By: Meriam Ibanez Barrios BSN III

A nose fracture is a break in the bone or cartilage over the bridge, in the sidewall, or septum (line dividing the nostrils) of the nose.

The nasal septum is the central partition in the nose made of bone and a rubbery substance (called cartilage) which separates the two nostrils. It is rarely situated absolutely in the middle but in most people it is straight and fairly centrally placed.

However, in some people the septum is either bent or deviated in some way. This can be very mild or, in some cases, so bad that one nostril is completely blocked.

This report aims to; Discussed of what the disease is all about. Discussed the pathophysiology of the

disease. Enumerate the etiology of the disease. Enumerate the signs and symptoms of the

disease. Give proper nursing assessment about the

disease. Enumerate some diagnostic test. Enumerate medical and nursing

management of the disease. Give the prognosis of the disease

Unilateral fracture involves only one side of the nose. It causes little displacement and deformity.

Bilateral fractures are more common, with the depression or displacement of both nasal bones to one side. The nose appears flattened or deviated with an S and C configuration.

Complex fractures may also involve the septum, ascending process of the maxilla and frontal bones of the face.

The septal cartilage bulges or deviates to one side partially or totally obstructing the nares.

Sports injury Trauma related to violence or motor

vehicle crashes. Child birth injury

Blood coming from the nose

ecchymosis Difficulty

breathing through the nose

crepitus

Deformity or displacement to one side

Pain Swelling

Health history; nature and circumstances of the injury: pain: ability to breath trough the nose.

Physical examination: evident trauma; ecchymosis, deformity of the nose, VS, ease; gently palpate nose and facial bones for crepitus; inspect oropharynx for drainage; test nasal discharge for glucose.

Head and facial X-rays Intranasal cavity examination CT scan

Nasal fracture Deviated septum

Control bleeding Reduce edema Antibiotics Analgesics agents Decongestant nasal

spray Rhinoplasty

Removed the obstructionTreat chronic infection Treat allergiesFlonaseSingulairAntibioticsAntihistamineSubmucosal resectionSeptoplasty

Nasal fracture Deviated septum

Apply ice and keep head elevated

Instruct the patient to apply ice packs 20 min. 4x daily to decrease swelling

Packing inserted to stop bleeding

Rinse the mouth to keep moisten

Avoid sports activities for 6 weeks

Keep head of the bed elevated

Encourage to do frequent oral hygiene

Instruct client to avoid blowing the nose with force

Discussed to the client the S/S of bleeding ,infection and when to contact the physician.

Nondisplaced nasal fractures have an excellent prognosis, usually healing with no cosmetic or functional deformity. Displaced fractures, even after closed reduction, often have residual cosmetic deformity and septal deviation, often necessitating rhinoplasty and/or septoplasty.

Textbook of medical medical-surgical nursing 7th edition by; Suzzanne C. Smeltzer et. Al; page 606-607

Copyright © 2008 by Lippincott Williams & Wilkins, a Wolters Kluwer business.

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