How to straighten the nose: ways and methods, results, photos. Deviated septum: treatment without surgery Align the nasal septum at home

How to straighten your nose is a natural question after a fight or an unsuccessful fall. Firstly, you should not try to do it yourself, and secondly, apply ice to the injured area and come to the nearest hospital as soon as possible.

In almost any medical institution there is a doctor who is able to reposition a fracture of the nasal bones. Another reason for an urgent visit to the doctor is the exclusion of traumatic brain injury and other injuries that can cause complications in the future.

The nose, as the most prominent and fragile part of the face, is the first to suffer when it encounters a hard object, a surface, or an unexpected fist. In almost 40% of all facial injuries, the nasal bones are broken. In this case, damage is caused not only to appearance, but, much more seriously, to the functional qualities of the nose - breathing and smell.

The shape of the fractures are:

• Open - when the skin is not damaged or the injuries are represented by small abrasions;
• Closed - when a bone structure is visible through large deep ruptures of the skin, sometimes with bone fragments.

By type of damage:

1. Fracture of the nasal septum - the nose noticeably dips inward;
2. Displaced fracture - the nose is twisted and shifted to the side.

If the nose injury is not accompanied by bleeding, most likely it is a bruise and it is enough to apply cold to relieve swelling.

If they are observed:

• Copious discharge of blood;
• Loss of consciousness, shock;
• A noticeable hyperemic swelling of the tissues around the eyes and nose, which, after a few hours, acquires a purple-cyanotic hue;
• Severe soreness when touching the very nose and face;
• Visible violation of the outlines of the nose.

Most likely, the integrity of the bones is broken and the reduction of the nose after the fracture is required.

Side dangers of fracture

Despite the fragility, a slight breeze will not break the nose. Therefore, a blow capable of breaking the bones of the nose almost always causes injury to the brain along the way. TBIs are dangerous both because of current disorders in brain structures and delayed complications. Sometimes the trauma of the nose is supplemented by fractures of the jaws, a violation of the nasolacrimal ducts and the cribriform plate. The latter can cause various inflammatory processes in the brain.

To avoid negative consequences, you should contact specialists as soon as possible.

When the reduction of the nose was not done or the correction of the nose after the fracture took place at home, complications often follow the injury:

1. Curvature of the nasal septum - the patient's healthy nasal breathing is disturbed, sinusitis and rhinitis develop;
2. Hematoma of the nasal septum - without timely therapy, it can lead to suppuration and destruction of cartilage.

If the period for effective reposition is missed, and it ranges from 5 hours to 7 days, maximum 3 weeks, then the doctors allow the nose to heal completely, and six months later they do rhinoplasty, which eliminates the consequences of the fracture.

To reduce pain, relieve swelling and temperature, ice or wet tissue, preferably sterile, should be applied to the injured area and the patient should be urgently taken to the emergency room or surgery.

Rhinoscopy is one of the mandatory methods for determining the severity and nature of the fracture.

The doctor determines the severity and nature of the fracture with the help of special studies:

• Lateral projection for examining the nasal cavity with an endoscope;
• X-ray for the diagnosis of the presence of displacement, can be replaced by CT or MRI;
• Rhinoscopy to establish the localization of damage to the mucous membrane;
• Collection of urine and blood for analysis.

Based on the results, the doctor decides how to straighten the broken nose.

In addition, all patients are required to be vaccinated against tetanus and administered painkillers and sedatives.

In cases where:

1. Significant damage to the paranasal sinuses was established;
2. There is prolonged non-falling or recurrent bleeding;
3. An extensive and severe form of deformity was recorded.

The patient may be offered inpatient treatment.

An important condition for a successful operation is the time during which the patient was taken to the hospital. For reposition, the ideal period is the first 2-3 hours, while the edema has not yet reached a critical scale, or after 2-3 days, when the edematous manifestations have subsided and the necessary assistance can be provided. Swelling of soft tissues does not interfere with medical manipulations, but makes it impossible to accurately assess the result of the work.

There are reasons that make the surgeon postpone the procedure:

1. Due to the developed edema, it is impossible to accurately determine the method of treatment. If, after reducing the swelling, it turns out that the shape of the nose is the same and breathing is not difficult, then the operation is replaced by conservative treatment.
2. Swelling of tissues prevents an objective assessment of the result of the surgeon's action.
3. A fracture of the nose is accompanied by a traumatic brain injury, which is a contraindication for surgical intervention.

In the second week after the injury, repositioning is much more painful and difficult, and starting from the tenth day, it is possible to fix a broken nose only by applying general anesthesia.

