The methods for repairing a nasal fracture vary depending on the complexity of the damage. If the broken nose requires a simple re-alignment, the doctor may simply perform a closed reduction of nasal fracture procedure. This involves repositioning the broken nasal bones into the correct alignment. For extensive nasal damage, a more complex reconstructive procedure may be needed.
The timing of treatment is also significant. Patients are advised to seek treatment within the first two weeks after the injury, as the nasal bones can still be moved back into position with simple measures. However, if the patient is not able to seek medical attention within this timeframe, they may be advised to wait two to three months to allow the swelling to go down before performing any surgical repairs. This is due to the fact that the nose will begin to partially heal following this two-week period, and attempting to repair a broken nose that is in the process of healing can lead to further nasal deformity.
Closed Reduction of Nasal Fracture
During a closed reduction procedure, Dr. Sedgh will carefully place a surgical instrument inside the nose to allow him to adjust and properly align the nasal bones. This will be performed under local anesthesia, or even general anesthesia if needed.
Nasal packing and an external cast may be used to keep the bones in places as the nose heals.
Open Reduction of Nasal Fracture
Open reduction of the nasal bone, as well as septorhinoplasty and other functional rhinoplasty techniques, can be used to repair more extensive deformities and abnormalities. These are commonly performed after an older nasal bone fracture has healed in place.
The procedure is typically done in an operating room under general anesthesia. During open reduction, Dr. Sedgh will create small incisions inside the nose to re-fracture the nasal bones and move them to their original position.
At the end of the surgery, the doctor will install a splint or cast to prevent movement during the healing process.