Reduction of fractured nasal bones; local versus general anaesthesia

Waldron, J.; Mitchell, David B.; Ford, Gordon

doi:10.1111/j.1365-2273.1989.tb00384.x

Cited by 81 publications

(53 citation statements)

References 3 publications

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“…Increasing evidence shows that patients have persistent aesthetic concerns about the outcome and obstructive symptoms after closed reductions. The incidence of post-reduction nasal deformities that require rhinoplasty or septorhinoplasty ranges from 14 to 50% [10,11]. Patients dissatisWed with closed reduction constituted 29% in a study done by Hung et al [12].…”

Section: Discussionmentioning

confidence: 98%

Role of intra-operative ultrasound-guided reduction of nasal bone fracture in patient satisfaction and patient nasal profile (a randomized clinical trial)

Abu-Samra

Selmi

Mansy

et al. 2010

Eur Arch Otorhinolaryngol

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The objective of this study was to evaluate the benefits of intra-operative ultrasonic guidance in the management of isolated nasal bone fractures. A prospective, randomized, controlled, double blinded study was designed. Sixty-eight patients who had isolated fracture nose were treated by either a simple closed reduction or by ultrasound-guided reduction (34 patients each) with a follow up for an average of 4.5 and 5.5 months, respectively. Post-traumatic and post-reduction nasal profiles were compared (by blinded photographer), and patient's satisfaction was analyzed after reduction in both groups. We used Student's t test for independent groups to compare between the average patient's scores. The average patient's nasal profile score for closed reduction group was 2.31. Thirteen patients (40.6%) had scored 3, 16 (50%) had scored 2, and three (9.4%) patients had scored 1. The average patient's nasal profile score for ultrasonic assisted group was 2.72. Twenty-four patients (75%) had scored 3, 7 (22%) had scored 2, and one (3%) patient had scored 1. The average patient's satisfaction score for closed reduction was 2.62. Twenty-four patients (75%) had scored 3, 4 (12.5%) patients had scored 2, and 4 (12.5%) patients had scored 1. The average patient's satisfaction score for ultrasonic assisted group was 2.78. Twenty-six patients (81%) scored 3, 5 (16%) patients scored 2, and one (3%) patient scored 1. Patients undergoing ultrasonic nasal bone reduction scored significantly better nasal profile scores than patients undergoing simple closed reduction, on the other hand, patient satisfaction scores had no significant difference between both groups. Treating nasal bone fractures with the assistance of intra-operative ultrasound resulted in a significantly better nasal profile appearance, than treating it by simple closed reduction.

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Section: Discussionmentioning

confidence: 98%

Role of intra-operative ultrasound-guided reduction of nasal bone fracture in patient satisfaction and patient nasal profile (a randomized clinical trial)

Abu-Samra

Selmi

Mansy

et al. 2010

Eur Arch Otorhinolaryngol

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show abstract

“…The need for earlier septorhinoplasties is based on two facts: the significant incidence of postreduction nasal deformities requiring rhinoplasty or septorhinoplasty, which ranges from 14% to 50% (7)(8)(9)(10), and the majority of patients who usually elect not to undergo a second operation (11).…”

Section: Discussionmentioning

confidence: 99%

Nasal trauma: Primary reconstruction with open rhinoplasty

Konstantinidis¹,

Malliari²

2011

J Plast Surg

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“…15 The advantages of reduction and splinting under local anesthesia over general anesthesia include (1) shortened hospital stay, (2) ability of the patient to see cosmetic appearance after manipulation while still under anesthesia allowing further adjustment, (3) minimal delay between diagnosis and treatment, (4) reduction in operative costs, (5) elimination of general anesthesia risks, (6) option of general anesthesia available if local fails. 16,17 Bone healing may occur more rapidly in the pediatric population, and so splinting for two weeks is enough. 6 Four osteotomies were done with external rhinoplasty approach, and so POP cast was appropriate for them.…”

Section: Discussionmentioning

confidence: 99%