The nose is composed of a bony and a cartilaginous skeleton. Similar to the ear, direct blows to the nose can cause the formation of a hematoma and a late abscess that compress and injure the nasal infrastructure including the septum. If not drained, a hematoma can lead to collapse through pressure necrosis of the septum. Lacerations of the nose are common and are often associated with fractures.
Nostril lacerations may involve the rim with skin, cartilage, and mucosal injuries. Alignment of the rim is crucial to prevent “notching.” Closing the skin and mucosa over the cartilage ensures adequate healing.