Local anesthesia for Reduction of Nasal Bone Fracture: our experience
Journal Title: International Journal of Medical Research and Review - Year 2017, Vol 5, Issue 2
Abstract
Introduction: Nasal bone fractures are very common injuries, reduction under local anesthesia is the usual management, yet there is controversy about the efficacy of this management and if it satisfies the patient's functional and cosmetic needs. Objective: To assess both efficacy of nasal bone reduction under local anesthesia and patient's degree of satisfaction in regards to aesthetic and functional results. Patients and Methods: Retrospective analysis and review of 31 patients underwent nasal bone reduction under local anesthesia in Prince Hashim Military hospital in Zarqa, Jordan between May 2015 and June 2016. Digital and instrumental reduction under local anesthesia was performed with and without splint application after clinical and radiological assessment. Results were evaluated by objective clinical examination and subjective functional and cosmetic satisfaction. Results: Patients were divided into two groups according to gender, group A: males 23 (74.19%), group B: females 8 (25.8%), 20 patients of group A (86.95%) were happy with the functional and cosmetic outcome, 3 patients of group A (13.04%) were not happy with the cosmetic outcome but happy regarding the functional outcome, 5 patients of group B were happy with the functional and cosmetic outcome, 3 patients of group B were not happy regarding the cosmetic outcome but satisfied with the functional outcome, all patients in both groups except one patient in group A were had patent nasal airway on clinical and endoscopic examination. 2 patients from both groups sought revision surgery for cosmetic concerns only. Conclusion: Use of local anesthesia for reduction of nasal bone fractures offers both patent nasal airway and satisfactory cosmetic results.
Authors and Affiliations
Qais Aljfout, Ahmed AL-Btoush, Abdelrazzaq Alrefo, Nidal Al-Soud, Tamara. a. Obeidat
Keywords
Related Articles
- EP ID EP265369
- DOI 10.17511/ijmrr. 2017.i02.05
- Views 117
- Downloads 0
The adventures of ‘Ascaris lumbricoides’ - An intrepid traveller
Hepatobiliary ascariasis is an underestimated & unforeseen corollary of gastrointestinal ascariasis particularly common amongst the endemic populations. A high index of suspicion coupled with the increased use of ultraso...
Elastosis in premalignant and malignant lesions of breast-A histopathological and histochemical study
Background: Stromal changes in all the premalignant, insitu/ microinvasive and invasive malignant lesions of breast helps in better understanding of disease process at the level of the tumor and host stromal reaction. Th...
Role of antituberculous therapy in Eales disease
Aim: To establish the role of Anti Tuberculous therapy (ATT) in Eales disease. Methods: This is a prospective study in which 15 patients with Eales disease of the age group 18- 40 years were included. This study was cond...
Coarctation of aorta presenting as hypertensive encephalopathy in a young female
Coarctation of Aorta (CoA) is a congenital cardiac defect which can present in adults. The usual presentation is hypertension. Though it has subtle clinical signs but they can go undetected if not sought for. One of the...
Clinical study of coparision of pterygium surgery with and without Mitomycin-C on bare sclera technique
Introduction: A pterygium is a triangular wedge of fibro-vascular conjunctival tissue that appears on the epibulbar conjunctiva, which can be removed by various methods. Recurrence of Pterygium after exicision is a very...