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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
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