Nasal trauma plays a major role in craniofacial trauma as nose is the prominent part of face. Though nasal injury is ignored at times but it is noticeable as it is aesthetically, functionally and structurally concerned. This article discusses about the nasal septum fracture in relation to mode of nasal injury, patient’s compliance, treatment procedure and post-operative complication. along taking in account with the patients local, systemic and economical consideration.