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- ArticleMost DS, Sonnenshein JL, Malkin M.J Am Dent Assoc. 1979 Sep;99(3):484.Fracture of the anterior nasal spine is so rare that clinicians do not specifically look for it if other fractures of the middle third of the face have been ruled out. However, as suggested by this case, the possibility of fracture of the nasal spine should not be overlooked.