01/18/2021 Nasal fractures are deemed to be one of the most common types of facial bone fractures, representing 40% to 50% of cases. Normally, a broken nose can be treated with good outcomes in the majority of patients. However, due to the cosmetic and functional importance, and the prominent location of the nose, nasal injuries present a compelling challenge to the facial plastic surgeon to restore everything to normal.
Given the importance of the nasal bone in facial aesthetics, Dr. Monica Tadros facial plastic surgeon conducts in-depth preoperative screening of the injury prior to committing to surgery. Dr. Monica Tadros is proud to be among a few broken nose repair specialists in NJ & NYC who can truly provide her patients with long-term aesthetic and functional outcomes of the treatment. Thousands of successful broken nose surgeries have allowed Dr. Tadros to be among the most respected and trusted plastic surgeons across the U.S.
What is a Nasal Fracture?
- Septal Hematoma: The most serious complication of nasal trauma is a septal hematoma. This is a collection of blood that peels the lining of the septum away and creates pressure on the underlying cartilage. Failure to drain a septal hematoma may rapidly result in irreversible pressure necrosis of the septum. This is a common source of septal perforation and the gradual collapse of the nose over time.
- Partial Nasal Bone Fracture: The nasal bones that comprise the nasal bridge define the shape of the upper third of the nose. Obvious fractures may result in dislocation or comminuted (fragmented/crushed) bones. Non-classical injuries are commonly missed and may only involve part of the nasal bone at the radix. These fractures may cause the nasal bones to splay apart or a new “bump” to form without actually shifting the bones to the left or the right. This is especially concerning in pediatric and adolescent injuries that might result in mal-development of the nose if left untreated.
- Nasal Cartilage Fracture: While the upper third of the external nose is bone, the lower two-thirds is cartilage. A cartilage fracture represents a serious condition and may occur with or without a nasal bone fracture. These fractures are most commonly missed because they cannot be detected on Xray, cannot be seen through the edema and usually result in delayed symptoms.
- Nasal Septum Fracture: Fracture of the nasal septum is the most commonly missed injury after nasal trauma. The cartilage or bone of the septum may break causing a deviation, or slip off its original resting position on the floor of the nose. In pediatric and adolescent injuries this may result in mal-development of the nasal shape, breathing problems and poor sinus circulation, leading to significant breathing and sinus problems even years after the injury.
- Middle Turbinate Fracture: The middle turbinates are the structures that guard the entrance into the sinuses. They are located on each side of the septum. When the septum fractures, it may break into the middle turbinate. When this happens, the sinuses become blocked with scar tissue. This can cause existing sinus issues to worsen, or new sinus symptoms to develop over months to years.
Dr. Monica Tadros and her experienced staff at the top rated center for sinus, sleep, and facial plastic surgery in NYC & NJ look forward to assisting you with discreet and personalized care to meet your individual medical and aesthetic rhinoplasty needs. Our standard of excellence ensures perso…
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