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Nasal Fracture In Children
WHAT YOU NEED TO KNOW:
A nasal fracture (broken nose) is a crack or break in the bones or cartilage of your child's nose. Cartilage is tough tissue that covers the end of a bone. Your child may have a break in the upper nose (bridge), the side, or in the septum. The septum is in the middle of the nose and divides his nostrils.
- Antibiotics: This medicine is given to fight an infection caused by bacteria. Give your child this medicine exactly as ordered by his healthcare provider. Do not stop giving your child the antibiotics unless directed by his healthcare provider. Never save antibiotics or give your child leftover antibiotics that were given to him for another illness.
- Pain medicine: Your child may need medicine to take away or decrease pain. Know how often your child should get the medicine and how much. Watch for signs of pain in your child. Tell caregivers if his pain continues or gets worse.
- Decongestant: This medicine decreases nasal swelling and helps make breathing easier.
- Give your child's medicine as directed. Call your child's healthcare provider if you think the medicine is not working as expected. Tell him if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency.
- Do not give aspirin to children under 18 years of age. Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.
How to care for your child's nasal fracture at home:
- Your child may need more rest than he realizes as he heals. Quiet play will keep your child safely busy so he does not become restless and risk hurting himself. Have your child read or draw quietly when he is awake. Follow instructions for how much rest your child should get while he heals.
- Ice: Place an ice pack over your child's nose to help reduce pain and swelling. Ask your child's primary healthcare provider how long and how often to use the ice pack.
- Rinses: Remove blood and crusting inside your child's nose with water or saline (salt water). Ask your child's primary healthcare provider to show you how to rinse your child's nose.
- Wound care: Ask your child's primary healthcare provider to show you how to care for his drains, splint, or packing.
Follow up with a specialist or your child's primary healthcare provider in 2 to 4 days or as directed:
Write down any questions you have so you remember to ask them during your visits. Follow-up care is needed months or even years later to watch for and correct problems with healing and growth.
Prevent further injury to your child's nose:
- Protect your child's nose: Protect his nose to prevent bleeding, bruising, or another fracture. If your child plays sports, ask your child's primary healthcare provider if your child can wear a face mask to shield his nose.
- Avoid nose blowing: Your child's nose could move out of place before it heals. Ask your child's primary healthcare provider when your child can safely blow his nose again.
Contact your child's primary healthcare provider if:
- Your child has a fever.
- Your child keeps having nosebleeds.
- Your child's headache is getting worse, even after he takes pain medicine.
- Your child's skin feels itchy, swollen, or has a rash.
- Your child's splint, drain, or packing is loose.
- You have questions about your child's condition or care.
Seek care immediately or call 911 if:
- You think someone has harmed your child.
- Clear fluid is leaking from your child's nose.
- Your child has double vision or has problems moving his eyes.
- Your child is having problems breathing, smelling, or talking.
- Your child has grape-like swelling inside his nose.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.