Management options for Os fractures Nsal can be with closed reduction or open reduction considering the type and severity of the fracture. The best time for proper and most accurate management is done immediately after injury, before there is significant tissue edema. The goal of management is to restore appearance, restore airway patency, midline septum, maintain nasal valve integrity, prevent postoperative complications such as stenosis, septal perforation, columella retraction, and saddle deformity or persistent deformity. 1,3