After three weeks, the formation of callus begins, and reposition becomes impossible. In this case, rhinoplasty after a fracture is used, which is carried out no earlier than 6 months after the injury.

Reposition is performed under local anesthesia in the form of injections and spray. It consists in returning the displaced parts of the nose to its original place. An experienced surgeon only needs a few minutes to set an uncomplicated fracture. To eliminate the displacement or retraction of the nose, in case of violation of the nasal septum, special surgical instruments are used. The answer to the question of whether it hurts to set the nose depends on the severity of the injury, the individual reaction of the body to anesthesia and, of course, on the qualifications of the doctor.

Nose reduction surgery is usually painless because it is performed under local anesthesia.

After establishing the bones in the right order, they are fixed with an internal tamponade soaked in antibiotic gauze. Tampons prevent re-displacement of cartilage and inhibit inflammation. Outside, for enhanced fixation, a tight bandage is applied.

To be able to set the nose at home is necessary only if it takes a month to get to the nearest doctor in the taiga.

Rehabilitation and elimination of consequences

After reposition for 30 days, it is necessary to observe rest, to exclude increased physical activity. It is also not recommended to wear glasses, go to baths and saunas. In case of difficulty breathing through the nose, vasoconstrictor drugs prescribed by the attending physician are used.

When the edema is completely resolved, the result is sometimes not as perfect as expected. In this case, a second operation - rhinoplasty - can be prescribed for aesthetic correction of the nose.

In case of an unplanned deviated nasal septum, a rhinoseptoplasty is performed, after which you will have to spend about 15 days in the hospital.

How to straighten your nose

It is possible to set the nose without a doctor only in a completely hopeless situation. At the same time, it is necessary to understand that other consequences of TBI and the like may make themselves felt in the near future.

If a visual assessment of the fracture showed that the septum was broken and the nose was sunk, you should not even try to rectify the situation without special skills and tools - it is too dangerous and useless.

You can try to eliminate only a small lateral displacement. To do this, it is necessary to cover the nose with ice, after 5-7 minutes, take the back of the nose with your thumb and forefinger in the place where the displacement is visible, first pull down and then in the direction opposite to the curvature. If the procedure is successful, you will feel your nose snap into place. Try to fix it in this position and use antiseptics.

Deviations in the shape of the nose from the accepted classical standards can provoke many different inconveniences. The presence of humps is associated with a negative perception of appearance. This can lead to various kinds of problems.

It is a consequence of the deformation of the cartilaginous or bone tissue that makes up its frame. Often, the pathological process is characterized by a curvature of the nasal septum, which leads to respiratory failure. The result of the pathological process is the drying of the nasal mucosa.

The question worries so many people who suffer from a similar problem. This will be discussed in the review.

Feature of the operation

How to straighten the nose - this question worries a lot of people, since this is not only an aesthetic problem, but also causes a lot of inconvenience, as it greatly complicates nasal breathing. The main operation is rhinoseptoplasty.

The peculiarity of treatment is determined by the nature and intensity of the damage. In case of a fracture without displacement, sutures are simply applied, and in case of a complex injury, surgery is required.

Plastic surgery helps to straighten the nasal septum in order to eliminate functional disorders and improve the shape of the nose. The essence of the intervention is the excision of fragments of cartilage and bone, and then the subsequent reconstruction of the shape.

Rhinoseptoplasty allows a person to return full nasal breathing, eliminates risks for the ENT system, and also helps to create an aesthetically attractive image.

Key Interventions

To understand how to straighten your nose, you need to know what methods of operation exist. The development of modern technologies has made it possible to correct the existing deformity using a laser and using an endoscope. There are many varieties of classical septoplasty, namely:

• redressing;
• circular resection;
• gentle intervention.

All these types of operations differ in the amount of cartilage left. Straightening of the nasal septum with a laser is one of the most modern and safest methods. A similar intervention is carried out in a polyclinic. In this case, the laser heats the cartilaginous tissue of the nasal septum, as a result of which it becomes soft and plastic. Then the cartilage is given the required shape and fixed.

This is a low-traumatic and bloodless intervention, which can only help with the curvature of the cartilaginous part. For many people, it is not suitable, since problems arise precisely with the bone department.

Endoscopic septal alignment is performed under an endoscope, which allows a more thorough examination of the curvature in the deepest parts of the nose.

Indications and contraindications for the operation

It is important to understand how to straighten the nose through surgery and what are the indications for this. A complex correction is required if, as a result of a fracture or injury, signs such as:

• pronounced aesthetic defect;
• chronic sinusitis or frequent rhinitis;
• heavy nasal breathing;
• snore;
• spontaneous nosebleeds.

