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Nasal Fracture

Nasal Fracture

A Nasal Fracture, commonly called a broken nose, is a very common injury. Noses may be broken due to a sports injury, an automobile accident, a fall, or some other type of personal injury. Dr. Derderian frequently treats patients both immediately after their injury, or if they develop long-term consequences after trauma.

What Are the Symptoms of a Nasal Fracture?

A nose bleed after the injury is almost universally reported by patients with nasal fractures, but having a nose bleed does not mean that your nose is broken. The most common findings are pain, swelling, difficulty breathing through the nose, or your nose might suddenly look crooked or different in some other way. If you believe your nose has been broken you should seek medical attention. A CT scan is frequently performed to make the diagnosis. If you suspect that your nose is broken or have been told by a healthcare provider it is important to contact our office immediately so all treatment options are available to you.

How Do You Treat a Nasal Fracture?

Dr. Derderian’s approach to repairing a nasal fracture is different for each patient, depending on the time from the injury, nature and severity of the fracture. If the bones are broken but not displaced, then conservative management with observation is recommended. For patients with displaced nasal fractures who are seen within 7-10 days of the injury a closed reduction of the nasal fracture is attempted. In a closed reduction of a nasal bone fracture the patient undergoes a brief general anesthetic. The nasal bones are set (reduced) back into their normal position. Occasionally the bones are too badly broken to achieve stable reduction, but for most patients sufficient reduction of the nasal bones is achieve to restore normal appearance and function.

Occasionally patients do not notice that their nose is crooked, or the breathing problems may get worse over time. If patients present after 7-10 days from the time of injury they will require a septoplasty or rhinoseptoplasty operation to straighten the nose and nasal septum in order to improve the appearance of the nose and restore normal breathing. See the septoplasty and rhinoplasty sections for more details.

Dr. Derderian’s Approach to Nasal Fracture Surgery

It is critical to have an experienced surgeon treat your nasal fracture. During his residency Dr. Derderian had extensive training in nasal trauma, septoplasty and rhinoplasty at New York University and the Manhattan Eye Ear and Throat Hospital (MEETH). Dr. Derderian did a fellowship in craniofacial surgery at the University of Pennsylvania and Children’s Hospital of Philadelphia where he received additional training in facial trauma and post-traumatic rhinoplasty. Dr. Derderian is board certified by the American Board of Plastic Surgery and he is an expert in rhinoplasty. He frequently performs septoplasty and rhinoplasty in both his pediatric and adult practices for treatment of crooked noses and breathing difficulty secondary to nasal trauma. He has been invited yearly as an instructor at the world renowned Dallas Rhinoplasty Symposium since arriving in Dallas in 2011.

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