Can a hit to the nose cause sinuses spread cheek?

While a hard hit to the nose can cause significant bruising and swelling on the face, the sinuses themselves typically do not spread to the cheek. Nasal fractures commonly cause localized pain, swelling, and discomfort, but the sinuses are bony cavities behind the nose and cheekbones, and they do not "spread" in response to a nasal injury.

The symptoms you describe could be due to a variety of other factors, such as soft tissue injuries, tissue inflammation, or even dental problems. If you're experiencing any concerning facial symptoms after an injury, it's essential to consult a healthcare professional for proper diagnosis and management. They'll be able to assess your specific situation and provide appropriate treatment or referrals if needed.