The operation is a complex, phased intervention on cartilaginous and bone tissues, therefore, general anesthesia is used.

However, it is worth noting that there are certain contraindications. If you need to straighten your nose, the operation is not prescribed if:

• diseases of the heart and blood vessels;
• asthma;
• blood clotting disorders;
• liver disease;
• malignant neoplasms;
• diabetes
• allergies to painkillers.

It is very important to take into account possible contraindications in order to prevent the occurrence of complications.

Preparing for the operation

It is possible to straighten the nasal septum with the help of an operation, however, before this, serious preoperative preparation is required, namely, it is necessary to undergo such studies as:

• radiograph;
• tomography;
• urine and blood tests;
• blood chemistry;
• coagulogram;
• blood test for group and rhesus;
• tests for syphilis and hepatitis;
• fluorography.

If the patient has concomitant diseases, then the specialist should give his recommendations on the possibility of performing the operation. Analyzes and studies should be prescribed only by a specialist.

Operation

The nasal septum can be straightened with a special operation - septoplasty. It is carried out in the department of otorhinolaryngology. On the night before the intervention, it is forbidden to eat food, it is only allowed to drink some water. Septoplasty is performed under local or general anesthesia. If the patient has chosen local anesthesia, then 1 hour before the intervention, he is given sedatives.

Initially, the doctor anesthetizes the nasal cavity with an anesthetic solution. Then it is injected with a syringe into the mucous membrane. Then an incision is made from the most curved side, and the doctor begins to slowly exfoliate the mucosa and perichondrium, continuing anesthesia as needed.

Then the cartilaginous part is removed, after which the doctor knocks down the spike with a hammer or chisel, which provoked the curvature. The incision is sutured, and gauze tampons are placed in the nostrils, fixing the septum in the desired position, as well as to eliminate bleeding.

The intervention itself lasts for 1 hour - depending on the type of anesthesia and the characteristics of the nasal septum.

Rehabilitation and recovery period

Many are interested in how much it costs to straighten the nose after a fracture and how exactly rehabilitation is carried out. The cost of treatment largely depends on the scale of the tasks, as well as the drugs used. Estimated price is 95-250 thousand rubles.

The length of the recovery period after the operation depends on factors such as:

• carrying out the scope of the intervention;
• surgical access;
• individual characteristics of the patient;
• provided postoperative care.

With open access, an external skin incision is made at the base of the nose. This greatly simplifies the course of the operation, and also allows a more accurate assessment of the required corrective actions.

With a standard classical intervention, the recovery period will be longer than with an endonasal approach. For a longer time, edema will persist in patients with a thick layer of skin.

In the postoperative period, it is imperative to follow certain recommendations. It is forbidden to remove tampons from the nose on your own, despite the fact that it will be somewhat difficult to breathe through the mouth. The first few days you need to limit yourself in nutrition and exclude all solid foods.

After the operation, a course of antibiotics is prescribed to help prevent the development of an inflammatory reaction. In the first 3 days, it is recommended to take painkillers and hemostatic agents. Keep in mind that normal breathing is restored within a few weeks.

How to avoid complications

It is very important to know where you can straighten your nose, since the likelihood of complications largely depends on the correct choice of clinic. Experts recommend choosing specialized clinics for plastic surgery, and you also need to first read the reviews of patients.

After septoplasty, various complications can occur, in particular, such as:

• bleeding;
• infection and inflammation;
• the formation of adhesions;
• scarring;
• hematoma;
• perforation of the septum.

Each of these complications requires the adoption of certain measures, namely:

• when bleeding, hemostatic agents are introduced;
• adhesions are dissected with a scalpel;
• with an infection, antibiotics are indicated;
• a hematoma puncture is performed with a pressure bandage applied.

It is impossible to avoid the occurrence of complications, it is only possible to reduce the likelihood of complications by strictly observing all the doctor's instructions on the regimen and care of the postoperative cavity.

Many are dissatisfied with the shape of their nose, but do not dare to go under the knife of a plastic surgeon for correction. That is why they are interested in how to straighten the nose without surgery and what methods of non-surgical correction exist. Fillers have gained great popularity due to minimal complications, low injuries, and a high degree of effectiveness.

There are several types of fillers, therefore, you can choose the required option depending on the indications and the expected result. These are special preparations for injection, which are used by cosmetologists as fillers to correct various defects. With the help of such tools, you can smooth out the hump, correct asymmetry, remove bumps and hollows of the nose. There are several types of fillers, namely:

• biodegradable;
• bioindegradable;
• autologous.

