If your nose is broken so badly that it needs to be repositioned, you have several options. If your nose is broken but not out of position, you may need no treatment other than rest and being careful not to bump your nose. The best way to determine that your nose is broken is if it looks very different or is harder to breathe through. These can help identify other facial fractures, but are not always helpful in determining if you have a broken nose. Sometimes your physician will recommend an X-ray or computed tomography (CT) scan. Your doctor will examine not only your nose, but also the surrounding areas including your eyes, jaw, and teeth, and will look for bruising, cuts, and swelling. You will be asked to explain how the fracture occurred, the state of your general health, and how your nose looked before the injury (bring a picture to your appointment, if possible). Your doctor will ask you several questions and examine your nose and face. An untreated broken nose can leave you with an undesirable appearance, as well as permanent breathing difficulty. If you wait longer than two weeks, you will likely need to wait several months before your nose can be surgically straightened and fixed. If you are seen within one to two weeks (one week for children), it may be possible to repair your nose immediately. If you suspect your nose may be broken, you should see an ENT (ears, nose, and throat) specialist, or otolaryngologist, within one week of the injury. If a septal hematoma is present, it must be treated promptly to prevent worse problems from developing in the nose. Seeing your primary care or an emergency room physician is usually the best way to determine if you have a septal hematoma or other associated problems from your accident. If you’ve been struck in the nose, it’s important to see a physician to check for septal hematoma. To help prevent a broken nose, wear protective gear to shield your face when participating in contact sports. Injuries affecting the teeth and mouth may also affect the nose. Nasal fractures, or broken noses, may result from facial injuries in contact sports or falls.
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