How does a doctor assess broken nose?

Assessing a broken nose, also known as a nasal fracture, involves a systematic approach by a doctor to evaluate the patient's condition and determine the extent of the injury. Here's how a doctor typically assesses a broken nose:

1. Medical History:

- The doctor will ask about the patient's medical history, including any previous nasal injuries, allergies, and any bleeding disorders.

2. Visual Examination:

- The doctor will visually inspect the nose for any visible deformities, swelling, bruising, or asymmetry.

3. Palpation:

- The doctor will gently palpate the nose to identify areas of tenderness or crepitus (a grating sensation), which may indicate a fracture.

4. Neurological Assessment:

- The doctor may perform a brief neurological assessment to check for sensation and movement in the face, particularly around the nose.

5. Nasal Endoscopy:

- In some cases, the doctor may use a nasal endoscope, a small flexible camera, to examine the inside of the nose and assess any internal damage or bleeding.

6. Imaging Studies:

- If a fracture is suspected, the doctor may order imaging studies such as X-rays or a CT scan to confirm the diagnosis and determine the severity of the fracture.

7. Functional Assessment:

- The doctor may assess the patient's nasal breathing and septum alignment to identify any functional impairments caused by the fracture.

8. Additional Specialists:

- In complex cases, such as severe fractures or suspected complications, the doctor may consult with specialists such as an ear, nose, and throat (ENT) specialist or a plastic surgeon for further evaluation and management.

Based on the assessment findings, the doctor will determine the appropriate treatment plan, which may include closed reduction (manual realignment of the nasal bones), splinting, or in some cases, surgical intervention.