The nasal bridge is the most prominent part of the face, making it highly susceptible to impact, yet the bone in this area is relatively fragile. Accidental collisions with sharp objects, or injuries during sports like boxing or soccer, can easily lead to a nasal bone fracture, often accompanied by a fracture of the nasal septum.

How to Identify a Nasal Bone Fracture?

There are several clear signs that can help identify a nasal bone fracture. First, if the nose becomes crooked or flattened after an impact, especially within the first few hours following the injury, this is a very obvious indication that a fracture may have occurred. Second, when a nasal bone fracture happens, the bones break apart, leading to significant fluid leakage. This typically causes the nasal area to swell noticeably within a few hours or up to 24 hours after the injury. If the injury only involves soft tissue damage without a fracture, the swelling is generally not as severe. Therefore, if there is significant swelling, it often indicates a potential nasal bone fracture.

Additionally, nasal bone fractures are frequently accompanied by a fracture of the nasal septum, which can result in severe nosebleeds and one-sided nasal obstruction. An experienced doctor can often determine whether the continuity of the nasal bone has been disrupted through palpation, and the fracture site may produce a crepitus sensation, which is a grating feeling under the fingers. The most accurate way to diagnose a nasal bone fracture is through an X-ray or a CT scan, which clearly reveals the extent of the fracture.

Timing of Treatment

Once a nasal bone fracture is confirmed, it is crucial to seek medical treatment promptly for repositioning. The optimal time for repositioning is within 24 hours before significant swelling occurs, as the anatomical structures are still clearly visible, making the repositioning more precise. If the nose has already begun to swell, it may be necessary to wait a few days for the swelling to subside before proceeding, but delaying too long is not advisable. If more than a week passes before repositioning, blood clots or soft tissue may have formed between the fracture ends, making the process more difficult and painful, possibly requiring stronger anesthesia or even general anesthesia for a minor surgical procedure.

In summary, although nasal bone fractures are common, if not treated promptly, they can lead to long-term facial deformities or other complications. Therefore, it is important to seek medical attention as soon as symptoms appear.