Presentation
Contact sport. History of blunt trauma to the nose. Pain and swelling after the event.
Patient Data
Mildly depressed fracture of the tip of the nasal bone. No associated fracture of the anterior maxillary spine. The side of the fracture was confirmed by a superoinferior view.
Case Discussion
Nasal bone fracture is the most common fracture of the facial bones and is more frequent in males. Symptoms include epistaxis, nasal swelling, and ecchymosis. Most fractures are transverse and should not be confused with the longitudinal lucencies of sutures.
If plain films are not conclusive, a CT scan may be indicated.
NB: in many parts of the world, it is deemed unnecessary to image simple nasal bone fractures as it makes no real change to patient management
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