Nasal Fractures

Hani F. Braidy, Vincent Ziccardi

Research output: Chapter in Book/Report/Conference proceedingChapter


The pyramidal-shaped nasal bone complex includes the paired nasal bones that articulate with the nasal processes of the frontal bone and the maxilla. The nasal septum consists of the following structures: crest of the maxillary and palatine bone, perpendicular plate of the ethmoid, vomer, and quadrangular cartilage. Depending on the degree of displacement, patients are treated with local, intravenous, or general anesthesia. The nasal fracture is reduced with a lateral and superior rotation of the reduction forcep. The patient is instructed to apply ice to the face and keep the head elevated for 48 hours. The patient is also instructed to avoid nose blowing, sneezing, and strenuous activity to avoid rebleeding or fracture displacement. Late complications include nasal deformity, septal deformity, or saddle nose deformity. A Goldman elevator is used to reduce the displaced nasal fractures.

Original languageEnglish (US)
Title of host publicationAtlas of Operative Oral and Maxillofacial Surgery
Number of pages7
ISBN (Electronic)9781118993729
ISBN (Print)9781118442340
StatePublished - Jan 9 2015


All Science Journal Classification (ASJC) codes

  • Medicine(all)


  • Fracture displacement
  • Frontal bone
  • General anesthesia
  • Goldman elevator
  • Maxilla
  • Nasal deformity
  • Nasal fractures
  • Nasal septum

Cite this

Braidy, H. F., & Ziccardi, V. (2015). Nasal Fractures. In Atlas of Operative Oral and Maxillofacial Surgery (pp. 166-172). Wiley-Blackwell.