Nasal fractures, even minor ones, can lead to bruising (ecchymosis) and
swelling (edema) around the nose and face due to the vascularity of the area.
Most nasal fractures, especially minor ones, do not require reduction
(surgical realignment) unless there is significant displacement or functional
impairment. Typically, if reduction is necessary, it is done shortly after the
injury, not for a few weeks.
Traumatic telecanthus (increased distance between the inner canthi of the
eyes) can occur with severe nasal injuries, but it is not a necessary
complication of all nasal fractures.
Severe nasal fractures can lead to complications such as the telescoping of
the nasal complex, which may involve displacement into adjacent structures,
including the frontal sinus.