I have a broken nose and deviated septum, will i need surgery? hello, and happy new year...so over the holiday weekend, i was out at a bar celebrating with friends, when some drunken jerks decided to get into a big fist fight. unfortunately, i was in the

Unfortunately, : Unfortunately, your nose is unlikely to return to its pre-injury position on its own. In the first 10 days or so it is possible for a surgeon to perform what is called a closed reduction. We don't typically do this bare handed, but rather use instruments to reposition the deviated nasal structure without making any incisions. You may have a deviated septum as well, which would lead to nasal obstruction. Sometimes this will improve with resetting the nose, but a septoplasty may ultimately be needed to fully improve your breathing.

In : In the first week to ten days after traumatic injury to the nose, if the nasal bones are broken and displaced with or without displacement of the nasal septum (the inside wall between the left and right part of your nose) they may be reset by either manual manipulation or the use of instruments depending on what elements require correction. This procedure is indeed known as closed reduction of a nasal fracture. If performed appropriately, there is a fair chance that the appearance of your nose may be acceptably close to the way it looked before your injury although there is no guarantee of that. If the septum was displaced at the same time, there is a chance of displacing it back into its original position although it may be necessary in the future to perform a procedure called septoplasty to further straighten the nasal septum to allow you to better breathe through your nose if difficulties persist. The most important thing at this time is to have your nose evaluated by an ear nose and throat doctor to determine what is affected by your injury and what your chances of successful repair by closed reduction are. I can tell you from my own experience that most patients undergoing closed reduction of a nasal fracture have acceptable cosmetic results. The internal breathing component (septal deviation) has more variable results.