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Nasal fractures: a study comparing local and general anaesthesia techniques.
Yosanta Rajapakse1, Mark Courtney, Adam Bialostocki
1Otorhinolaryngology Unit, Head and Neck Unit, Capital Coast and District Health Board, Wellington, New Zealand. yosanta@hotmail.com
ANZ Journal of Surgery
|June 13, 2003
Summary
Local anaesthesia (LA) and general anaesthesia (GA) are both effective for nasal fracture reduction. Patient outcomes and need for further surgery were similar between LA and GA groups.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Anesthesiology
Background:
- Nasal fractures are common injuries.
- Reduction techniques aim to restore form and function.
- Anesthesia choice is a key consideration.
Purpose of the Study:
- To compare outcomes of nasal fracture reduction using local anaesthesia (LA) versus general anaesthesia (GA).
- To assess both functional and aesthetic results post-reduction.
Main Methods:
- Retrospective review of 197 patients undergoing nasal fracture reduction over 24 months.
- Patients aged 14+, with isolated nasal deformity, at least 6 months post-reduction.
- Subjective outcomes via questionnaire; objective outcomes via need for open operative correction (septoplasty, septorhinoplasty, rhinoplasty).
Main Results:
- 107 patients received GA, 90 received LA; demographics were similar.
- No statistically significant difference in subjective patient outcomes between GA and LA.
- No significant difference in progression to open operative correction between the two anesthesia groups.
Conclusions:
- Both local anaesthesia and general anaesthesia are acceptable and satisfactory for simple displaced nasal fracture reduction.
- The choice of anesthesia may not significantly impact patient satisfaction or the need for revision surgery.