Closed Reduction for Slight Nasal Fracture?

Nasal trauma that deforms the nowe should be examined by a Plastic Sugeon or  ENT/ facial plastic surgeon to see what has been injured, that there is no septal hematoma that may have to be evacuated,  and to evaluate if  there is a nasal or septal fracture. It is far easier to repair any injured cartilage or bone displacement in the first few weeks following an injury.

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 with a similar history to your ASAP, because I can assess the septum and treat it as need, and also set the fracture before it forms scar tissue and "locks" the malpositioned bone in an abnormal place. Earlier the better...get on-line and find a surgeon specializing in Noses.

Hope this helps!

Dr. C

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

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

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 fracture closed reduction and internal fixation is an excellent option. Remember you have only one week window period after initial injury to have this procedure