Rhinoplasty: Q&A
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What is the Protocol for Fixing Newly Broken Nose?
Can the doctor put a cast/splint of some sort to help it heal straight? If not, do I wait for it to heal and then seek plastic surgery to fix it?
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12 Doctor Answers |
Asked by
broken123
in Texas
+2
Nasal Fracture Treatment
The approach your surgeon will take with your nose will depend upon whether the fracture has displaced your nose and if so, how severely. A non-displaced nasal fracture can be observed and it will heal to the same shape it was prior to the injury. If your nose was displaced during the trauma, you will likely have to have the fractures reduced to straighten the nose.
The reduction procedure will also depend upon the degree of displacement you sustained. Your surgeon will decide and discuss...
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Broken Nose Repair
Our protocol for a broken nose depends on the timing of the initial consultation. In some cases, it is important to reset the broken nasal bones under general anesthesia. If there is severe swelling, the swelling is allowed to subside before initiating any further surgery.
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Fixing a newly broken nose
The protocol in our office for a broken nose repair is to formally reset the nose under general anesthesia. It took a lot of force to break it in the first place, and it needs to be set and realigned while asleep under general anesthetic. Most of the time when the outside of the nose is broken the internal septum is also fractured and crooked, creating a deviated septum. It is important to let the swelling to come down during the first two weeks prior to embarking on surgery to see how...
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Nasal Fracture
The nose should be evaluated as soon as possible after the trauma to rule out a septal hematoma (a blood clot within the septum) which could cause permanent damage to the nasal structure. If present the hematoma should be evacuated immediately. If not, wait about 10 days to determine if there has been a change in nasal appearance or breathing obstruction. If neither has occured, treatment of the fracture is not necessary. With deviation of the nasal bones, they can be manually repositioned...
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Nasal Fracture
It is ideal to wait for the swelling to decrease, maybe a week or two and then perform a closed nasal reduction to reset the bones. Even doing this, there is 50% chance that you will need some sort of revision rhinoplasty later down the line. I like to wait 1 year before attempting the revision rhinoplasty.
Good luck.
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Nasal bone fracture
A splint will not help it heal straight. If the nose is crooked it must first be reset to straighten it. If the nose is not reset with in the first 10 days, as the nasal bones can be shifted during this time, then usually it is best to wait 3 months.
Long Island City Plastic Surgeon
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Timing of nasal fracture repair.
There are 3 basic time points in which a nasal fracture can be repaired.
1) Within a few hours after the injury. This is due to the fact that the nose will start to swell, thus making it difficult to assess and modify the nasal contours and position.
2) After several hours and before 2 weeks. During this window, we wait until the swelling has come down and then re-set the bones into their appropriate position.
3) After 8 weeks. If the nose is not repaired within 2 weeks, it is...
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Fix broken nose within ten days or wait eight weeks
The nose must be evaluated on two fronts: breathing and external appearance.Assuming there is not major blockage preventing breathing, which is the only bonafide broken nose emergency, either the correction of breathing/appearance is done within the ten days after injury or one waits to operateuntil the bones have welded together, which is usually by eight weeks later.The cosmetic nasal surgery specialist must perform a complete evaluation at the time of consultation after the accident....
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3 times for correction
I fix broken noses at three different time - 1 at the time of injury if there is little swelling - if swolen, I wait 7 to 14 days and do a closed reduction. If you have waited longer than 2 to 3 weeks before seeing a doctor, I wait until it heals and then fix it with and open reduction at 3 months.
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Timing after a nasal fracture is important.
I usually recommend against "immediate" reduction of a fracture for two reasons: 1) swelling--which occurs very quickly after a fracture--can obscure the actual curvature making accurate alignment difficult or impossible, and 2) "immediate" reduction usually means in the E.R. and not the O.R., so adequate pain control is usually impossible.
As for delaying the reduction, I usually like to treat patients after 5-7 days, but before 2 weeks. By two weeks, the bones are...
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What to do if your nose is broken
The treatment depends on the severity of the fracture. If it is a new fracture, it can be "set" within 5-7 days with a splint applied for several weeks. If the fracture is severe enough, it may warrant repair with small metal plates. However, if several weeks have elapsed since the fracture it may be beneficial to wait and have the repair done at a later time to ensure a good result.
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Timing of nasal fracture repair
Treatment protocols vary. Oftentimes immediate reduction (correction) of the fracture is desired, while others believe that a period of 3-5 days for resolution of the edema and swelling is optimal. In either instance splints are typically applied for a period of 5-8 days.
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