
There’s a Japanese proverb that says, “The nail that sticks up will get hammered down.” As the most prominent facial feature, it should come as no surprise that the nose is the third most commonly broken bone in the body and the most commonly broken bone on the face. Prominence has its price.
While nose fractures and trauma are common, they’re not always easy to fix. Because the nose is packed with complex and delicate structures—septum, turbinates, sinuses, bone, tissue, and cartilage—nasal trauma can have a serious and lasting impact on both the function and appearance of your nose. If you get hit in the face and it doesn’t look like you broke your nose, you should still see an otolaryngologist (an ear, nose, and throat physician). Even if your nosebleed stops and you’re not sure if you’ve broken anything, you might have a septal hematoma (collection of blood in the septum), which, if not treated properly, could lead to septal perforation or nasal collapse, which are more difficult to treat. If not treated properly, long-term complications can be very difficult to resolve.
Sometimes nasal trauma is a result of domestic abuse. The American Academy of Facial Plastic and Reconstructive Surgery has a program that provides survivors of domestic abuse with a network of safe environments. For those survivors looking to erase the physical and emotional reminders of their abuse, Dr. Yagoda provides complimentary plastic surgery through Face-to-Face: the Domestic Violence Project.
If you’ve suffered nasal trauma, it’s imperative that you consult an otolaryngologist and ideally, someone like Dr. Yagoda who is also a facial plastic surgeon, for comprehensive care. She can address correct and restore the function and appearance of a nose damaged or broken by traumatic injury, and to eliminate reminders of that trauma.
Read about Dr. Yagoda's Integrative Post Operative Care Program
Acute swelling and inflammation caused by nasal trauma initially reduces airflow in through the nose. Thus, making sound requires increased exertion on exhalation to produce the same volume of sound. This exertion can cause trauma to a singer’s vocal cords. Over time, repeated vocal cord trauma can result in chronic swelling or even polyps, which can be transient (like a blister) or can eventually become nodules (like a callous). In addition, reduced airflow through the nose on exhalation causes a “nasal” quality to the voice, which is most notable in the m, n, and ng sounds. Furthermore, any structural changes that result from nasal trauma can cause a more permanent reduction or alteration of airflow through the nose.
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