Biodegradable are introduced for a short period of time, over time they are smoothed out and gradually removed from the body. These include fillers based on hyaluronic acid and collagen. They are able to keep the shape of the nose for 2 years. These fillers have practically no contraindications and have a beneficial effect on the skin.

Bioindegradable fillers do not decompose in the human body, as they do not react with it. These drugs are based on synthetic gels, the most famous of which is silicone. Fillers of this group maintain the desired shape of the nose much longer without surgery, but have some contraindications, as they can provoke tissue fibrosis.

Autologous fillers are characterized by the fact that the drugs used are based on a person's own adipose tissue. The period of correction largely depends on the characteristics of the person himself, and the risk of rejection is minimal.

All these types of non-surgical nose correction are performed strictly on an outpatient basis using local anesthesia. The procedure takes approximately 40 minutes. Almost immediately, a person can go home. The recovery period is approximately 1-2 days. Despite the seeming simplicity and safety of the correction, these procedures have a number of contraindications, which is why it is imperative to consult with specialists before conducting them.

Changing the nose with hormones

This method is based on the fact that excess soft tissues are dissolved with the help of specially selected hormonal agents. This allows you to straighten the crooked nose very quickly and effectively and prevent complications.

Glucocorticosteroids are used as the active substance. It is a synthetic analogue of the hormones of the adrenal cortex. It is worth remembering that injections are carried out for several weeks. At the same time, it is important to strictly observe the period of their administration and dosage of the drug, since otherwise there may be a reverse effect.

If you strictly follow all the doctor's instructions, you can achieve a very good result and eliminate existing nose defects.

Splint application

If a nose fracture occurs, only a doctor can determine how to straighten it, since it all depends on the degree of complexity of the damage. Quite often, a rhinocorrector is used. Such a device is a structure made of plastic and plaster. It creates pressure on a certain area of ​​the nose, thereby changing its position.

Now there are quite comfortable splints made in the form of clips that can be put on and taken off. This is a rather lengthy way to change the shape of the nose. To achieve a sustainable result, they will have to be worn for at least 6 months. It is also worth remembering that there are a number of contraindications for the use of these funds.

Application of threads

Such devices help to correct the shape of the nose. The essence of the procedure is that with the help of a special needle, the surgeon makes small punctures and threads a special thread through them. After that, it is fixed. Among the main advantages of such a correction, it is necessary to highlight:

• minimal risk of injury;
• prevention of complications;
• painlessness;
• anesthesia is local.

When carrying out such a procedure, the tissues of the nose are not affected in large quantities. You can not be afraid that a significant amount of tissue will be removed, as in the case of an operation. It is worth noting that there is a possibility of the formation of keloid scars.

Conducting exercises

How to straighten a broken nose at home without injections and operations - this question worries a lot of people. It is worth noting that this can only be done if the injury is not very serious. In any case, it is recommended to first see a doctor who will determine the nature of the damage and the possibility of non-surgical correction.

Answering the question of how to straighten your nose at home, we can definitely say that this can only be done with the help of special exercises. Such a technique is really able to give accuracy to the nose and veil the existing shortcomings.

Exercise should be done several times a day. The more often they are done, the faster you can achieve the desired result. To straighten the nose after a fracture, you need to place your fingers on both sides of the tip and turn it in the direction you want to correct. After that, you need to pull the lower lip. After a few seconds, you can relax.

Knowing how to straighten your nose at home with the help of special exercises, you can achieve a very good result, but it is worth remembering that the effect may be short-lived. That is why you need to deal with it even when the situation is completely corrected, since everything can quickly return to its original state.

Can you straighten your nose with yoga? This question worries many, since not everyone wants to immediately resort to radical methods. Yoga uses the technique of inhalation and exhalation. Repeat breathing exercises regularly several times a day. It will take a lot of time to see the desired result, however, it is really impressive.

Correction of the nose with makeup

If there is no desire and opportunity to perform an operation, administer injections, use special devices or perform a set of exercises, then you can try to visually straighten your nose at home with the help of cosmetics.

To achieve the desired result, a play of chiaroscuro is used, with the help of which the required surfaces are highlighted and imperfections are smoothed out. In addition, you need to make an appropriate emphasis on other parts of the face.

We continue to say what to do if the nasal septum is curved. This time - about the methods of treatment, the effectiveness of the operation and its risks.

ARTEM CHEKHOVSKY

doctor with deviated septum

What are the complications

Postoperative bleeding.

