Abstract The importance of careful attention to all injuries in the middle third of the face is obvious since fractures can readily be disguised by edema of the soft tissues. Improper treatment may result in the development of unsightly deformities which will impose a mental, social and economic handicap on the patient. Painstaking repositioning of fragments is necessary and slight overcorrection of the deformity is required to obtain a satisfactory end result. Some form of immobilization must be employed in many instances to prevent a recurrence of the deformity. Each case should have a detailed analysis of individual structures and not just a diagnosis of fracture of the nose.