Clinical Reference Systems: Pediatric Advisor 10.0
Spanish version
Nose Trauma
DESCRIPTION
When a nose is hit, it often becomes bloody, bruised, and
swollen. In most cases it is not broken. Even when a
fracture is present, x-rays of the nose often show nothing
conclusive. It's best to wait 5 days, when the swelling
should be gone. If the nose then appears to be crooked, you
will probably be referred to an ear-nose-throat surgeon.
For mild fractures of the nose, this delayed correction
works best. Severe fractures of the nose are often reset
the same day in the operating room.
HOME CARE
- Bruises or swelling
Apply ice to the area for 20 minutes. One hour later
apply ice again for 20 minutes. Give acetaminophen or
ibuprofen as necessary for pain. (Do not give aspirin
because it may prolong the bleeding.)
- Superficial cuts or abrasions
Wash the area vigorously with soap and water for
5 minutes. Then apply pressure for 10 minutes with a
sterile gauze to stop bleeding from the cut or scrape.
If the scrape is large, apply an antibiotic ointment and
cover the scrape with a Band-Aid for 1 day.
- Nosebleed
To stop a nosebleed, squeeze the soft parts of the nose
against the center wall for 10 minutes.
CALL YOUR CHILD'S PHYSICIAN IMMEDIATELY IF:
- The nose is definitely broken or crooked.
- The skin is split open and may need stitches.
- A nosebleed won't stop after 10 minutes of direct pressure.
- Breathing through the nose is blocked.
CALL YOUR CHILD'S PHYSICIAN DURING OFFICE HOURS IF:
- The shape of the nose has not returned to normal after
5 days.
- A yellow discharge, increasing tenderness, fever, or
other signs of infection occur.
- You have other concerns or questions.
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