If the surgeon removes too much of the septum, a hole may appear between the nostrils.

Loss of smell.

Infection and prolonged healing of the postoperative wound.

Will septoplasty change the shape of the nose?

Septoplasty is done to correct the shape of the nasal septum. The operation usually does not affect the shape of the nose. But there are 2 situations where this can happen.

The surgeon removed too much of the septum. The frame disappears at the nose - it “sags” or leans to one side. This complication of septoplasty occurs in 0.4-3.4% of cases.

The cartilage was twisted too much. Then the surgeon can put the cartilage “in place” during the operation and improve the appearance of the nose.

Left: The cartilage is so curved that it can be seen in the mirror. Right: smooth septum after septoplasty / Photo: nos-zdorov.com

What's with the seam? I don't want a scar on my nose!

Usually, during a septoplasty, the incision is made inside the nasal cavity. The scar in this place is not visible.

In rare cases (severe trauma, combination of septoplasty and rhinoplasty), the incision is made under the tip of the nose. A small scar will remain here, which can be seen if you raise your head high.

Left: nose before septoplasty. Right: nose after septoplasty with a small scar under the tip of the nose / Photo: blizko.ru

What will happen after the operation?

At the end of the septoplasty, the nasal septum needs to be fixed with something. For these purposes, turundas or splints are used.

Turundy- This is gauze that doctors put in the nose after surgery. They put pressure on the nasal mucosa, which prevents bleeding and prevents the septum from “moving out”. Breathing through turundas will not work.

Through the nostril, gauze 50-70 cm long is inserted into the nasal cavity. Her ends remain outside / Image: pikabu.ru

Splints- these are spacers made of silicone or teflon. They squeeze the septum from both sides and prevent it from bending again. In function, it is similar to plaster: splints fix the cartilage and bone while the septum fuses in the middle of the nose. Inside the splints there is a hole through which you can breathe.

Many people are unhappy with their nose shape. It may not be perfect from birth or become so after injury. Everyone knows that such cosmetic defects are corrected surgically. But is it possible to do without surgery?

If you have a “potato” nose, there is a slight curvature of the wings or the tip, you can make a correction at home.

You should not expect amazing results from a conservative correction of the shape of the nose. Without surgery, you can achieve a certain cosmetic effect, but only surgery will give radical changes.

How to make your nose narrower or straighter at home? Let's analyze the simplest and most effective methods:

• Massage and exercise.
• Makeup secrets.
• Rhinocorrector.

Unfortunately, there are no traditional pills and ointments to correct the shape of the nose. We have to resort to other methods of conservative treatment.

Do folk remedies help to correct? Let's try to answer this question.

How to straighten with massage?

This method of correcting the shape of the nose is a cross between massage and exercise. You can perform the technique yourself in front of a mirror, a massage therapist is not required for this.

Here are 5 exercises that can change the shape of the nose:

1. The first exercise is designed to shorten the length of the nose by training the muscles of the upper lip. The thumb and forefinger of the right hand grab the bridge of the nose and hold it tightly from movement. The index finger of the left hand fixes the tip of the nose. Pull down the upper lip without opening the mouth. Hold for 5 seconds. We relax the muscles. The exercise is repeated daily at least 40 times.
2. This technique is designed to make the nose straight if its tip is slightly deviated to the side. The fingers of both hands are located in exactly the same way as in the previous exercise. With the index finger of the left hand, pull the tip in the direction opposite to the curvature. Pull together the upper and lower lip down, hold for 5 seconds. We repeat from 30 to 50 times.
3. The third exercise allows you to make the tip of the nose narrower, lengthen it visually, make it more slender and sharp. The index finger of the left hand covers the tip of the nose from below and pulls up. We open our mouth in the form of a small oval. We gradually lower the upper lip, as if pulling it over the teeth. We repeat 30 times.


4. The following technique helps to make the nose itself narrow and longer. Open your mouth in an "O" shape. Pull your chin down. Pinch the nostrils with two index fingers on both sides. Flare your nostrils for 5 seconds. After that, release the wings of the nose and breathe. Repeat exercises 20-30 times. During the entire exercise, the mouth remains open, and the chin stretches down.
5. The next movement allows you to make the wings of the nose less pronounced. The middle fingers of each hand are located in the area of ​​\u200b\u200bthe wings of the nose. Wrinkle your nose, tighten your nostril muscles. Fingers press on the nostrils and slowly move down for 7 seconds. The exercise is repeated 15 times.

Unfortunately, the hump on the nose cannot be corrected with exercises and massage. It is based on a bone defect that cannot be eliminated by such methods.

