Nasal contusion
Is it possible for the nose to become crooked even if an X-ray has been taken and no fractures were found? I had an impact on March 15, and there is still a bit of swelling, but it still feels crooked.
There is a protrusion on the left side of the nasal bridge.
I have seen a doctor who said there is nothing wrong, but I am still a bit worried about deformity.
Ms. Y, 20~29 year old female. Ask Date: 2024/03/25
Dr. Lu Daokuan reply Plastic Surgery
Sometimes, a deviated septum can be evaluated by an otolaryngologist.
Reply Date: 2024/03/25
More Info
A nose contusion, even in the absence of a fracture, can indeed lead to deformity or changes in the appearance of the nose. The nose is a complex structure made up of bone, cartilage, and soft tissue. When trauma occurs, such as a contusion from a direct impact, it can cause swelling, bruising, and sometimes dislocation of the cartilage or soft tissue, which may result in a change in the shape of the nose.
In your case, since you mentioned that you sustained a nose contusion on March 15 and have since experienced some swelling and a feeling of asymmetry, it is possible that the soft tissue around the nose has been affected. Even if X-rays show no fractures, the cartilage can still be displaced or distorted due to the impact. This can lead to a noticeable change in the contour of the nose, such as a deviation or a bump, which you described as a protrusion on the left side of your nasal bridge.
It is important to monitor the situation closely. Swelling from a contusion can take time to resolve, and the appearance of the nose may change as the swelling decreases. However, if the asymmetry persists or worsens, it may be advisable to seek further evaluation from an ear, nose, and throat (ENT) specialist or a plastic surgeon who specializes in facial injuries. They can perform a thorough examination and may recommend imaging studies, such as a CT scan, to assess the underlying structures more accurately.
In some cases, if the deformity is significant and does not improve with time, surgical intervention may be considered to correct the shape of the nose. This could involve procedures to realign the cartilage or address any soft tissue concerns.
Additionally, it is worth noting that the healing process can vary significantly from person to person. Factors such as age, overall health, and the extent of the injury can influence recovery. If you are concerned about the appearance of your nose or if you experience any pain, difficulty breathing, or other symptoms, it is essential to communicate these concerns with your healthcare provider.
In summary, while a nose contusion without a fracture may not always lead to permanent deformity, it can cause changes in the shape of the nose due to soft tissue and cartilage displacement. If you continue to feel that your nose is asymmetrical or if the appearance does not improve over time, seeking a second opinion from a specialist would be a prudent step to ensure that any potential issues are addressed appropriately.
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