Acute fractured nose

Scope

This guideline covers the primary care management of bilateral nasal obstruction for adults and children.

Red flags

  • Suspicion of septal haematoma

Refer via on call ENT consultant

Management

Exclude septal haematoma
  • 5-7 days post injury for new external deformity. This allows for a degree of resolution of swelling and hence assesment for the requirement of MUA
  • If MUA potentially required should be seen by ENT within 7 days of injury as an MUA must be performed within 14 days of injury
  • Email urgent referral to ENT sdhct.ent@nhs.net clearly marking BROKEN NOSE and timescale

Following an assessment with no evidence of a new external deformity the patient can be reviewed and managed in primary care.

Joint Formulary Chapter 12 ENT

Referral

Referral Criteria

GP assessment at 7 days post trauma

Referral Instructions

Same Day ENT assessment

Contact on call ENT consultant

Refer to ENT

Email referral to: sdhct.ent@nhs.net clearly marking BROKEN NOSE in subject (do not send via e-Referrals as may delay definitive treatment)

Supporting information

Patient Information

Nasal fracture patient leaflet

Pathway Group

This guideline has been signed off by South Devon and Torbay CCG.

Publication date: October 2017

 

Home > Referral > SDevon & Torbay > ENT & Audiology > Acute fractured nose

 

  • First line
  • Second line
  • Specialist
  • Hospital