Treatment will depend on your child’s symptoms, age, and general
health. It will also depend on how severe the condition is.
Children should sit upright for a
time after the injury, to help reduce swelling and pooling of blood in the nose. Initial
treatment might include pain medicines and ice.
Some children with severe injuries
need to see an ear, nose, and throat healthcare provider immediately. Others will need
to see an ear, nose, and throat healthcare provider after a few days. The delay allows
the swelling to go down, so the healthcare provider can evaluate and recommend further
Many children need “reduction” of
the nasal fracture as part of their treatment. This just means that a healthcare
provider needs to realign the bones, if they are out of place. Your child might need
this right away or later at a follow-up appointment. Your healthcare provider might do
this by physically moving the bones back into place (“closed reduction”). Less commonly,
surgery is needed (“open reduction”). Because this can be painful, healthcare providers
usually do this when the child is asleep under general anesthesia. After reduction, the
nose usually needs a splint.
After the reduction, your child’s
nose may not look exactly the way it did before. Rhinoplasty surgery (nose surgery) may
help restore a more cosmetic appearance.
If your child’s nasal fracture is
more severe, he or she might need a more complicated surgery immediately after the
injury. Septorhinoplasty can help restore the cosmetic appearance of the nose, as well
as restoring a displaced nasal septum and blocked nasal airway.