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Fixing a broken nose from Footy PDF Print Email
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l, d F Y H:i

To straighten a broken nose a registered medical practitioner should be consulted. Unfortunately, a broken nose is a fact of life in many situations in Australia. The nose can be significantly damaged and can not only change your appearance, but also have some consequences for your health and wellbeing. For information on fixing a broken nose click here or read more.

Techniques to Straighten a Broken Nose To straighten a broken nose you need professional assistance. Depending on your specific injury they may provide a local anaesthetic or it may require a general anaesthetic. Nose fractures can be classified as open or closed. An "open" classification means that you receive a small incision across the base of the nose. A closed classification is a different technique characterised by procedural differences including:

• Reduced cutting of the nasal tissues — no columellar incision
• Decreased potential for the excessive reduction (cutting) of the nasal-tip support
• Decreased visible scarring • Decreased inadvertent damage to the nose, by the surgeon
• Shorter operating room time
• Quicker post-surgical recovery and convalescence for the patient

Some broken nose surgeons have a preferred technique. You should discuss their technique and the pros and cons before any operation. Causes The nose's position on the face predisposes it to injury. The nose can be fractured by force in a variety of directions. The causes of a broken nose are varied. A common cause in Australia is sporting injuries. A deformed middle third of the nose is a common injury as a result of trauma. Broken noses not only affect the appearance of the nose, but the deformity can also lead to difficulty in breathing, reduced sense of smell and also taste.

Australian Rules footballers are often seen in cosmetic and plastic surgeons’ offices, to straighten a broken nose. Why should you seek medical advice? There can be a variety of complications associated with a broken nose. Confirming that septal hematoma is not present is very important. A septal hematoma means that there is a bruise or bleeding that collects within the nasal septum – the part of the nose separates the two nostrils. Septal hematomas occur more often in children because their septums are thicker and have a more flexible lining covering the area. A broken nose disrupts the blood vessels in the area, allowing fluid and blood to collect under the lining. If left untreated, the hematoma may become infected and will be painful. A septal abscess and fever may develop. An untreated septal hematoma may be a problem. It can lead to a hole in the lining between the two nostrils. This then leads to other potential complications. Your nose can get blocked or the bridge can collapse, resulting in a cosmetic look titled a saddle nose. If you think of some boxers and the look of their noses, that will give you an idea of the look. This is just one of many complications and therefore, it is important that if you suspect a broken nose and want it straightened, you seek medical advice. Treatment and Techniques The treatment to straighten a broken nose is known as rhinoplasty.

Early identification and treatment of the broken nose in the immediate post injury period is important. The goal is to avoid the potential complications associated with the broken nose. Confirming that septal hematoma, a solid swelling of clotted blood, is not created is one of the first areas of review. It is very important to avoid further nasal damage and complications. Your surgeon will normally book in a follow up visit. This visit allows your doctor to assess for other complications. Your doctor will normally discuss immediate surgical intervention or in the early post broken nose period or much later, after the break has healed. Straightening a broken nose is challenging because of the anatomy of the nose. The skin covering the nose is thin and any irregularity is easily seen. The nose structure is springy and difficult to straighten. So here are the steps to straighten a broken nose.

1. See your GP. Get a recommendation for a specialist. You can also look on the website for information about doctors and their specialities.

2. Discuss any medical or cosmetic issues and agree the best approach (Open or Closed) surgery. Do not hesitate to get a second opinion if you are not comfortable with the doctor. Bringing a picture before the injury will assist the doctor to understand how you looked, however be aware that the nose may look different after the surgery. A tip is that if you have a crooked nose and want it straightened, bring pictures to the doctor of what you want it to look like, whether that was the way you looked before you broke your nose or not.

3. Schedule the time for the nose straightening. In some cases, the specialist will ask you to wait for 3 to 5 days for the swelling to go down before conducting the procedure

4. Please ask questions to ensure you are comfortable with the procedure. Tip: Make sure you understand what to look for after the surgery. For example, a patient was not told their nose would be packed with gauze to help the bone reset. The packing of the gauze was done through the back of the nose/throat. After a general anaesthetic and in recovery, he felt a fuzzy feeling in the back of his throat. After a few more breathes, his airway was completely blocked by the gauze. He had not been told of this risk. He pressed the buzzer for the nurse and they came immediately. The patient could not talk so he pointed to the back of his throat. The nurse seemed to know immediately the problem, ran and grabbed large tweezers and pulled the gauze out. If it had not been for the quick action of the nurse, the patient could have had brain damage or died.

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