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Broken Nose

WHAT YOU SHOULD KNOW

A small fracture of the bone in your nose will usually heal in about a month. A really bad break may need surgery after the swelling is gone.

Causes

Any blow to the nose can cause a break. The injury is typically sustained during athletics or in a fall.

Signs/Symptoms

Swelling, pain, bruising, and bleeding can be expected. Your face may feel numb or tingle. If the break has pushed the bones out of place, the nose may seem out of shape.

Care

If you have a bad break, you will probably need an x-ray, and surgery may be necessary. X-rays often fail to detect a nasal fracture, so the doctor may delay them for 1 to 4 days after the injury, or until the swelling has gone down. The nose is usually filled with cotton packing, and you may have to wear a splint over the top of your nose for protection during the healing process. If skin was scratched or torn during the accident, you may also have to get a tetanus shot.

WHAT YOU SHOULD DO

  • Apply ice to the injury for 15 to 20 minutes each hour for the first 1 to 2 days. Put the ice in a plastic bag and place a towel between the bag of ice and your skin.
  • When you lie down, rest your head on 2 or 3 pillows so it is above the level of your heart. This will help reduce pain and swelling.
  • Always take your medicine as directed. Over-the-counter medications may be taken for pain.
  • If you are given a tetanus shot, your arm may get swollen, red, and warm to the touch at the injection site. This is a normal reaction to the medicine.
  • If you are given a splint for your nose, try to keep it dry and do not remove it until your doctor gives the go-ahead.
  • You may be allowed to take the splint off to shower. Ask your doctor whether this is okay.

Call Your Doctor If...

  • The pain gets worse or you keep having nosebleeds.

Seek Care Immediately If...

  • You have bleeding from the nose that does not stop after 10 minutes with the nostrils pinched closed.
  • You see clear fluid draining from the nose.
  • You notice a grape-like swelling on the septum (the wall between the nostrils). This is a collection of blood that must be drained to keep the nose from becoming infected.

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