Makeup to reduce crookedness

There are a couple of makeup tips that help make the shape of the nose look more straight. Do not underestimate this method of correction, because makeup can do wonders.

There are such options:

1. The light strips of the corrector on the sides of the nose can be made asymmetrical so that one half of the face compensates for the deformation of the nose on the opposite side.
2. A small portion of dark tone at the tip of the nose helps to correct a long uneven nose. This spot makes the nose visually shorter.

Shadows, cream or powder differ from skin color by just one tone in the light or dark side.

These techniques are easiest to perceive visually. There are a large number of videos on the Internet with makeup secrets that correct the shape of the nose.

How to fix the shape with a rhinocorrector?

A good way to correct the shape of the nose at home is a rhinocorrector - a small device that is put on the back of the nose and straightens it.

The product is sold in pharmacies, orthopedic salons, ordered on the Internet.

Usage Tips:

• Before buying it is desirable to try on the device. Not every model is universal.
• It is recommended to wash the corrector regularly, and it is better to disinfect with an alcohol wipe.
• You can wear the device at night so that you do not have to wear it on your face during the day.
• You need to make a correction for at least two months in a row.
• After achieving the effect, it is recommended to maintain the shape by putting the device on the nose 2-3 times a week.
• To prevent the transfer of infection, the remedy must be used individually.
• Combine wearing the device with exercise. This will enhance the effect.

The device is inexpensive and is a good alternative to surgery.

Is it possible to remove folk remedies?

Folk recipes for internal and external use will not help correct the shape of the nose. You should not believe representatives of alternative medicine who spread false information.

Nose defects (bone or soft tissue) can only be corrected surgically.

Among facial injuries, a nose fracture is the most common. This injury can lead to damage to the olfactory and respiratory functions. Usually this phenomenon occurs in domestic conditions: falling on a slippery floor, ice, a fight, but there is also a risk group - people, including athletes and motorists. The procedure by which the violations of the organ during a fracture are eliminated is called the reposition of the bones of the nose. To understand what a nose fracture can be, you should know about its structure. The nose is bordered by the skull in the upper part, with the oral cavity in the lower part and the eye sockets on the sides.

Bones and cartilage are arranged as follows:

• The outer wall, also called the lateral wall, includes the nasal bone, the palatine bone, the nasal surface of the upper jaw, the ethmoid bone, the pterygoid processes of the sphenoid bone, the frontal process, and the lacrimal bone.
• The side walls are connected by a partition.
• The posterior superior part includes the vomer and the perpendicular plate of the ethmoid bone.
• In front of the bottom is a quadrangular cartilage and a movable part of the septum.
• The upper wall is formed by a thin lattice plate, which is easily damaged by injury.
• On the side of the nose are large and small alar cartilages.

Most often we can deal with damage to the external nasal bones, rarely traumatizing the walls of the orbits, vomer, frontal processes and nasal conchas.

What are bone fractures?

• Closed form - visible manifestations are mild (abrasions and swelling).
• The open form is characterized by wounds on the skin, fragments of bones can be seen.
• With a displacement, the nose becomes asymmetrical (may be accompanied by external skin damage or have the characteristics of a closed shape).
• Damage to the nasal septum - the nose sinks inward.

You need to know the symptoms of a broken nose in order to contact a specialist for treatment in time. This is especially important if the injury occurred in a child, since subsequently the nose may not form correctly, leading to curvature of the organ, difficulty breathing and ENT diseases.

How to recognize a broken nose:

• blood is flowing (there may be both abundant and meager discharge);
• possible shock and loss of consciousness;
• the skin around the nose, eyes and cheekbones becomes swollen;
• red streaks are visible in the eyeballs;
• breathing is difficult, frequent blowing;
• there are wounds, fragments are sometimes visible;
• the nose hurts, touching it causes acute pain;
• bruises appeared at the site of injury and under the eyes.

In addition to the primary signs that appear during the first days after the fracture, there may be an increase in temperature, redness at the site of the fracture, softening of the tissues. Such manifestations on the second, third day after injury indicate infection of wounds with pathogens.

How is a nose fracture diagnosed?

• with the help of rhinoscopy, areas of soft tissue rupture are determined;
• to determine the presence of displacement, the patient is given an x-ray of the side of the nose;
• examination of internal injuries is carried out with an endoscope device;
• the patient is prescribed laboratory tests of blood and urine.

