Acute nasal fracture

The Department will periodically contact patients waiting for an outpatient clinic appointment via SMS, with a link to an electronic form.  This is part of routine waitlist auditing to ensure patient details are up to date.  If you receive this SMS, please update your details.


North South North West Statewide

Pre-referral work-up


All referrals should comply to the referral standards and include:

  • Note mechanism of injury
  • Epistaxis
  • Nasal obstruction
  • Neurological sequelae
  • Examination findings :
    • Deviation of nasal bridge
    • Septal haematoma
    • Evidence of skull base fracture – CSF rhinorrhoea/otorrhoea, racoon eyes, battle's sign (bruising behind ear), cranial nerve signs


  • Imaging is not indicated for simple nasal fractures unless co-existent fractures, intracranial injury suspected or high force mechanism of injury
  • OPG if suspected jaw fracture
  • CT if suspected facial fracture

Interim/GP management

To refer a patient with this condition, please see the ENT clinic page for the full referral process and templates.

  • First aid measures including cool compress and pressure over nostrils to manage epistaxis

Direct link to Health Pathways - Nasal Fracture page

For more information please see the Tasmanian Health Pathways website.


If obvious new nasal bridge deviation or other signs listed in Examination section – refer same day to ED

Urgent / category 1

If swelling predicating evaluation – refer ENT OPD in 5 days

Note: nasal fractures must be reduced 10 days for best results

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.


Proceed to Emergency Department (ED).
LGH ED Reception  – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100  Fax: (03) 6173 0489

Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.


Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.


We will endeavour to see these patients within 12 weeks


Next available appointment