Factors that may increase the chance of a nose fracture include:
Any condition that causes frequent falls, such as:
- Increased age
- Seizure disorder
- Alcohol use disorder
- Previous nose fracture or nose injury
- Participating in sports, especially contact sports
- Reckless behavior during recreational activities or driving
- Failure to wear a seat belt —keep in mind that airbags can also sometimes cause injury
You will be asked about your symptoms and how the injury occurred. Your nose and face will be examined for:
- Irregularities in the shape
- Movement of the bones of the nose and face
- Rough sensation when the nose is moved
- Pain or tenderness to touch at the nasal bridge
- Injury to the nasal septum (especially hematoma)
- Any fluid from the nose, such as blood or cerebrospinal fluid (in severe cases)
Although not necessary, imaging tests may be done to confirm the fracture, and check its location and severity. They usually are not done until the inflammation goes down. Imaging tests may include:
- CT scan
Treatment depends on the severity of the fracture. If the nose is broken and in position, the only treatment needed is home care. It is important to be careful to not bump the nose while it heals. More severe fractures may need realignment or surgery.
Ice can be used to help reduce inflammation and pain.
Prescription or over-the-counter medications may be given to help reduce inflammation and pain.
Realigning the Bones
If the nose is out of position, obstructing your breathing, or causing other problems, then the doctor may:
- Drain any blood that may have collected in or around the septum
Set the fracture by:
- Moving the bone back to its normal position after the inflammation has gone down
- Stabilizing the bone with gauze packing on the inside and a splint or tape on the outside
Surgery may be needed to set the fracture if:
- The fracture is severe and will not heal without surgery
- The nose is severely misshapen
- The fracture impairs breathing
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
Copyright © EBSCO Information Services
All rights reserved.
a (Broken Nose)
American Academy of Cosmetic Surgery http://cosmeticsurgery.org
Family Doctor—American Academy of Family Physicians https://familydoctor.org
The Canadian Society of Plastic Surgeons http://www.plasticsurgery.ca
The College of Family Physicians of Canada http://www.cfpc.ca
Fractures of the nose. Merck Manual Professional Version website. Available at: http://www.merckmanuals.com/professional/injuries-poisoning/facial-trauma/fractures-of-the-nose. Updated September 2016. Accessed August 30, 2017.
Isolated nasal bone fracture—emergency management. EBSCO DynaMed Plus website. Available at: https://www.dynamed.com/topics/dmp~AN~T910337/Isolated-nasal-bone-fracture-emergency-management . Updated August 30, 2017.
Nasal fractures. American Academy of Otolaryngology—Head and Neck Surgery website. Available at: http://www.entnet.org/content/nasal-fractures. Accessed August 30, 2017.
Ondik MP, Lipinski L, Dezfoli S, Fedok FG. The treatment of nasal fractures: a changing paradigm. Arch Facial Plast Surg. 2009;11(5):296-302.
Rother T, Riechelmann H, Gronau S. Secondarily accelerated foreign bodies as a source of danger from airbag deployment. HNO. 2006;54(12):967-970.