Anatomy
Only the upper part of the bridge of the nose close to the skull consists of bone (nasal bone). The rest of the bridge of the nose consists of cartilage (the nasal septum).
Cause
Direct blows can fracture the nasal bone. Displacement of the nasal septum can also occur.
Symptoms
Pain and swelling of the bridge of the nose. In case of a fracture, there will be soreness and often creaking when squeezing the top of the bridge of the nose (nasal bone). Nosebleeds are common. If there is an accompanying headache or general malaise, you should consider whether the impact has caused a concussion Concussion.
In rare cases, there may be bleeding in the nasal septum, causing the nasal septum to swell and the nose to become blocked (requires urgent medical attention). If fever, increasing nasal soreness and congestion occur, it may be a sign of infection, which requires immediate medical attention.
Examination
Any athlete who suffers a blow to the head and subsequently complains of discomfort, visual disturbances or blurred vision should immediately stop playing sport and be taken for medical examination. All head injuries must be taken seriously!
If a nasal fracture is suspected, a medical examination should be performed within 24 hours. If the nasal septum swells and clogs one (or both) nostrils, seek urgent medical attention as the cartilage of the nasal septum can be permanently damaged. X-ray examination of the nose is almost never indicated.
Treatment
Nosebleeds are treated by pinching the nose. If the nose is broken and there is a deviation, the nose can be set in place within 5-8 days once the swelling has subsided. In children, it should be done within 3-5 days. Nasal fractures without dislocation are treated with pressure relief until the pain subsides. Usually contact sports can be resumed after about 4 weeks.
Rehabilitation, specific:
Relief and rest until symptoms have subsided. Training can then be resumed cautiously, but should be discontinued if symptoms, such as headaches, reappear.
Bandage
Special face bandages can be manufactured for use in case of nasal fractures, allowing sports activities to be resumed more quickly.
