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Nasal Fractures

Nasal Fractures is a topic covered in the 5-Minute Emergency Consult.

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Basics

Description

  • Fractures of nasal skeleton are the most common body fractures.
  • Most nasal fractures are result of blunt trauma, frequently from motor vehicle crashes, sports injuries, and altercations.
  • Lateral forces are more likely to cause displacement than straight-on blows.
  • Characteristics that suggest associated injuries:
    • History of trauma with significant force
    • Loss of consciousness
    • Findings of facial bone injury
    • Frontal bone crepitus
    • CSF leak

Etiology

  • The vast majority of nasal fractures are from direct trauma
  • Altercations account for most nasal fractures in adults
  • Direct blows, especially sports, account for most nasal fractures in children

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Citation

Rosen, Peter, et al., editors. "Nasal Fractures." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307038/all/Nasal_Fractures.
Nasal Fractures. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307038/all/Nasal_Fractures. Accessed April 23, 2019.
Nasal Fractures. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307038/all/Nasal_Fractures
Nasal Fractures [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 April 23]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307038/all/Nasal_Fractures.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Nasal Fractures ID - 307038 ED - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307038/all/Nasal_Fractures PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -