Yes, a deviated septum can occur without a nasal fracture. The septum, which is the cartilage and bone structure dividing the nostrils, can be naturally deviated due to genetics or developmental factors. Additionally, it can also be caused by trauma that doesn't necessarily result in a fracture, such as a blow to the nose that affects the soft tissues. Therefore, having a deviated septum does not always imply a nasal fracture.
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