Nasal Fracture Surgery in NYC & NJ
A nose fracture is a break in the bones of the nose. Direct trauma to the nose that results in an immediate nosebleed indicates that a fracture of some sort probably took place. The clinical relevance of any fracture requires a thorough evaluation by a specialist. A nasal fracture is one of the most commonly missed diagnoses after an injury to the face. Dr. Monica Tadros specializes in nasal fracture surgery for her patients in NYC & NJ.A nasal fracture may not only change the appearance of your nose; it could cause a septal perforation, deviated septum, loss of smell, and long-term breathing difficulty. Schedule your consultation with Dr. Monica Tadros to correct nasal fracture.
Nasal Fracture In Depth
by Monica Tadros, M.D., F.A.C.S.
Evaluation of nasal trauma is complicated and involves far more than checking the bridge of the nose to see if it is broken. Commonly, deep fractures can occur with no visible external symptoms, including injury to the septum, nasal cartilage, middle turbinates, inferior turbinates, and sinuses.
Critical considerations commonly missed on the evaluation of nasal fracture include:
- Septal Hematoma: The most serious complication of nasal trauma is a septal hematoma. This is a collection of blood that peels the lining of the septum away and creates pressure on the underlying cartilage. Failure to drain a septal hematoma may rapidly result in irreversible pressure necrosis of the septum. This is a common source of septal perforation and gradual collapse of the nose over time.
- Partial Nasal Bone Fracture: The nasal bones that comprise the nasal bridge define the shape of the upper third of the nose. Obvious fractures may result in dislocation or comminuted (fragmented/crushed) bones. Non-classical injures are commonly missed and may only involve part of the nasal bone at the radix. These fractures may cause the nasal bones to splay apart or a new “bump” to form without actually shifting the bones to the left or the right. This is especially concerning in pediatric and adolescent injuries that might result in mal-development of the nose if left untreated.
- Nasal Cartilage Fracture: While the upper third of the external nose is bone, the lower two-thirds is cartilage. A cartilage fracture represents a serious condition and may occur with or without a nasal bone fracture. These fractures are most commonly missed because they cannot be detected on Xray, cannot be seen through the edema and usually result in delayed symptoms.
- Nasal Septum Fracture: Fracture of the nasal septum is the most commonly missed injury after nasal trauma. The cartilage or bone of the septum may break causing a deviation, or slip off its original resting position on the floor of the nose. In pediatric and adolescent injuries this may result in mal-development of the nasal shape, breathing problems and poor sinus circulation, leading to significant breathing and sinus problems even years after the injury.
- Middle Turbinate Fracture: The middle turbinates are the structures that guard the entrance into the sinuses. They are located on each side of the septum. When the septum fractures, it may break into the middle turbinate. When this happens, the sinuses become blocked with scar tissue. This can cause existing sinus issues to worsen, or new sinus symptoms to develop over months to years.
What makes Dr. Tadros’ approach to diagnosis and treatment of nasal trauma different?
There are many delicate structures that help the nose function at is best. Dr. Tadros performs a maxillofacial (sinus) CT scan on all her patients to determine exactly what has been impacted. Careful examination and review of the CT scan images with the patient will reveal many injuries commonly missed. Dr. Tadros has the broadest experience in nasal restoration for patients in NYC & NJ who had broken noses using the most advanced minimally invasive, reconstructive and cosmetic techniques to meet your individual needs.