After the diagnosis, the doctor prescribes a treatment that suits the individual case. Directions for the treatment of fractures of the bones of the nose are as follows:

• First aid involves applying a cold compress (ice) to the injured area to relieve swelling and reduce pain.
• With severe pain, the patient is given painkillers and sedatives.
• A tetanus shot is given.
• If the bones have moved or crumbled during a fracture, reposition is performed.

Reposition of the bones of the nose is carried out in a limited time. From the moment of injury to the procedure for repositioning the bones, no more than 21 days should pass. The optimal time for the operation is from 5 hours to 7 days.

If the patient applied immediately after the fracture, but there is a strong swelling of the nose, then the reposition is postponed for several days, until the condition of the soft tissues normalizes. After the tenth day after the fracture, reposition is more difficult, as a callus begins to form. In this case, the doctor is forced to fix the reduced area with a special bandage.

After a three-week period after a nose fracture, reposition is not possible. The operation is postponed for at least six months, so that the bones are completely fused.

In order to correct uneven accretion, a complex operation under general anesthesia is required. The doctor breaks the bones again, in the place of uneven fusion and puts them in the right position.

Depending on the type of fracture with a displacement, the doctor chooses a way to set the bones in place. It also depends on how easy and fast the procedure will be.

There are several types of nose fractures in which reposition is performed:

• When the back of the nose is retracted, they speak of rhinolordosis.
• If the nose is strongly depressed inward and visually looks like a wide or short one, then such a fracture is called platyrinia.
• If the nose is shifted to the side, then this is rhinosclerosis.
• The formation of a hump on the nose is called rhinokyphosis.

If the patient is shown the reposition of the bones of the nose, then the treatment includes several stages:

1. Preparation for the operation includes measures to relieve the patient's pain shock and eliminate the swelling that forms in the nasal passages and sinuses. Tamponade is done to stop bleeding.
2. Anesthesia of the fracture site is carried out using local anesthesia by injecting the drug with a syringe or irrigating (lubricating) the damaged part with an anesthetic.
3. Reposition is performed manually or using special elevators. If they are absent, then they are replaced with tweezers, the ends of which are wrapped with a cloth, and a rubber tube is put on top. The elevator is placed in the nose, and from the outside, the surgeon works with his fingers, setting the bones in place.
4. If the fracture is characterized by many bone fragments, then tamponade is performed after the operation. Swabs soaked in paraffin are placed in the nasal cavity so that the bones heal properly. The recovery period with tamponade usually takes just over a week.

Anesthesia during reposition is used in case of a fracture of the nasal septum. This operation is more complicated, during it the implantation of implants in the nose is not excluded. In the event of a hematoma on the nasal septum, it is immediately drained. Otherwise, complications are likely to occur, such as cartilage necrosis.

In what cases the patient is hospitalized:

• pronounced external deformity of the nose;
• heavy or recurrent bleeding;
• complicated fracture with damage to the orbits, brain, sinuses.

During the recovery of the nose after reposition, the patient should follow certain rules:

• It is forbidden to visit the bath or sauna.
• You can't wear glasses.
• Situations in which a blow to the nose may be caused, such as sporting events, ball games, should be avoided.
• Exclude physical activity.
• With difficulty breathing as a result of edema, vasoconstrictor drops should be used.

If the necessary measures are not taken in relation to a broken nose, negative consequences may occur.

• A hematoma of the nasal septum is formed. If it is not removed in time, then necrosis (destruction) of the cartilage is possible. The hematoma is removed surgically.
• The bones of the nose fuse crookedly, leaving a pronounced cosmetic defect.
• Deformation of the inner nose contributes to the loss of smell and impaired breathing. These ailments, in turn, give rise to general ailments: trigeminal neuralgia, migraine, asthma, and others. Stenosis of the introductory tract (lacrimal canal, paranasal sinuses) can cause chronic diseases of the nose and eyes.

Straightening the nose after a fracture: effective techniques

For effective reduction of the nasal bones, it is necessary to accurately diagnose the sites of damage and the state of the body as a whole. Injuries to the nose cause swelling and bleeding. It is desirable to remove these symptoms before repositioning. Often the patient has a concussion. In this case, the operation is postponed for several days until the patient's condition improves.

Children are characterized by injuries with a sinking of the bridge of the nose without a fracture of the bones. This is due to the age characteristics of bone tissue, which contains more elastic fibers than in an adult. But in this case, an operation is also performed to restore the normal position of the nasal septum.

