Nasal fracture - aftercare
Your nose has two bones at the bridge of your nose and a long piece of cartilage (flexible but strong tissue) that gives your nose its shape.
A nasal fracture occurs when the bony part of your nose has been broken. Most broken noses are caused by trauma such as sport injuries, car accidents, or fistfights.
More about your injury
If your nose is crooked from the injury you may need a reduction in order to put the bones back in place. If the break is easy to fix, a reduction can be done in the doctor's office. If the break is more severe, you may need surgery to fix it.
You may have a hard time breathing through your nose because the bones may be out of place or there is a lot of swelling.
What to expect
You may have one or all of these symptoms of a broken nose:
- Swelling on the outside and on the bridge of your nose
- A crooked shape to your nose
- Bleeding from either inside or outside the nose
- Difficulty breathing through your nose
- Bruising around one or both eyes
Your doctor may need to get an x-ray or a CT scan of your nose to see if you have a fracture.
If you have a nosebleed that does not stop, the doctor may insert a soft gauze pad called packing into the bleeding nostril.
If you need surgery, you will need to wait until most or all of the swelling has gone down. In most cases, this is 3 to 6 days after your injury. You may be referred to a special doctor -- such as a plastic surgeon or an ear, nose, and throat doctor -- if the injury is more severe.
For simple breaks, in which the nasal bone is not crooked, the doctor may tell you to take pain medicine and nasal decongestants, and to put ice on the injury.
To keep pain and swelling down:
- Rest -- try to keep away from any activity where you could bump your nose.
- Ice your nose for 20 minutes, 2 to 3 times a day. Do not apply ice directly to the skin.
- Take pain medicine if necessary.
- Keep your head elevated.
For pain, you can use ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), or acetaminophen (Tylenol). You can buy these pain medicines at the store.
- Talk with your health care provider before using these medicines if you have heart disease, high blood pressure, kidney disease, or have had stomach ulcers or internal bleeding in the past.
- Do not take more than the amount recommended on the bottle or by your health care provider.
You can keep doing most daily activities, but use extra care. Try not to lift anything heavy unless your doctor says its OK. If you have a cast or splint, wear this until your doctor says its OK to take it off.
You may have to avoid sports for a while. When your doctor tells you it is safe to play again, make sure to wear face and nose guards.
Self-care at home
Do not remove any packing or splints unless your doctor tells you to.
Take hot showers to breathe in the steam. This will help ease stuffiness and break up mucus or dried blood that builds up after surgery.
You may also need to clean the inside of your nose to get rid of dried blood or drainage. Use a cotton swab dipped in warm soapy water and carefully wipe the inside of each nostril.
If you take any medicines nasally, talk to your doctor before using them.
Follow up with your doctor 1 to 2 weeks after your injury. Based on your injury, your doctor may want to see you more than one time.
When to call the doctor
Call the doctor if you have:
- Sudden numbness or tingling
- Sudden increase in pain or swelling
- Any open wound or bleeding
- Injury does not seem to be healing as expected
- Difficulty breathing that does not go away
- Any changes in vision or double vision
Nasal fracture. In: Buttaravoli P, Leffler SM, eds. Minor Emergencies. 3rd ed. Philadelphia, PA: Elsevier Mosby; 2012:chap 33.
Reviewed By: Ashutosh Kacker, MD, BS, Professor of Clinical Otolaryngology, Weill Cornell Medical College, and Attending Otolaryngologist, New York-Presbyterian Hospital, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.