Broken Nose


By Jose Pujalte Jr.

"I never thrust my nose

into other men's porridge.

It is no bread and butter of mine; every man for himself,

and God for us all."

-- Miguel de Cervantes Saavedra (1547-1616), Spanish novelist

Don Quixote. Part i. Book. iii.

Chap. xi.

A broken nose, properly called a nasal bone fracture, is as common as tonight's bar brawl.

In facial trauma, it comprises 40% of bone injuries. It may or may not need surgery but treatment is necessary at the ER at least, to stop nose bleeding and to check if there are far more serious injuries like a broken neck or head trauma.

Signs and Symptoms. MayoClinic.com lists down the following:

Pain or tenderness on or around the nose.

Bleeding from the nose (epistaxis).

Bruising around nose and eyes.

Crooked nose.

Breathing difficult from the nose.

Mucous discharge from nose.

Feeling that the nasal passages are blocked.

ER visit. Current recommendations no longer include a routine xray. What is necessary though is a thorough physical examination that starts with an anesthetic spray or local anesthesia. This makes you more comfortable and the doctor has more room to examine you without a reflexive head-butt. The doctor may then decide to manually reduce the broken nose once the swelling subsides (usually in 3 to 5 days). If undisplaced, no manipulation is done. Septal hematomais managed emergently because blood has accumulated between the nose cartilage and perichondrium. If untreated, the cartilage dies resulting in a saddle nose deformity. …

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