[Nasal Fracture]

Nasal fractures are the most prevalent among facial fractures, constituting 40-50% of all such injuries. They can be isolated or accompany multi-system trauma, including damage to soft tissues or other fractures. When addressing a patient with a suspected nasal fracture, anamnesis is paramount. It is crucial to discern the mechanism and timing of the trauma. The latter is essential as the most recent data indicates a 14-day "treatment window" for closed reduction, a procedure that does not require general anesthesia. Contrary to past practices, imaging studies are now deemed unnecessary for diagnosing nasal fractures. After collecting the patient's history, a physical examination ensues. It begins with observing the nose's shape and skin, followed by manually examining the nasal structure, and then an anterior rhinoscopy. Clinicians should keenly observe and note any nasal bone discontinuities, epistaxis, septal displacements or fractures, and septal hematomas. Treatment options can be divided into three main options: 1) observation, 2) closed reduction, and 3) open reduction; each needs to be tailored to the individual case.