This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

These will depend upon the severity of the fracture but may include:

  • nasal deformity
  • nasal obstruction
  • epistaxis
    • in some nasal fractures, epistaxis without obvious nasal deformity may be the only clinical finding.(1)
  • oedema and ecchymosis of the nose and periorbital structures
    • this may be seen if examination is performed more than several hours after the injury.
  • palpation of the nasal structures may elicit any crepitus, indentation, or irregularity of the nasal bone.
  • soft tissue injury - swelling and discolouration about the nasal bones and the vicinity
  • nasal injury may be associated with other head and neck trauma (1)
    • the possibility of an associated facial or mandibular fracture must be considered
      • this requires computed tomography (CT)
    • all bony structures of the face( malar eminences, orbital rims, zygomatic arches, mandible, and teeth) should be carefully examined
    • eyes - symmetry and mobility of gaze should be looked for(1)
  • a thorough internal examination requires the folowing:
    • good lighting
    • suction
    • anesthesia
    • vasoconstrictive nasal sprays.
    • a nasal speculum
    • a headlamp


Create an account to add page annotations

Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page