Facial injuries can often result in nasal fractures (broken nose), as the bones and cartilage of the nose are susceptible to trauma. The severity of a nasal fracture relates to the underlying strength of the bone and cartilage and the force of impact. Ironically, children are less susceptible to nasal fractures than adults, partly because their noses are less developed and more compliant.
If the force of impact is severe enough, facial trauma can lead to a displaced fracture, a non-displaced fracture, or shifting of the nasal bones and cartilage. It is imperative that an intranasal inspection is performed after nasal trauma to identify any blood clots or septal hematomas within the nasal septum. If the degree of nasal bone or cartilage shifting is severe enough, the nasal airway may become obstructed, leading to a condition known as septal deviation in which the septum mechanically obstructs the movement of air through the nose.
Dr. Raffy Karamanoukian at Kare Plastic Surgery in Santa Monica is a leader in the management of nasal fractures and septal deviation. He can evaluate your acute fracture or septal deviation to determine whether septoplasty or rhinoplasty is required. In acute injuries, prompt timing is imperative to minimize longterm nasal obstruction. In the case of an old injury, a septoplasty and septal reset may help open up your nasal airway and allow you to breathe more comfortably.