Nasal fractures

Are you looking for Facial injury?

Treat this as a head/c-spine injury, THEN think about the face
History - Historic nasal injury/deformity
- Meds history should include anticoagulation
- Any persistent nasal discharge since the injury – this symptom may indicate a nasoethmoid injury with CSF leak
Examination Rule out
- Septal haematoma → risk of septal necrosis
- CSF leak?
Diagnostic investigations XR nasal bones have poor sens/spec... either you're worried about the rest of the face, or you've made a clinical diagnosis
Differentials
Immediate management Resuscitation: Trauma assessment as normal.

Stable patient: delayed MUA may be appropriate (no evidence to support immediate MUA)
- Septal haematoma requires I+D

anatomy