Among the emergencies otorhinolaryngologists most commonly see in the emergency room are nasal fractures, often regarded of minor importance, though with the chance of significant cosmetic and functional damage. This study aimed to outline a profile of the patients seen and treated in a reference service in the city of Curitiba, state of Paraná. A retrospective study related to the pathology was performed with the investigation of variables such as sex, age, semiology, etiology, diagnostic tools, intervention time, postoperative complaints, and rate of secondary surgeries. 205 records were included. There was a predominance of males (56.6%). The most affected age group was between 21 and 30 years old (27.8%). Most fractures were caused by physical assault (28%). The most prevalent symptom, directly linked to surgical indication, was rhinoscoliosis. Patients were treated in an average period of 8 to 14 days. Among surgical patients, 17% were dissatisfied and only 7.2% underwent reoperation. The data found were consistent with the medical literature and reached satisfactory results. However, it would be beneficial to promote a new study, this time a prospective one, to support the creation of a protocol to address this emergency with the aim of standardizing conduct and optimizing results.