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A broken nose, also known as a nasal fracture, occurs when there is a break or crack in the bone or cartilage of the nose. It is a common injury, often resulting from trauma such as a sports injury, accident, or physical altercation. The shape and function of a nose rely on a delicate framework of cartilage and bone interconnected by ligaments. A broken nose can lead to both functional issues like breathing difficulty and cosmetic concerns. [Also, refer: Bent Nose]

Immediate medical assessment is crucial if there's suspicion of a broken nose or significant nasal blockage after injury. Delay can lead to complications like a septal haematoma (blood clot) within the nasal septum, which may require urgent drainage within two days of the injury to prevent permanent damage or deformity that might necessitate surgery. Early medical consultation can also avoid bone setting and scar tissue formation, for which a more complex correction procedure involving re-breaking bones, will be needed.

There is usually a major swelling of the soft tissues which could make it difficult to determine if the nose has deformed. Application of ice packs can help reduce swelling over a few days. The swelling could subside in a little over a week which could allow for a more accurate assessment, during a follow up visit.

Since injuries to the nose can affect various components including nasal bones, the septum and supporting structures like nasal tip and sidewall cartilages, treatment can also vary based on the severity.

Most nasal bone deviations if presented 4 weeks earlier, can be manipulated under local anaesthesia in clinic setting, however, some may require correction under general anaesthesia in a hospital setting. A septoplasty may be required to address septal bends or fractures. Even more extensive injuries involving the nasal tip, nasal bones, nasal profile and cartilage supporting mechanism, may necessitate rhinoplasty.