Nasal bones are susceptible to trauma in view of their protruding nature. Motor vehicle accidents are the second most common cause for nasal fractures.A previously healthy 30 year old gentleman was involved in a head-on motor vehicle accident, sustaining direct trauma to the nose causing a severe and unsightly nasal deformity. The patient described himself as "looking like a pug" since the nasal bones were pushed into the midface. This was the sole injury sustained by this belted patient. The patient was managaed conservatively with closed reduction under local anesthesia and was given antibiotics as this was an open nasal fracture. This unsightly rare type of isolated nasal fracture was managed conservatively with good aesthetic and reasonably good functional results without the need of major rhinoplasty/ maxillofacial procedures. The patient is being followed up serially.

No abstract