I am cabin crew I have broken my nose . I cannot take sick leave, what do you suggest I do?

Question

I'm temporary cabin crew who has had my nose broken on a Tuesday morning , I'm on days off and due back to work on Thursday for 5 days . I'm on a temp contract , cannot take sick leave as attendance is key for being offered permanency . Anything I should take note of . Thankfully I'm a make up artist that will be able to conceal bruising , thank you in advance

William Portuese, MD · Answer

It is difficult to undergo a broken nose repair within the first month after  trauma to the nose. Medial and lateral osteotomies of the nasal bones are required to re-set the nose. A cast will be applied across the nose for one week and anticipate 2 weeks of bruising and swelling after the procedure.

Kris M. Reddy, MD, FACS · Answer

Each physician have different guidelines regarding post operative care. Typically, light activity can resume 5 to 7 post surgery. Bruising and most swelling generally resolve itself in the first two weeks.  Residual swelling that can take 6 to 12 months to resolve but not noticable to the general public. Consult with your surgeon regarding your case as he or she will know the scope of surgery and the specifics about you.

James C. Grotting, MD, FACS · Answer

Surgery for a broken nose can be done electively, after the
swelling has subsided.  That will give
you time to arrange your work schedule so that you can undergo surgery.  A rhinoplasty is an outpatient procedure, and
you can go home the same day.You will
likely have a splint on your nose for up to 2 weeks, and any bruising and
swelling should dissipate during this time period.  When your doctor finally releases you back to
work, it may be prudent to avoid lifting heavy baggage so that you don’t
reinjure your nose.  It is up to the discretion of your plastic surgeon
as to how much time off work is necessary after your rhinoplasty.  I would advise you to consult with a board
certified plastic surgeon to discuss these issues.

Demetrio J. Aguila III, MD, FACS · Answer

Thank you for your question.  As a general rule, depending on the severity of the injury, as well as your age and a few other factors in your medical history, you may have up to 2 weeks after the date of injury to correct a nasal fracture - this can often be done in the office under local anesthesia.  Of course, this is all dependent on your particular circumstances and the details of your injury, most of which cannot be fully assessed without a thorough physical examination.  Additionally, it would be best to avoid any strenuous activity, bending at the waist, or nose-blowing for the next few weeks, primarily in order to decrease the risk of bleeding while you're healing.As an alternative, it's reasonable to wait six months or so in order to allow the bones to heal completely, and then undergo nasal surgery such as a rhinoplasty in order to correct any residual deformity that may have arisen from your injury.I hope this helps.

C. Dennis Bucko, MD (retired) · Answer

A broken nose is almost never an emergency. In fact it is better to wait for the swelling to recede for at least a week and treatment, if needed, can be performed even years later. Often the visible deformity is minimal after the swelling is gone and there may be minimal breathing problems so no treatment is needed. Patients can make this decision themselves and seek a plastic surgeon later.

I am cabin crew I have broken my nose . I cannot take sick leave, what do you suggest I do?

Answers (5)

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