Is a little over 2 weeks ok to do surgery for a broken nose?
Doctor Answers 4
Surgery Time for a broken nose
Yes. The ideal window is somewhere between 5 days and 3 weeks. Doing surgery before 5 days generally is a challenge as there is too much swelling, and it’s difficult to know for certain how much deviation there is and how much correction is required. Past 3 weeks, the bones will likely have healed to an extent that it will be more challenging to shift them back into position and may require re-breaking them. 2 weeks is somewhere in the middle, and as such is a reasonable time to perform surgery. However, at that point there is some healing and it would require some force by the operating surgeon.
Broken nose and surgery
The sooner a broken is corrected the easier it is to manipulate and reposition the bones back to near the correct positions. Sometimes this is unsuccessful even if done soon after injury. At two weeks, most of the time the bones have hardened into position pretty firmly thus making it difficult to change the position of the bones without causing additional trauma.
At two weeks and three days it could certainly take more time to put things back into place, but it may be worth the chance at the very least. It is possible you may need further surgery to correct your nose once the swelling goes away. Also, I prefer not to address any injuries to the nasal septum until the initial inflammation and swelling from the injury goes away. If I need to address the nasal septum due to the injury, than oftentimes I will wait to address both the septum and the nasal bones a few months down the road and avoid a closed reduction early on since a subsequent delayed surgery is needed regardless. Hope this helps, and I hope you get the information you are looking for!!
Ideal time to fix a broken nose
After a nasal fracture, the bones can be reduced (put back into place) to heal. This can be performed immediately (up til around 2 weeks) or you can wait for the swelling to go completely away. The advantage of addressing it early is the avoidance of scar tissue and the bones can be pushed into place without much manipulation (closed reduction) in the first 2 weeks or so. Bear in mind, there is potential for a revision procedure if the bones don't heal well.
Waiting gives a clearer picture of the nasal structures; however there will be healed bone, scar tissue and a need to perform more advanced techniques to straighten the bones (open reduction). The advanced techniques improve your chance for a better outcome.
Ask your surgeon about the surgical plan and express your concerns. Trust me. Your surgeon wants a good outcome for you and she/he will take timing into account. Safety comes first.
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Is a little over two weeks okay to do surgery for a broken nose?
It is acceptable to straighten a broken nose at any time after the Injury. It's always best to try to attempt to straighten it sooner, rather than later because at this point the nasal bones/ Cartilages have memory to go back to being straight. Once the nose is healed crooked years down the road, it makes it more difficult because the nasal bones and cartilages tends to want to heal back to their crooked state. In our practice, we perform osteotomies after A nasal fracture to control how the nasal bones heal. This is also known as an open reduction nasal fracture, not a closed reduction.
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.