ENT Appointment 3 Weeks After Injury?

Just called appointments today to be told I have an appointment for Wednesday 22nd 3 weeks after I received a bang to the nose playing football that slightly knocked it off center & feels abit congested, when I move it in certain parts you can hear little clicks but I have no pain, little or no bruising. Just wondering even after this timelime can this still be a straight forward procedure to restore my nose back to its original midline position? Thanks, Francie

Doctor Answers 13

ENT appt

I usually try to see patients within the first week so I can plan surgery within 2-3 weeks of the injury.  I have successfully replaced fractures after 4 weeks however.  Call the doctors office and be sincere asking for a sooner apppointment.  If you are flexible you might get in on a cancelled appointment within a few days.  Tell them to keep your number handy.

Chicago Plastic Surgeon
5.0 out of 5 stars 2 reviews

Ideal Timing to Have Nasal Injury Treated

There are different opinions by many experts as to when is the right time to have a nose reset after injury, and no one answer is the only correct one.  However, I would recommend that you try to get in for an initial evaluation within one week after the injury and then let your surgeon decide on the timing of repair, and if anything even needs to be done.  One exception is if you have complete nasal blockage, which may be a sign of a septal hematoma, as this is an emergency requiring more urgent treatment.

James Bartels, MD
Manchester Facial Plastic Surgeon
4.7 out of 5 stars 12 reviews

Evaluation after nasal injury

You should be seen much sooner than 3 weeks.  The ideal window is between 3 and 10 days for the swelling to resolve and a closed reduction of your nasal bones to be performed.  This will prevent you from having a more aggressive rhinoplasty in the future.

Richard Ellenbogen, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 30 reviews

Appointment time after nasal injury

Hi Francie. Thank you for your question. This question comes up regularly. If the nose is broken and needs to be reduced (realigned) to minimize the deformity or crookedness, then that procedure is best performed before the nasal bones have healed in their new, potentially deviated position. Many surgeons prefer to perform such a reduction either within 24 hours after injury or between 6 and 10 days after injury. That way, the swelling that accompanies a nasal fracture will not obscure from the surgeon's view any persistent deviation. Also, by 10 days, the degree of healing will generally not prevent effective reduction. As more time passes, more healing ensues. By 3 weeks after injury, it is generally more challenging to reduce the nasal bones. At some point, the bones are not able to be reduced, and must be re-broken in order to realign them. I hope that helps your understanding. Good luck.

James M. Pearson, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 131 reviews

Appointment 3 Weeks after Nasal Trauma

I would request an appointment to have your nose evaluated sooner than 3 weeks after the injury. If it is a " little off center" and you feel "clicks" you probably have broken your nose. Sometimes the nose can be repositioned with minimal surgery if the fracture is treated before the bones heal.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews

Broken nose

Typically in the event of a displaced nasal fracture there is a 10-14 day window after injury during which the bones can be easily manipulated for a closed reduction. After that it may be more difficult and require something more invasive. Even though you may feel "clicks" if the nose does not appear displaced you may not require any treatment.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

Time frame for broken nose

ideally you should be seen and treated in no more than 7-10 days after a broken nose so that the mobile pieces, if shifted, can be reset before they heal in the incorrect position

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

3 weeks after trauma a good time for Rhinoplasty

 After nasal trauma, with or without a nosebleed..the most important thing to do is have the inside (septum) examined using a light and nasal speculum.  This is done to rule out a septal hematoma that if present can cause the septal cartilage to die  within 24 hours with a saddle nose deformity months later due to septal dissolution and collapse.  Since you do not have a significant decrease, nasal braething, it's unlikely that happened.

 The clicks and noises, you hear could be the result of fractured cartilage and bone, so you might want to avoid that until you have your examination.  Historically, the nose is allowed to heal from the initial trauma for 3-6 weeks and then a Rhinoplasty is performed to re-fracture the nasal bones and fix torn cartilage.  I do not perform nor believe that closed nasal reductions can reliably reallign the nasal bones and cartilage and that this procedure is borderline barbaric.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 25 reviews

Video: Rhinoplasty for broken nose 3 weeks out can be too late

I would try to get in earlier. The bones start to set at 3 weeks and earlier.  If it is less than a week, you can try to locally reduce the broken nose. This can be a difficult and painful way if done under local anesthesia, which I have done when I was at Los Angeles County Hospital.  After 3 weeks the nose is more settled and you cant move it anymore. Then you will need a more formal rhinoplasty to fix or straighten it.

Thanks for reading, Dr Youn

Philip Young, MD
Bellevue Facial Plastic Surgeon
4.2 out of 5 stars 86 reviews

When to be seen after a broken nose

I usually like to see patients 3-7 days after the injury.  I like to see children before 5 days.  The reason for this delay is to allow some of the swelling to go down, but is still soon enough that the bones have not "set" and can be positioned into place, if necessary.  Waiting longer than this runs the risk of having the bones set and needing to re-fracture the nose to get the bones in proper position.

P. Daniel Ward, MD
Salt Lake City Facial Plastic Surgeon
5.0 out of 5 stars 42 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.