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Musculoskeletal12 papers

Fractured nasal bones

Last edited: 4/15/2026

Overview

Fractured nasal bones, also known as nasal fractures, typically result from blunt trauma to the face and can lead to deformity, breathing difficulties, and complications such as septal hematoma or deviated septum 1.

Diagnosis

  • Clinical Presentation: Pain, swelling, bruising, nasal obstruction, and visible deformity 1.
  • Imaging: CT scans are recommended for detailed assessment of bone fractures and associated injuries 1.
  • Grading: Not explicitly detailed in provided abstracts; clinical assessment guides management 1.

    • Management

  • Conservative Therapy: Initial management often includes ice application, decongestants, and nasal packing for hemostasis 1.
  • Surgical Intervention: Indicated for displaced fractures, septal deviation, or complications like septal hematoma 1.
  • Timing: Early intervention (within weeks post-injury) is preferred to optimize outcomes 1.

    • Special Populations

  • Pediatrics: Not specifically addressed in provided abstracts 1.
  • Elderly: Management principles similar to adults, but comorbidities may influence treatment approach 1.
  • Comorbidities: Presence of other injuries (e.g., thoracic) may necessitate tailored management strategies 1.

    • Key Recommendations

  • Initial Conservative Care: Use ice, decongestants, and nasal packing for symptomatic relief and hemostasis (Evidence: Weak) 1.
  • Imaging for Detailed Assessment: CT scans are essential for comprehensive evaluation of nasal fractures and associated injuries (Evidence: Weak) 1.
  • Surgical Consideration for Complicated Cases: Early surgical intervention recommended for displaced fractures or complications like septal hematoma (Evidence: Weak) 1.

    • References

    1 Armstrong CP, Van der Spuy J. The fractured scapula: importance and management based on a series of 62 patients. Injury 1984. link90056-1)

    Original source

    1. [1]
      The fractured scapula: importance and management based on a series of 62 patients. — Armstrong CP, Van der Spuy J Injury (1984)
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