If you think you may have broken your nose, one first step is to obtain an evaluation in the emergency room or with your primary care physician.
Signs of a nasal fracture include a deviation and feeling a “step off” or interruption of the smooth bony contour. Injury can also occur to the nasal cartilages, including the nasal septum. The nasal septum divides the right and left sides of the nose and is an important support structure. Injury to this structure can lead to changes in the appearance of the nose as well as to the function of the nose, for example a change in airflow on one or even both sides of the nose. Additionally, signs and symptoms can be subtle.
Patients with a history of a nasal fracture can see Dr. Isaacs for surgery. A good time frame to reset a nasal fracture is typically within 2 weeks. After this time, the bones tend to heal and make reconstruction more difficult. Nevertheless, many patients seek rhinoplasty after this time period, and surgery can be performed to address the appearance or function of the nose.
Orbital / Cheekbone / Zygomatic and Midface / Maxillary Fractures
If you think you may have suffered a facial fracture, one first step is to obtain an evaluation in the emergency room or with your primary care physician.
Patients with facial fractures may notice various signs and/or symptoms, some of which include double vision, an eye that appears to be sunken in (enophthalmos), a flattened cheek contour, an overall change in symmetry, an inability to fully open the mouth, and a misalignment when biting.
Orbital fractures involve the orbital bones that surround the eye. Patients may experience a change in vision, double vision, a change in eye position, and/or numbness in area of the lower eyelid and cheek.
There are various indications for surgery. For example, orbital fracture surgery can be considered based on the size and location of the fracture, the position of the eye, and double vision. Surgery must be performed in a very delicate manner to avoid any additional injury to the eye, eye muscles, and surrounding structures.
Dr. Isaacs is specially trained in minimally-invasive techniques to address these fractures, some of which avoid any external scars and/or sutures.