ABSTRACT
The aim of this study is to show the importance of addressing the associated sub-periosteal hematoma in the management of acute nasal bone fractures whether or not associated with bone deformity. The goal in management is to perform a proper reduction early and right from the first time, and to prevent a residual SPH from organisation and resulting in nasal bone deformity. This is hoped to improve the results of management of acute nasal traumatic deformities avoid the need for a revision septo-rhinoplasty. A prospective study was none on a group of patients from the Hearing and Speech Institute where upon a technique was adopted to evacuate associated SPH with bone reduction of the fracture displacements. A control group of similsr cases was studies retrospectively from the patient records and the results were compared to the former group