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Referral
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Fractured Nose
Scope
This pathway covers the primary care management of bilateral nasal obstruction for adults and children.
Bilateral Nasal Obstruction – see same day via on call ENT consultant
Exclude septal haematoma:
- Assess 7-10 days post injury
- Allow examination once swelling has subsided/need for MUA can be assessed. MUA should be within 21 days
- Assess if a new external deformity has developed within 7 days of injury - send for same day ENT referral
- History of acute nasal trauma
- Check if there is a new unilateral nasal obstruction
Following an assessment with no evidence of a new external deformity or obstruction the patient can be reviewed and managed in primary care.
Patients who may need a referral:
- Patients with new external deformity should be referred for a same day ENT assessment
- Patient with new unilateral nasal obstruction should be referred for ENT referral via e-Referral
Referral Criteria
GP assessment at 7 days post trauma
Same day ENT assessment:
- Contact on Call Registrar (Derriford Hospital switchboard 01752 202082
Referral Instructions
e-Referral Service Selection
Specialty: ENT
Clinic: Nose/Sinus
Service: DRSS-Western-ENT- Devon ICB-15N
Referral Form
Pathway Group
This guideline has been signed off on behalf of NHS Devon.
Publication date: March 2016
