Hello, I can understand your concern. Paralysis and extreme pain are expected after multiple fractures including your nose, orbit and jaw. However, surgery might be necessary because all fragments of all bones cannot be aligned perfectly without opening the bony structure of the face and aligning the bones with each other. After aligning, they must use plates, screws or wires to maintain their correct position and heal the fracture sites which might not be possible without surgery. Maxillofacial surgeries in accident cases provide good results and as ENT surgeon will be present during the surgery, the nasal bones will be put in correct position by the specialist of nose. Thus, I would advise you to go for surgery as soon as possible to avoid malalignment of the fractured bones and their healing in the wrong way. I hope this information helps you. Thank you for choosing HealthcareMagic. I wish you speedy recovery! Best, Dr. Viraj Shah