Manipulation under Anaesthesia of Fractured Nose

This is a small operation to help straighten a fractured nose. It can be helpful only if done before the nose heals in the crooked position. For most young healthy people it needs to be performed within 7 to 10 days after the injury.

The operation is performed under general anaesthetic and takes about 15 minutes. It is usually day surgery. The nose is pushed from outside and inside to help straighten it. There is often some bleeding from the nose as well as bruising of the nose and under the eyes.

When you wake up the nose is covered by tapes and a splint. A splint is a hard support for the nose to help keep it straight in the early days of healing. There is usually also a piece of gauze under the nose to catch the blood.

You will be closely watched for several hours in the Recovery Unit of the hospital until you are safe to be discharged. You need to be discharged into the care of a responsible adult who will need to be with you for the first 24 hours.

Keep the nose dry and the tapes and splint on. The gauze under the nose can be removed once the bleeding has stopped. You need to avoid exercise, hot drinks and medications which thin the blood for 1 week. You need to avoid contact sports and any force to the nose for about 6 weeks. There is usually mild pain which can be helped by paracetamol.

I will see you for the first post-operative check about 1 week later. If there are any concerns during business hours please ring the practice on 9417 1041. If there are medical concerns after hours please ring me through the hospital you had the operation in or alternative ring my pager on 9387 1000.

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