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Vol. 2 No. 2 (2025)

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Submitted
April 20, 2026
Published
December 31, 2025

Copyright (c) 2025 Maryam Saleh Al-Hafizi, Hasnah Mohammed Alessa, Muhammed Abdulkareem Alhazoom, Amnah Ahmed Alhuwayji, Yasir Mohammed Faleh Alsharari, Wedad Magani Sherwani, Abdullah Saleh Alaoffey, Mohameed Hamoud Alqayd, Mousa Hamoud Alqayd, Ashwag Owid Alenezi

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This work is licensed under a Creative Commons Attribution 4.0 International License.

Multidisciplinary Assessment and Management of Nasal Septal Fracture Across Nursing, Dentistry, Pharmacy, Laboratory, and Emergency Care-An Updated Review

https://doi.org/10.64483/202522701
Maryam Saleh Al-Hafizi
Al-Eis General Hospital, Ministry of Health, Saudi Arabia
Hasnah Mohammed Alessa
Sabya General Hospital – Sabya,Ministry of Health, Saudi Arabia
Muhammed Abdulkareem Alhazoom
King Faisal Hospital,Ministry of Health, Saudi Arabia
Amnah Ahmed Alhuwayji
Ministry of Health, Saudi Arabia
Yasir Mohammed Faleh Alsharari
Tubarjal General Hospital – Tubarjal,Ministry of Health, Saudi Arabia
Wedad Magani Sherwani
Forensic Medical Services Center – Toxicology Services Department,Ministry of Health, Saudi Arabia
Abdullah Saleh Alaoffey
Al-Qassim Health Center – Al-Rawda Primary Health Care Center,Ministry of Health, Saudi Arabia
Mohameed Hamoud Alqayd
Emergency and Disaster Management Department – Jazan Health Cluster,Ministry of Health, Saudi Arabia
Mousa Hamoud Alqayd
Ministry of Health Branch – Jazan, Saudi Arabia
Ashwag Owid Alenezi
Hail Maternity and Children Hospital – Hail,Ministry of Health, Saudi Arabia

Corresponding Author(s) : Maryam Saleh Al-Hafizi

umturkey7@gmail.com

Saudi Journal of Medicine and Public Health, Vol. 2 No. 2 (2025)

Abstract

Background: Nasal septal and nasal bone fractures represent the most common injuries within maxillofacial trauma due to the exposed anatomical position of the nasal framework and its limited structural resistance to external forces. These injuries frequently coexist with other facial fractures and may result in both functional airway compromise and aesthetic deformity. Given the anatomical complexity and clinical variability, their management requires a multidisciplinary approach.


Aim: This review aims to provide an updated and comprehensive synthesis of nasal septal fracture management, emphasizing multidisciplinary involvement across nursing, dentistry, pharmacy, laboratory medicine, and emergency care. It also highlights current evidence regarding diagnosis, imaging, treatment strategies, complications, and preventive measures.


Methods: A narrative review approach was adopted based on previously published literature and clinical studies addressing nasal fracture epidemiology, pathophysiology, diagnostic evaluation, and management principles. Emphasis was placed on integrating clinical guidelines and multidisciplinary healthcare perspectives relevant to trauma care pathways.


Results: Findings indicate that nasal fractures are predominantly caused by interpersonal violence, motor vehicle accidents, sports trauma, and falls, with demographic variation by age and sex. Clinical assessment remains central to diagnosis, while CT imaging is reserved for complex cases. Management ranges from conservative observation to closed reduction and delayed reconstructive surgery. Septal hematoma, septal perforation, and saddle nose deformity remain key complications. Early intervention improves outcomes, while delayed treatment increases the likelihood of deformity and revision surgery. Multidisciplinary collaboration improves detection, treatment accuracy, and long-term functional and cosmetic results.


Conclusion: Nasal septal fractures require early recognition and structured multidisciplinary management to optimize outcomes. Integration of emergency care, surgical specialties, and allied health services is essential to reduce complications and improve patient recovery.

Keywords

Nasal fracture, septal fracture, maxillofacial trauma, closed reduction, septal hematoma, multidisciplinary care, nasal reconstruction
Al-Hafizi, M. S., Hasnah Mohammed Alessa, Muhammed Abdulkareem Alhazoom, Amnah Ahmed Alhuwayji, Yasir Mohammed Faleh Alsharari, Wedad Magani Sherwani, … Ashwag Owid Alenezi. (2025). Multidisciplinary Assessment and Management of Nasal Septal Fracture Across Nursing, Dentistry, Pharmacy, Laboratory, and Emergency Care-An Updated Review. Saudi Journal of Medicine and Public Health, 2(2), 3704–3716. https://doi.org/10.64483/202522701
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