Skip to main content

Nasal Fractures

  • Chapter
  • First Online:
Atlas of Operative Maxillofacial Trauma Surgery
  • 3947 Accesses

Abstract

This highly illustrated chapter discusses the initial assessment, investigations and management of fractures of the nose. Numerous case examples are shown, step-by step, illustrating the access and surgical repair of most fractures commonly seen. Low and high energy injuries are discussed. Technical advances and current areas of controversy are also discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Selected Reading

  • Ardehali MM, Bastaninejad S. Use of nasal packs and intranasal septal splints following septoplasty. Int J Oral Maxillofac Surg. 2009;38:1022–4.

    Article  CAS  PubMed  Google Scholar 

  • Arvind K, Omar B, Ajay N. Double-blind randomised controlled trial comparing Merocel with Rapid Rhino nasal packs after routine nasal surgery. Rhinology. 2003;41:241–3.

    Google Scholar 

  • Byrd HS. The crooked nose: an algorithm for repair. The Dallas rhinoplasty symposium syllabus. Dallas; 1998. p. 271.

    Google Scholar 

  • Chan J, Most SP. Diagnosis and management of nasal fractures. Oper Tech Otolaryngol. 2008;19:263–6.

    Article  Google Scholar 

  • Chatham DR, Teague PT. Completing the nasal fracture. Laryngoscope. 1984;94:840–1.

    Article  CAS  PubMed  Google Scholar 

  • Clayton MI, Lesser TH. The role of radiography in the management of nasal fractures. J Laryngol Otol. 1986;100:797–801.

    Article  CAS  PubMed  Google Scholar 

  • Cook JA, McRae RD, Irving RM, Dowie LN. A randomized comparison of manipulation of the fractured nose under local and general anaesthesia. Clin Otolaryngol. 1990;15:343–6.

    Article  CAS  PubMed  Google Scholar 

  • Dickson MG, Sharpe DT. A prospective study of nasal fractures. J Laryngol Otol. 1986;100:543–51.

    Article  CAS  PubMed  Google Scholar 

  • Fernandes SV. Nasal fractures: the taming of the shrewd. Laryngoscope. 2004;114:587–92.

    Article  PubMed  Google Scholar 

  • Fry HJH. Interlocked stresses in human nasal septal cartilage. Br J Plast Surg. 1966;19:276–8.

    Article  CAS  PubMed  Google Scholar 

  • Goode RL, Spooner TR. Management of nasal fractures in children. Clin Pediatr (Phila). 1972;11:526–9.

    Article  CAS  Google Scholar 

  • Guyuron B. Is packing after septorhinoplasty necessary? A randomized study. Plast Reconstr Surg. 1989;84:41–4.

    Article  CAS  PubMed  Google Scholar 

  • Huang IT, Podkomorska D, Murphy MN, Hoffer I. Toxic shock syndrome following septoplasty and partial turbinectomy. J Otolaryngol. 1986;15:310–2.

    CAS  PubMed  Google Scholar 

  • Jensen PF, Kristensen S, Johannesen NW. Episodic nocturnal hypoxia and nasal packs. Clin Otolaryngol. 1991;16:433–5.

    Article  CAS  PubMed  Google Scholar 

  • Kaygusuz I, Kizirgil A, Karlidag T. Bacteriemia in septoplasty and septorhinoplasty. Rhinology. 2003;41:76–9.

    PubMed  Google Scholar 

  • Kim JE, Park HS, Yoon CH, et al. Analysis of nasal septal fracture combined in nasal bone fracture using CT. J Korean Soc Plast Reconstr Surg. 1998;25:852–9.

    Google Scholar 

  • Kim MG, Kim BK, Park JL, Minn KW, Baek RM, Han KN. The use of bioabsorbable plate fixation for nasal fractures under local anaesthesia through open lacerations. J Plast Reconstr Aesthet Surg. 2008;61:696–9.

    Article  PubMed  Google Scholar 

  • Kurihara K, Kim K. Open reduction and interfragment wire fixation of comminuted nasal fractures. Ann Plast Surg. 1990;24:179–85.

    Article  CAS  PubMed  Google Scholar 

  • Lemmens W, Lemkens P. Septal suturing following nasal septoplasty: a valid alternative for nasal packing? Acta Otorhinolaryngol. 2001;55:215–21.

