March 23, 2022 Nose or nasal trauma is a frequent problem. Indeed, due to its prominent on the face, the nose is one of the first structures to receive an impact when there is a trauma to the face. Symptoms of a nasal trauma Nasal trauma may be mild and not be associated with any symptoms . It may also have some self-limiting symptoms, such as a small nosebleed that stops spontaneously. However, when there is a violent impact on the nose , as is often the case in the context of a car accident or a sports accident, the damage can be more serious and even lead to sequelae if it is not treated timely. A nasal trauma can thus be accompanied by: Fracture of the bones and/or cartilage that make up the nose , with consequent deformity of the nose) or difficulty in breathing through the nose; Hematoma with swelling of the nose and face and periorbital ecchymosis (commonly known as 'black eye'); Hematoma of the nasal septum , that is, the accumulation of blood inside the nasal septum, which leads to the destruction of the septum cartilage, with consequent loss of support and sinking of the nose (the patient has a 'saddle nose') ; Epistaxis (nosebleed) which may need medical intervention to be controlled/stopped; Fractures of other facial bones or even skull base fractures; Changes in smell, wounds, infections . When to see an otolaryngologist Medical care from an otolaryngologist should be sought in the following circumstances: Whenever the nasal impact or trauma has been violent , If the trauma results in a deformity of the nose or if it is associated with any of the above mentioned problems . Observation by the otorhinolaryngologist will make it possible to identify any complication and, if necessary, treat it timely to avoid possible sequelae . This article was written by the Hospital da Luz Lisboa otorhinolaryngology team. The content published in the Health Guide is intended for the general public and is provided for informational and educational purposes only. It does not replace individual medical assessment, diagnosis, or personalized clinical advice from a qualified healthcare professional. The content is produced or reviewed by physicians and other healthcare professionals at Hospital da Luz and is based on the knowledge available at the time of publication or the most recent update, as indicated at the beginning of each item.
