be applied to keep the nose in place while healing occurs. In severe cases, surgery may be necessary.

Frequently Asked Questions

  • How do I know if my nose is broken?

    Signs of a nasal fracture include swelling, pain, bleeding, difficulty breathing, and a noticeable change in the shape of the nose.

  • Do all nasal fractures require treatment?

    No. Minor fractures that do not change the shape of the nose may heal without medical intervention. More severe fractures may require realignment or surgery.

  • Will a CT scan be needed to diagnose a broken nose?

    Often, no. Nasal fractures are usually diagnosed through a physical exam. A CT scan may be recommended in more severe cases or when additional injuries are suspected.

Call Allergy & ENT Associates at (615) 889-8802 to learn more or schedule an appointment.