ENT Surgeon - Dr Murali Mahadevan - Phone (09) 631 1950 for enquiries and appointments



Guidelines for Fractured Nose

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Step 1

  • Establish injury mode of impact and confirm fracture.
  • Stop bleeding with cautery - silver nitrate or packing


  • Step 2

  • Exclude other fractures especially to zygomatic arch, maxilla and mandible and orbital rim - by palpation or by x-ray


  • Step 3

  • Exclude septal haematoma - palpate with cotton bud or blunt instrument.
  • Septal haematoma needs urgent referral.


  • Step 4

  • Establish external deviation +/- septal devotion - refer


  • Step 5

  • Refer all patients - especially when swollen and difficult to establish deviation


  • Step 6

  • Refer new fracture and old fracture - immediate or late