Mechanism of injury: Helpful in determining angle and magnitude of force

Previous fractures or injuries to the nose

History of facial surgery, particularly nasal or septal surgery. Septoplasty, in particular, would raise concerns about adequate septal support. This may also eliminate the possibility of cartilage graft harvest from the nose, if necessary

Premorbid nasal airway patency

Medications, particularly anti-platelets or blood thinners

Advanced Trauma Life Support (ATLS) protocol: Identify any potentially life-threatening conditions.

Detailed examination of the face, including evaluation for sensory and motor changes, and eye, midface, and intraoral injury.

Nasal examination: Evaluate for tenderness, crepitus, or step-off. Assessment of nasal dorsum for straightness, position to midline, and lateral profile. Speculum examination to assess septum for deviation and septal hematoma.