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Referral
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Acute fractured nose
Scope
This guideline covers the primary care management of bilateral nasal obstruction for adults and children.
- Suspicion of septal haematoma
Refer via on call ENT consultant
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.
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)
Patient Information
Nasal fracture patient leaflet
Pathway Group
This guideline has been signed off on behalf of NHS Devon.
Publication date: October 2017
