Nose Fractures (Broken Nose): What Canadians Should Know

Nose fractures are the most common facial bone fractures and frequently occur after a blunt impact to the face. When the nasal bones break, the delicate mucous membrane lining the nose may tear, often resulting in a nosebleed.

In many cases, the nasal bridge is pushed to one side, and the cartilage of the nasal septum may also shift. A serious complication to watch for is a septal hematoma, where blood collects beneath the lining of the septal cartilage. If this blood is not drained promptly, the cartilage can lose its blood supply, die, and collapse—leading to a permanent saddle-nose deformity.

Indications of a Nose Fracture

After a blow to the face, an individual with a nose fracture may experience:

• Nosebleed

• Pain and tenderness

• Swelling of the nose and surrounding tissues

• Crooked or visibly deformed nose

• Bruising around one or both eyes (“raccoon eyes”)

Swelling often persists for 3–5 days, which can temporarily hide the extent of the injury.

How Nose Fractures Are Diagnosed

Medical assessment is important to rule out serious associated injuries, including:

• Septal hematoma

• Cerebrospinal fluid (CSF) leakage

• Other facial or skull fractures

A healthcare provider will examine the nose and surrounding structures and decide whether imaging or urgent intervention is required.

Management of Nose Fractures

Immediate Care

Initial management focuses on reducing pain and swelling:

• Apply cold packs (wrapped in cloth) for short intervals during the first 48 hours

• Use pain relief as recommended by a healthcare professional

• Sleep with the head elevated

Septal Hematoma

If a septal hematoma is present, it must be drained urgently to prevent cartilage damage and long-term deformity.

Bone Realignment (Reduction)

Doctors often wait 3–5 days for swelling to decrease before repositioning the nasal bones. This makes proper alignment easier.

• Adults usually receive local anesthetic

• Children typically require general anesthesia

• The nose may be stabilized with an external splint

• Temporary nasal packing may be used; antibiotics are often prescribed while packing is in place

Most uncomplicated nose fractures heal within about 6 weeks.

Important Canadian Disclaimer

Educational Use Only (Canada):
This information is provided for general education and awareness. It does not replace medical evaluation or treatment. Facial injuries, including suspected nose fractures, should be assessed by a healthcare professional—especially if deformity, heavy bleeding, or breathing difficulty is present. First aid training in Canada teaches early recognition, bleeding control, and when to seek emergency medical care.