21.06.2015

Pain in bridge of nose and headache

Glee fans would know that this imaginary text message refers to McKinley High School cheerleader Quinn Fabray, played in real life by actress Dianna Agron.
However Dianna was too afraid she’d be grounded forever, so she never told her mother or saw a physician.
This summer, Agron and fellow “Gleeks” have been touring the country with their Glee Live!
A nasal fracture, commonly referred to as a broken nose, is a fracture of the bone or cartilage of the nose caused by trauma to the face. Symptoms of a nasal fracture include pain, blood coming from the nose, bruising around the eyes, crooked appearance, swelling, and difficulty breathing through the nose. A nasal fracture may cause a deviated septum, a condition that occurs when the thin wall dividing the two sides of your nose (nasal septum) is displaced to one side, narrowing your nasal passage on one side. AboutWe are a wife & husband team of physicians who have trained and taught at some of the top medical schools in the country including Harvard, Johns Hopkins and Washington University in St.
Our mission is both a journalistic and educational one: by reporting on common diseases affecting uncommon people, and including the medical facts behind the headlines, we provide a dynamic collection of Teachable Moments in Medicine™ to increase health awareness and medical knowledge. We give you the medical facts behind Hollywood's health headlines plus information that empowers you to achieve your health and wellness goals.
A nose that is swollen can also be a post-operative problem after an individual has undergone a surgery. Rhinoplasty (nose job), for example, is often characterized by swelling of the nose during the healing process.
Seasonal nose allergies, or allergic rhinitis, can also lead to runny nose, sneezing, nasal congestion, and swelling of the nose. Rhinophyma, a worsened form of Rosacea which might be triggered by excessive drinking among other factors can also cause swelling of the nose in addition to other symptoms such as a red flush on the nose.
Swelling of the nose piercing can be exacerbated by several factors such as sleeping on the piercing, changing the jewelry before the piercing has fully healed, and knocking or tugging at the jewelry accidentally.
If any signs of infection are present, you should consider seeking the attention of your doctor. It can also be an indication of an external skin ailment or infection especially if it is accompanied by a sort of redness on the skin and other signs of local irritation.
A swollen tip of the nose on the other hand can as well be a sign of bacterial infection especially if it is accompanied by redness and is painful. Red swollen nose is in most cases a sign of bacterial infections such as Erysipelas which is usually caused by streptococcus bacteria of group A. Group A streptococcus bacteria finds its way into the body through small cracks in the skin. It can also be a sign of folliculitis, another type of bacterial infection that affects the follicles of the nose hairs. A red swollen nose can also be a sign of vasculitis (an attack on the autoimmune system) on the nose cartilages. You have probably heard the myth that swollen nose during pregnancy is a sign that you are carrying a baby girl. The swollen nose is however not there to stay forever; the nose will eventually attain its pre-pregnancy nose size after some time. Right after the initial trauma you may want to gently place an ice pack on your nose to help with the soreness and to minimize skin swelling.
The first step in having your nose evaluated is to see a provider experienced in evaluating this type of facial trauma.
A careful examination of the nose can often reveal whether there are more subtle signs of nasal bone fracture, including being able to feel a bony "step off" along a fracture line.
It turns out that besides breaking the nasal bones you can also injure the cartilage of the nose with trauma.
This patient suffered an injury to the lower aspect of the bridge of her nose that resulted in a saddle nose deformity. Another part of the initial examination is to check the inside of the nose to look for signs of injury to the nasal septum. It is common for the nose to become somewhat stuffy after any injury (related to swelling of the internal skin lining) so you do need a thorough nasal exam to fully assess whether you have signs of a deviated septum. In some cases your provider may want to get an x-ray or CT scan of your facial region to further assess for a nasal fracture.
Note how the right nasal bone has a non-displaced fracture and the left nasal bone is fractured in a depressed position.
Once your facial plastic surgeon or otolaryngologist has decided that you do have a nasal fracture the next step is to assess whether the nasal bones are displaced, or out of alignment. If the bones are shifted or displaced the typical treatment is to have a closed nasal fracture reduction. As previously mentioned, a closed nasal fracture reduction is the typical treatment for a broken nose.


