Do I have a displaced fractured nose? When can I come back to soccer? Do I need to undergo a closed reduction procedure? (Photo)

you still have a lot of swelling and this will continue to be a problem in the future,If you don't have it fixed in the first 2 weeks,then you should wait 3 months.In the meantime ,you can work out without a face guard

You can reduce the fracture if there is a cosmetic or functional need.  Returning to contact sports is a judgement call.  I've had athletes who for one reason or another had to return to their sport early  knowing full well if they are hit in the nose the severity of the new fracture could be much worse than the original.  Once a month passes you should be in fair shape but the nose won't be well-healed and very solid for about two months and continues to improve in strength and swelling as the months pass.

HI and thanks for your question. Your CT exam demonstrates a displaced nasal fracture. It will take about 6 weeks to properly heal so I would recommend that you avoid any contact sports during this time period to avoid injury and further deviation. Good luck.

 A nasal fracture does not necessarily have to be repaired and can be left alone whether it's displaced, or non-displaced. It's also important to evaluate the upper lateral cartilages and the nasal septum at the same time. In our practice, we do not perform closed reduction of a nasal fracture, however we perform open reduction of a nasal fracture with osteotomies through a closed rhinoplasty approach with all incisions placed on the inside of the nose. This allows better realignment of the nasal bones. From the one very limited photograph it appears the nose is fairly straight ,so it may be best to wait and  reevaluate in one month once the swelling has subsided

Hello Chrisluu,Looking at your CT scans it does appear to show a left nasal fracture.  The swelling from this will last several weeks, so what the CT shows may become more noticeable as the swelling goes away.  The CT shows a fracture that would be amenable to a closed reduction. The questions is whether you need it.  Since you aren't having any breathing difficult, you don't NEED to have it fixed.  But if the cosmetic changes you can expect would bother you, you should consider having it fixed.  There is a time window for a closed reduction that is rapidly approaching.  I'd recommend you consult with a facial plastic surgeon ASAP if you are interested in repair.  Even if you aren't, your ability to return to contact sports would be about the same time whether you have a closed reduction or not.  For the actual timing you would need to discuss this with your surgeon.  I hope this helps and good luck. 

It's definitely possible you need your nasal fractures properly reduced in the OR for proper cosmetic outcome. Would need to see you in the office but I'd recommend you go see a PS and have them look at you and also make sure you don't have a septal hematoma

Wow, your CT demonstrates a significant bilateral displaced nasal bone fracture with associated nasal septal deviation! The management of these types of injuries in my practice typically involve a closed reduction of nasal bone fractures with external stabilization under general anesthesia on an outpatient basis. The operation under controlled conditions is well tolerated by patients and is best performed within 7-21 days of the initial injury. This window allows for the skin and soft tissue swelling to decrease from the initial trauma, allowing the surgeon to see more accurately the corrected nasal bone position. Additionally the fractured nasal bones have not healed completely at this stage, permitting your doctor to reduce the fracture site to the correct anatomical position, avoiding an open technique in the process. Depending on the examination of your septum, it is often best to plan any septoplasty correction of your deviated septum for 6-12 months following your closed reduction. Regarding physical activity, this depend on the patient and their rate of recovery. Most athletes can resume normal activity within 10-14 days from external splint removal. I would discuss the details with your doctor about this as recommendations can vary about activity. I hope this information helps.

It does appear that you have a displaced nasal fracture. A closed or open nasal reduction would be advised if it has been within two weeks of your injury. The goal of the surgery would be to manipulate the bones into their original position as much as possible. I know this may interrupt your workouts for a week, but if you were my friend or family member I would recommend having the procedure. If it has been past two weeks and the bones are healed in place a septorhinoplasty 3-6 months later will be needed to correct the deviation. Additionally, I can't tell much from your CT scan pictures about your nasal septum which may also have been deviated. Even though you don't have breathing problems now they may develop later and could be at least partially addressed during the closed or open reduction. I wish you the best. Cody Koch

It is not always necessary to treat nasal fractures unless there is a change in appearance or breathing obstruction after healing has progressed over 6-8 weeks. Hopefully you're not a professional soccer player because you should avoid additional trauma at this time. You will determine if there is a need for surgery after healing is complete.