By: Meriam Ibanez Barrios BSN III

 A nose fracture is a break in the bone or cartilage

over the bridge, in the sidewall, or septum (line
dividing the nostrils) of the nose.
 The nasal septum is the central partition in the
nose made of bone and a rubbery substance (called
cartilage) which separates the two nostrils. It is
rarely situated absolutely in the middle but in most
people it is straight and fairly centrally placed.
 However, in some people the septum is
either bent or deviated in some way. This
can be very mild or, in some cases, so bad
that one nostril is completely blocked.
 This report aims to;
 Discussed of what the disease is all about.
 Discussed the pathophysiology of the disease.
 Enumerate the etiology of the disease.
 Enumerate the signs and symptoms of the disease.
 Give proper nursing assessment about the disease.
 Enumerate some diagnostic test.
 Enumerate medical and nursing management of the disease.
 Give the prognosis of the disease
 Unilateral fracture involves only one side of
the nose. It causes little displacement and
deformity.
 Bilateral fractures are more common, with
the depression or displacement of both nasal
bones to one side. The nose appears
flattened or deviated with an S and C
configuration.
 Complex fractures may also involve the
septum, ascending process of the maxilla and
frontal bones of the face.
 The septal cartilage bulges or deviates to
one side partially or totally obstructing the
nares.
 Sports injury
 Trauma related to violence or motor vehicle
crashes.
 Child birth injury
 Blood coming from  Deformityor
the nose displacement to
 ecchymosis one side
 Difficulty  Pain

breathing through  Swelling

the nose
 crepitus
 Health history; nature and circumstances of
the injury: pain: ability to breath trough the
nose.
 Physical examination: evident trauma;
ecchymosis, deformity of the nose, VS, ease;
gently palpate nose and facial bones for
crepitus; inspect oropharynx for drainage;
test nasal discharge for glucose.
 Head and facial X-rays
 Intranasal cavity examination
 CT scan
 Nasal fracture Deviated septum

 Control bleeding Removed the

 Reduce edema obstruction
Treat chronic infection
 Antibiotics Treat allergies
 Analgesics agents Flonase
 Decongestant nasal Singulair
spray Antibiotics
 Rhinoplasty Antihistamine
Submucosal resection
Septoplasty
 Nasal fracture Deviated septum

 Apply ice and keep head  Keep head of the bed

elevated elevated
 Instruct the patient to  Encourage to do frequent
apply ice packs 20 min. oral hygiene
4x daily to decrease  Instruct client to avoid
swelling
blowing the nose with
 Packing inserted to stop
force
bleeding
 Discussed to the client
 Rinse the mouth to keep
moisten the S/S of bleeding
 Avoid sports activities for ,infection and when to
6 weeks contact the physician.
 Nondisplaced nasal fractures have an
excellent prognosis, usually healing with no
cosmetic or functional deformity. Displaced
fractures, even after closed reduction, often
have residual cosmetic deformity and septal
deviation, often necessitating rhinoplasty
and/or septoplasty.
 Textbook of medical medical-surgical
nursing 7th edition by; Suzzanne C. Smeltzer
et. Al; page 606-607
Copyright © 2008 by Lippincott Williams &
Wilkins, a Wolters Kluwer business.
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