This video below shows how closed nasal fracture reduction is done and what the nasal cast looks like after the procedure.
The cast that is placed at the end of the procedure is typically left on for about one week.
So what happens if you wait too long before seeing a doctor and the nasal bones have already fully reset into a crooked position? For 18 months, a 50-year-old man had sporadic epistaxis that had worsened and become uncontrollable.
I wanted to take a minute of your precious time to thank you and to let you know the true meaning of what you have restored in her.
Needless to say, I am overjoyed at the acquisition of my new nose - something I never imagined I would need - turned out so splendidly. I think of you every time I look in the mirror and know how blessed I am to have you as my doctor – the genius…..
Words will never be enough to express our gratitude for the work you have done with our daughter.
I would like to take this opportunity to tell you what a magnificent doctor and artist you are! Your work is beautiful and so reminiscent of the Wabi Sabi concept but did you know that this advanced aesthetic concept is also a perspective and philosophy of life? Nasal fractures are the most common fracture of the face, most likely because of the way the nose sticks out from the face and its structures are delicate. Treatment depends on the severity of the injury: If there is little deformity, applying ice packs and oral pain medications may be all that is necessary.
Medications, such as decongestants and antihistamines, can help you manage a deviated septum; surgery is required to correct the condition. This can for example happen during the times of the years when the amount of pollen grain is at its highest. Well, if you just got a nose piercing, it is expected of the piercing area to get swollen, red and tender. Some of the symptoms to look out for include swollen or tender lymph glands somewhere near the piercing, fever, suddenly increased pain and heat in the pierced area, pus and an offensive odor.
If the swelling in such a nose piercing is accompanied by pus, increased heat and redness, and swollen lymph glands somewhere near the piercing, this might be an indication of bacterial infection.
Most such infections are caused by Staphylococcus bacteria and can be quite dangerous if not attended to. It is advisable to see your doctor for evaluation immediately since infections on the face can easily be spread to the cavernous sinus in the skull base via veins of Brechette leading to potentially fatal complications. The follicles of the small hairs found inside the nose could be infected, a condition called folliculitis. If you are concerned that you may have done more damage to your nose with a recent injury what should you do? It is common to also have a bloody nose, though this isn't indicative of whether you have actually broken your nose or not. This can involve cracking or shifting the septum (dividing wall inside the nose) or disrupting the normal attachment of outer nasal cartilage (upper lateral cartilage) to the nasal bone.
A sign that this may have occurred includes significantly restricted airflow on one or both sides of the nose. Depending on the severity of the deviation and your symptoms you may want to have the deviated septum treated at the same time as your nasal fracture. It is important to understand that radiological imaging is not required in the evaluation of all nasal trauma.
You can also see how the overlying skin on the left side (the gray overlying the white bone) of the nose appears thicker due to temporary tissue swelling from the injury.
The "closed" terminology refers to the fact that no incisions are being used to reposition the broken nasal bones. It can be done in the operating room under anesthesia (like in the video above) such that you don't feel the procedure at all. Its role is mainly to act as a protective helmet and prevent repositioning of the reset nasal bone into the wrong location. Luckily it is still possible to treat this nasal deviation using more complex rhinoplasty techniques.
The patient also had saddle-nose deformity, with erosion of the surrounding structures of the face, and reddish discoloration of the skin with severe dryness. You gave me back my identity, and allowed me for the first time in 26 years, to feel physically whole again. While I could have lived with the scars from the dogbite, my psyche feels better knowing that I present the best face I can- with your help.


I think in another month or so I will be over there and would just like to stop in real quick to shake your hand and thank you for my beautiful nose!
It really changed my life a lot, now I can take lots of pictures of my face (it doesn’t matter if the light is in my face), it always looks great and I am very confident meeting people, I don’t have to hide anymore.
If there is a  nasal deformity, a physician may try a closed reduction– a nonsurgical procedure of realignment using instruments introduced in through the nose.
Polyps commonly occur when the skin lining the nose becomes inflamed due to infection or injury. Some people are also allergic to dust, and pet dander and may get a nose that is swollen after getting exposed to them.
Low moisture levels lead to dry mucus membranes which can make them inflamed and possibly cause the nose to get swollen. For example, bacterial infection of the nose hair follicles (folliculitis) can culminate in a swollen nose. Your doctor will most likely prescribe an antibiotic to be applied either topically (cream) or taken by swallowing for around 10 to 15 days. A nose that is swollen during pregnancy is caused by an increase in the amount of blood in your body.
If there is concern for a nasal fracture they will then refer you to an otolaryngologist (ear, nose, throat doctor) or facial plastic surgeon as those specialties have extensive training in evaluating and treating facial and nasal injuries. This assessment can be complicated by the fact that asymmetric skin swelling can make the nose look more deviated than it actually is. Depending on the type of injury a CT may be indicated to rule out other facial fractures that may be hard to diagnosed with a physical exam alone. In this situation you may simply leave the nose alone and allow the bones to heal on their own.
The precise method of reducing the out of place nasal bones varies among different surgeons.
It is also possible to perform in an office setting using a combination of topical numbing medication (that is placed inside the nose on cotton pledgets) and an injection of numbing medication. A couple sprays of over the counter decongestant nasal spray (such as Afrin) can also help slow down persistent nose bleeding. Of course, if your insurance allows you may set up an appointment directly with an otolaryngologist or facial plastic surgeon. Your doctor may want to place an external cast on your nose to help protect the bones as they reset.
The main goal is to manually mobilize the broken nasal bone(s) and reposition them back in the proper position. After the bleeding was successfully stopped with nasal packing, the patient was discharged and scheduled for a septoplasty at a later date.Chronic cocaine abuse had caused this patient’s epistaxis and skin changes. She was a medical internet pioneer having established one of the first medical practice websites in 1997. The damaged membranes coupled with the pressure from the bleeding can culminate into a nose that is swollen.
It is important to drain this hematoma as it can become infected and destroy the septal cartilage leading to a permanent saddle nose deformity.
It is best to reset a broken nose within the first two weeks or so after the initial injury.
The general process involves using a blunt surgical instrument which is placed inside the nose and allows the surgeon to push the fractured nasal bone into proper alignment.
Cocaine, a stimulant derived from the coca plant, is a widely used illicit drug in the United States. You were beyond considerate and we are beyond grateful… I get compliments almost every day on my beautiful nose. Thanks a lot for what you have done for me and I hope you will make many other patients happy.
Lamperti has successfully reset fractured noses after this time frame, but the delay can make the procedure more challenging. In fact, it is occasionally used as a local anesthetic without the need for an additive vasoconstrictor, such as epinephrine.



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