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Closed Reduction for Slight Nasal Fracture?

asked 1 year ago by Tampa Paul in Land O Lakes, FL
Latest answer by William Portuese, MD
Question viewed 1,287 times
Tags: male, broken nose, closed, reduction

I had small nasal fracture and septal deviation from an errant arm in a soccer game two days ago. It is hard for me to tell if it has affected my breathing because I also have had a cold prior to and after the game as well. I wondered if there were any suggestions as to how to best evaluate it prior to making a decision. Should I try to completely clear my sinuses through a nose pot or hot peppers to better evaluate any breathing irregularity? I have also included photos. Thanks for any help.

13 answers to Closed Reduction for Slight Nasal Fracture?

Closed reduction for nasal fracture

We no longer perform closed reduction of nasal fractures because of the recurrence of the fracture. We perform an open reduction for nasal fractures, which includes osteotomies. Many times after the injury there is a septal deviation that needs to be corrected. If the nose is crooked from the external view, it needs to be reset formally. This can be done as a primary operation or in conjunction with a septoplasty if needed. It is important to wait approximately two to three weeks after... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Closed reduction after nasal fracture

Early evaluation by a Board Certified Plastic Surgeon is the best way to determine if closed reduction of a nasal fracture would benefit you. Your symptoms are unfortunately not specific enough to warrant it. Your picture is helpful, but an internal nasal examination would be most beneficial. The sooner you are seen the higher the success rate with closed reduction techniques.

William A. Wallace, MD, FACS
Jacksonville Plastic Surgeon

Repairing Nasal Fracture with Closed Reduction

Hi Tampa Paul, Broken noses are extremely common. Nose bleeding & nasal deviation are the more common signs of bone fracture. Breathing irregularity is typically not the best method to determine nasal injury, as swelling occurs both on the outside and inside of the nose. Treatment is generally recommended after a short waiting period from the initial injury, to allow resolution of some the swelling. Typically nasal fractures are repaired about 1-3 weeks after injury... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

Nasal Fracture

Hello Tampa Paul- Rough soccer game....I assume you were evaluated in the ER and an MD diagnosed the small nasal fracture and septal deviation? Unfortunately, I think it is probably in your best interest to see a Board Certified Rhinoplasty Surgeon and have them evaluate whether or not you truly do have a fracture and a septal deviation...the deviation could be swelling from a septal hematoma which would need immediate attention and can be drained by the surgeon. I like to see patients wi more

John Philip Connors III, MD
Atlanta Plastic Surgeon

Closed reduction for nasal fracture

Hello, It is difficult to determine whether or not your breathing is affected by the trauma you experienced. An examination would be necessary to provide you with any advice. If the nose is straight, a closed nasal reduction will not be necessary. If you wish, please feel free to schedule a consultation with my office and I would be happy to evaluate your nose. Thank you, and good luck to you. Dr. Nassif

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon

Correction of a Broken Nose

Your nose does not look bad in this picture. What I usually do is allow the swelling internally and externally resolve of 7-10 days then re-evaluate the need for surgery. That's my advice. Dr. ES

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

Close Reduction/Internal Fixation for Nasal Fracture

Dear Paul with nasal fracture from Land O Lakes, FL I reviewed your post injury photo. It is difficult to evaluate your fracture or degree of injury to your nose by looking at this picture. A displaced nasal bone and septum as result of injury can be easily diagnosed by direct nasal evaluation and nasal X-Ray. If your surgeon suggested a closed reduction, you may want to do this procedure rather than waiting for a few weeks to have a more complex surgery. For simple displace nasal bone... more

Kevin Sadati, DO
Orange County Facial Plastic Surgeon

www.galleryofcosmeticsurgery.com

Nasal fracture

I would wait at least 4-6 weeks before evaluating if you have any real changes in breathing. There is no rush to do anything.

Gary D. Breslow, MD
Paramus Plastic Surgeon

Closed reduction for nasal fracture is best

There is no emergency as long as some one has evaluated your nose to make sure you don't have a septal hematoma. If your nose is definitely broken and deformed there really is no reason to wait to have a closed reduction under general anesthesia. This should be done sone but not an emergency. If your nose looks a little different and it is hard to tell how displace the bones and septum are then I would ask you to wait 10-14 days to see how it looks after the immediate swelling... more

Carl W. "Rick" Lentz III, MD
Daytona Beach Plastic Surgeon

Rhinoplasty - Closed reduction

If it's only been 2 days, it's possible to have a closed reduction because the nasal bones are still mobile. You could potentially fix the small fracture and your septum with this procedure. If after you heal from your cold and the swelling associated with your injury and you still have trouble breathing or don't like the way your nose looks - you could have a formal rhinoplasty/septoplasty in a few months. Dr. Cat Begovic

Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon

Nasal Fracture needs evaluation

It is best to be evaluated within 4 weeks of a nasal fracture. We can often perform a closed reduction (without the need for surgery) during this time frame. X-rays are not needed. I do not foresee the need for Septoplasty in your case. A board certified Rhinoplasty surgeon is your best option. Medi pot may help clear you up in a few days, but you should seek an expert to examine you and make recommendations. Dr. Gross, Orlando.

Edward J. Gross, MD
Orlando Facial Plastic Surgeon

Slight Nasal Fracture

Get over the nasal cold, allow 2 weeks of healing, than see a boarded rhinoplasty surgeon. My gudess is you will need an open reduction and septaloplasty. From MIAMI Dr. Darryl J. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Nasal fracture

The best way to evaluate your nasal fracture is to see a rhinoplasty surgeon specialist. Resetting the bone now as opposed to months later is a much better approach. Revisions are alwyas easier later and almost always required.