Nose Nasal Ear
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Nose Nasal Ear
What To Do When Suffering A Broken Nose
What are the most common causes of a broken nose (nasal fracture)?
A broken nose (nasal fracture) usually occurs from an athlete getting hit in the face by either an opponent or sports equipment such as hockey sticks, baseballs, or softballs. Fractures can occur either from a direct blow to the front of the nose or from a sideways blow.
Who gets a broken nose (nasal fracture)?
A broken nose (nasal fracture) is common in sports where there is direct physical contact between athletes. A broken nose is common in the sports of basketball and soccer from head-to-head contact, head-to- elbow contact, or head-to- shoulder contact.
Any sport in which a small ball is flying at high speeds is a sport in which a broken nose is common. For example, take the sport of softball. Fractures can occur in a number of ways including fouling off an inside fastball or curveball directly to the nose, taking a grounder off of a bad hop directly to the nose, or missing a fly ball with the glove and catching it with the nose.
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Symptoms
What are the signs and symptoms of a broken nose?
Most broken noses are going to immediately result in nasal bleeding. The blood can be coming from both the inside of the nose from the fracture and outside of the nose from lacerations and/or abrasions incurred during the impact.
One of the best indicators of a broken nose is the alignment of the nose. Have the athlete look into a mirror as soon after the impact as possible and prior to the swelling setting in. Have the athlete check the bridge of the nose to see if it looks straight.
The nose may also look flattened or asymmetrical. The nasal airway may be obstructed making it difficult for the athlete to breathe through both nostrils.
As time passes, the tissue around the nose and below the eyes will begin to swell. Discoloration will also begin to set in and will increase in color during the 48 hours post-injury.
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Treatment
What is the immediate treatment for a broken nose?
Care must first be given to the athlete to ensure that the athlete did not sustain a serious head injury. Any force that can fracture a bone in the face can also cause a concussion or brain injury.
If the athlete is conscious and bleeding, the first step is to stop the bleeding. Gauze can be applied to the nose with mild pressure. The athlete should be placed in a sitting position with their head tilted forward. This will cause the blood to drain out of the nose and not down the back of the athlete's throat.
For more treatment information, please visit the following link
Broken Nose
More Information: Read about treating sports injuries using the P.R.I.C.E. principle - Protection, Rest, Icing, Compression, Elevation.
Should I have the broken nose reset?
If a broken nose is present, the athlete may have his/her nose repositioned if needed by an emergency room physician or may be referred to an ear, nose, and throat specialist. To have the fracture repositioned without surgical repair, this should be done either immediately after the injury or 3 to 7 days later when the swelling has reduced.
If significant time has passed and the fracture has begun to heal (7 days post-injury), then surgical repair may be required to reset the fracture.
Is it safe to return to sports after a broken nose?
Athletes can safely return to sport when they have been cleared by a physician to return and only if they wear a protective splint or face guard. These can be purchased by sports medicine companies or can be custom made for the individual. The athlete should wear the face guard for at least six weeks post-injury or until the physician states that it is safe.
If you suspect that you have a broken nose (nasal fracture), it is critical to seek the urgent consultation of a local sports injuries doctor for appropriate care. To locate a top doctor or physical therapist in your area, please visit our Find a Sports Medicine Doctor or Physical Therapist Near You section.
References
Bahr, R., & Maehlum S. (2004). Clinical Guide to Sports Injuries. Human Kinetics: Champaign, IL.
Anderson, M.K., Hall, S.J., & Martin, M. (2009). Foundations of Athletic Training: Prevention, Assessment, and Management. (3rd Ed). Lippincott Williams & Wilkins: Philadelphia, PA
About the Author
About Terry Zeigler
Combining a love of sports with a passion for the medical field, Terry has spent over twenty years working with college athletes as a Certified Athletic Trainer specializing in the prevention, treatment, and rehabilitation of injuries. Along with working alongside injured athletes, she spends much of her time in the classroom and clinical setting teaching and preparing students for careers as allied health professionals and professionals working in the field of Kinesiology.
As a professor in Kinesiology, she has a wide range of specialty areas including prevention and treatment of athletic injuries, upper and lower extremity assessment, rehabilitation of injuries, movement anatomy, and ethics in health care. Her goal is to continue to share and teach what she has learned in the classroom, clinical setting, and through writing.
How Nose Surgery is Performed - Ear Cartilage Harvest - Nose Job