    CAS  Google Scholar 

  • Logan M, O’Driscoll K, Masterson J. The utility of nasal bone radiographs in nasal trauma. Clin Radiol. 1994;49:192–4.

    Article  CAS  PubMed  Google Scholar 

  • Lubianca-Neto JF, Santánna GD, Mauri M, Arrarte JL, Brinckmann CA. Evaluation of time of nasal packing after nasal surgery: a randomized trial. Otolaryngol Head Neck Surg. 2000;122:899–901.

    Article  CAS  PubMed  Google Scholar 

  • Manzini M, Cuda D, Caroggio A. Nasal packing and antibiotic prophylaxis in septoplasty: a controlled study. Acta Otorhinolaryngol Ital. 1998;18:88–95.

    CAS  PubMed  Google Scholar 

  • Murray JA, Maran AG, MacKenzie IJ, Raab G. Open v closed reduction of the fractured nose. Arch Otolaryngol. 1984;110:797–802.

    Article  CAS  PubMed  Google Scholar 

  • Murray JA, Maran AG, Busuttil A, Vaughan G. A pathological classification of nasal fractures. Injury. 1986;17:338–44.

    Article  CAS  PubMed  Google Scholar 

  • Nunez DA, Martin FW. An evaluation of post-operative packing in nasal septal surgery. Clin Otolaryngol. 1991;16:549–50.

    Article  CAS  PubMed  Google Scholar 

  • Rajapakse Y, Courtney M, Bialostocki A, Duncan G, Morrissey G. Nasal fractures: a study comparing local and general anaesthesia techniques. ANZ J Surg. 2003;73:396–9.

    Article  PubMed  Google Scholar 

  • Renner GJ. Management of nasal fractures. Otolaryngol Clin North Am. 1991;24:195–213.

    CAS  PubMed  Google Scholar 

  • Rhee SC, Kim YK, Cha JH, Kang SR, Park HS. Septal fracture in simple nasal bone fracture. Plast Reconstr Surg. 2004;113:45–52.

    Article  PubMed  Google Scholar 

  • Ridder GJ, Boedeker CC, Fradis M, Schipper J. Technique and timing for closed reduction of isolated nasal fractures: a retrospective study. Ear Nose Throat J. 2002;81:49–54.

    PubMed  Google Scholar 

  • Rohrich RJ, Adams Jr WP. Nasal fracture management: minimizing secondary nasal deformities. Plast Reconstr Surg. 2000;106:266–73.

    Article  CAS  PubMed  Google Scholar 

  • Rubinstein B, Strong EB. Management of nasal fractures. Arch Fam Med. 2000;9:738–42.

    Article  CAS  PubMed  Google Scholar 

  • Staffel JG. Optimizing treatment of nasal fractures. Laryngoscope. 2002;112:1709–19.

    Article  PubMed  Google Scholar 

  • Stranc MF, Robertson GA. A classification of injuries of the nasal skeleton. Ann Plast Surg. 1979;2:468–74.

    Article  CAS  PubMed  Google Scholar 

  • Verwoerd CDA. Present day treatment of nasal fractures: closed versus open reduction. Facial Plast Surg. 1992;8:220–3.

    Article  CAS  PubMed  Google Scholar 

  • Wagner R, Toback JM. Toxic shock syndrome following septoplasty using plastic septal splint. Laryngoscope. 1989;96:609–10.

    Google Scholar 

  • Wild DC, EI Alami MA, Conboy PJ. Reduction of nasal fractures under local anaesthesia: an acceptable practice? Surgeon. 2003;1:45–7.

    Article  CAS  PubMed  Google Scholar 

  • Won Kim S, Pio Hong J, Kee Min W, Wan Seo D, Kyu Chung Y. Accurate, firm stabilization using external pins: a proposal for closed reduction of unfavorable nasal bone fractures and their simple classification. Plast Reconstr Surg. 2002;110:1240–6; discussion 1247–8.

    Article  PubMed  Google Scholar 

  • Yanagisawa E, Latorre R. Choking spells following septorhinoplasty secondary to displaced nasal packing. Ear Nose Throat J. 1995;74:744–6.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael Perry .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag London

About this chapter

Cite this chapter

Perry, M., Holmes, S. (2014). Nasal Fractures. In: Perry, M., Holmes, S. (eds) Atlas of Operative Maxillofacial Trauma Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-2855-7_10

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-2855-7_10

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2854-0

  • Online ISBN: 978-1-4471-2855-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics