Disposition

An isolated nasal bone fracture does not itself warrant admission to the hospital. The patient should be advised to initiate measures to reduce swelling immediately. Discharge instructions should instruct intermittent ice application for 24 to 48 h, elevation of the head, even while sleeping, and over-the-counter decongestants as needed. They should also include head-injury instructions and advise the patient to be alert for CSF rhinorrhea. All patients should be given follow-up with an appropriate specialist at 2 to 5 days.5 Although nondisplaced fractures rarely need further treatment, follow-up should be provided secondary to the cosmetic importance of the injury.

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