The optimal time for repositioning the nose is the first few days after the injury. If the patient has a displaced fracture of the nasal bones, then treatment is carried out before repositioning. The sooner the doctor sees the patient, the faster the diagnosis of the fracture, preparation for surgery and reduction of the bones will be. If the patient went to the doctor in a day or two, then severe edema, emphysema, inflammation of the wound and other phenomena make the diagnosis difficult, and sometimes impossible. In this case, you have to wait until the condition of the soft tissues returns to normal.

Treatment of a displaced nasal fracture

1. With heavy bleeding, tamponade is done. It is desirable to perform it after the diagnosis of a fracture, if the displacements are insignificant, then, in addition to stopping the blood, the procedure can help to reduce the bones. At the same time, the doctor makes sure that this procedure does not harm even more, which is possible in inept hands. If a tampon or turunda is inserted roughly, then damage to soft tissues and divergence of bone fragments is possible.
2. Tamponade is done with tampons or long turundas, which are superimposed on each other. Tampons are soaked in cocaine-adrenaline and inserted into the nasal passages. The procedure is performed 2-3 times a day for 1-3 days.
3. If the fracture has an open shape, then the doctor treats the open wound with a solution of hydrogen peroxide or saline, cleaning it from dirt, sand, blood clots. Individual bone fragments that are not connected are extracted. They try to leave even the smallest fragments, if they have even a weak connection with soft tissues.
4. After washing the wound, the doctor assesses its condition and if it is fresh and not inflamed, then sews it up. If an infection enters the wound, especially in the presence of purulent contents, the wound is left open for treatment. The patient is prescribed antibiotics, and the damaged area is treated with antibacterial agents. Emphysema usually goes away on its own after a few days.
5. In case of formation of a hematoma of the nasal septum, the doctor removes it surgically.

Effective straightening of the nose after a fracture

1. For the operation, the doctor lays the patient on the couch. This is done so that the patient does not fall in case of shock. The operation lasts a few seconds, but is accompanied by acute pain.
2. The nasal mucosa is treated with a solution of cocaine with adrenaline, and novocaine is additionally injected under the skin. In the case of complex fractures, general anesthesia may be recommended for adults and children to reduce the nose.
3. Once the anesthetic has taken effect, the doctor sets the nose with his fingers and, if necessary, uses an elevator. At the time of the operation, the patient hears the crunch of the bone that has fallen into place. The doctor's actions to straighten the nose after a fracture differ, depending on the nature of the injury.
   • Fracture of the nose with displacement to the side. The surgeon adjusts the nose in this situation by moving the thumbs, pressing the bone that has been displaced. The main thing here is to accurately determine the point on which you want to influence. If the retraction occurred only on one side, then the doctor introduces the elevator into the nasal cavity and squeezes out the bone fragment.
   • Retraction of the back of the nose. Nose repair surgery is sometimes done with fingers, but elevators are more commonly used. To do this, with two instruments inserted into the nasal passages, the bone is lifted (forward and upward movement).
   • Reposition of fragments. For this procedure, a nasal dilator and gauze turundas with vaseline oil are used. In order to set the fragments, the doctor inserts the dilator into the patient's nasal passage and, gradually pushing its ends apart, sets the fragments into place. Then, without removing the dilator, he puts turundas into the nose, fixing the result.
   • Compound fracture with displacement and splinters. First, the fragments are set in the described way, and then the displacement of the nose is corrected in one way or another.
4. Straightening a nose damaged by a fracture often does not require external fixators. But sometimes it makes sense to use them. For example, with a small-fragmented fracture, the bones do not hold and they are fixed by applying plaster or fixing rollers.

The reposition of the nasal bones should be trusted by experienced surgeons, especially if more than a week has passed since the fracture. After some time, thanks to qualified assistance, it will be possible to forget about the nose injury. But sometimes, after the swelling subsides, the patient observes a deterioration in the appearance of the nose. In this case, the patient is prescribed rhinoplasty, which will eliminate visible defects. When the nasal septum is deviated, a septoplasty is performed.

You can straighten your nose after a fracture both for a fee and for free. Many medical centers offer nose repositioning services. Prices for this service range from 2 to 40 thousand rubles. The final price depends on the complexity of the fracture, the methods of examination and operation, the time spent in the hospital, the cost of a doctor's consultation, and so on. Free operation is carried out in city municipal hospitals.

Comparative review of prices for repositioning in some cities:

• Moscow - from 2500 rubles. (finger), from 5000 rubles. (instrumental);
• Ufa - 2000 rubles. (excluding anesthesia), 3500 rubles. (with fixation on a tampon);
• Tula - from 3000 rubles. (finger) from 5800 rubles. (instrumental);
• Yekaterinburg - from 1500 rubles;
• Astana - 4000 tenge.