Nasal Fractures

The nose has several vital functions, including respiration and olfaction. The nose, as the leading point of the face, is without protective covering and is the least resistant of the facial bones to the application of a directional mechanical force. The management of isolated nasal fractures, therefore, requires a systematic approach to diagnosis, treatment, and follow-up care to ensure optimal functional and aesthetic results while minimizing complications. Good results can usually be obtained from a closed reduction of most nasal fractures in appropriately selected patients. Open reduction and wire or plate fixation should be considered in very displaced and severely comminuted fractures or when accompanied by adjacent facial fractures. Proper early operative management minimizes the need for secondary surgical revision.