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A broken nose, also called a nasal fracture, is a break or crack in a bone in your nose — often the bone over the bridge of your nose. Common causes of a broken nose include contact sports, physical fights, falls, and motor vehicle accidents that result in facial trauma. A broken nose can cause pain, along with swelling and bruising around your nose and under your eyes. Your nose may look crooked, and you may have trouble breathing. Treatment for a broken nose may include procedures that realign your nose. Surgery usually isn't necessary for a broken nose.