Nasal injuries can occur in the context of violence, motor vehicle injuries, sports injuries and falls. There can be blunt trauma, lacerations, avulsions and fractures as a result of these injuries. Some of these injuries can lead to surgical intervention. Secondary revision surgery or autogenous grafts may be necessary. It may take a multidisciplinary surgical team to manage the injury. The nasal bone may need to be reconstructed and avulsions may need to be grafted if not enough skin is covering the wound.
Nasal fractures are the most common facial fractures one will see. They are often not recognized and aren’t treated at the time of the injury. Because the nose sticks out and because it is in the middle of the face, it is predisposed to being injured when the face is injured. Most nasal fractures tend to involve the nasal septum, which is a problem when it comes to a successful reduction of the fracture.