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Nose after nasal bone fracture......

I had a smooth nasal bone fracture at the end of April. The doctor told me that in this case, there was nothing to be done and the nose would heal normally.

However, I felt that something had thickened internally (even though nothing was visible externally) at the top right. I was told upon inquiry that this was also normal, as layers form around bones and it could take some time to regulate.

The slight "crunchy sensations" when lightly touching the nose were also normal.

So I patiently waited.

Regarding the thickening, the doctor was partially right, although there is still a slight unevenness internally after 3 months. That wouldn't be a problem.

However, almost 4 months later, I suddenly feel slight pressure on the left side of the nose (the fracture was more on the right side) e.g. when blowing my nose, applying cream, etc. and I hear slight "cracking and crunching noises/sensations".

However, this is new and happens more on the left side as mentioned. I notice that I subconsciously adopt a protective posture towards my nose and I feel like something is not right.

I consulted a doctor (ENT) who told me that the nose was fine, but could not provide an answer to the symptoms described above.

It was re-x-rayed, and apart from a slight internal shift in the wall dividing the nose, nothing was visible.

My fear is that I might be missing something, that something dangerous is happening internally that would need to be treated or even operated on.

I don't feel well advised and don't know what to do anymore.

I would appreciate a response.

Greetings, Camille

Christian Welsch

Dear Camille,

Such noises are harmless and can occur even without a broken nose, when the cartilaginous parts of the nose rub against each other or when the pressure equalization from the nose to the sinuses is delayed. If ENT examination and X-rays show nothing, they are not missing anything. If the nose does not appear visibly crooked or obstruct the nasal passage, there is no need to take any action. It is normal for the nose to feel different in the area of the fracture.

Do you have any questions?

Best regards, C. Welsch

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Christian Welsch

Christian Welsch

Veitsbronn

niedergelassener HNO-Arzt und Notfallmediziner, seit 15 Jahren regelmäßige Mitarbeit im allgemeinmedizinischen Notdienst

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