Endonasal Infiltrative Anesthesia for Nasal Fracture Reduction

Area of Science:

• Otolaryngology
• Pain Management
• Anesthesiology

Background:

• Nasal bone fractures are common injuries.
• Pain management during fracture reduction and nasal packing can be challenging.
• Current anesthesia techniques may not fully alleviate procedural pain.

Purpose of the Study:

• To evaluate the efficacy of adding endonasal infiltrative anesthesia to standard techniques for pain reduction during nasal bone fracture management.
• To compare pain scores between patients receiving standard anesthesia and those receiving additional endonasal infiltrative anesthesia.

Main Methods:

• A prospective study involving 52 patients with nasal bone fractures.
• Two groups were formed: Group 1 received topical endonasal and external transcutaneous anesthesia; Group 2 received the same plus endonasal infiltrative anesthesia.
• Pain was assessed using the Visual Analog Scale (VAS) during reduction and nasal packing.

Main Results:

• The addition of endonasal infiltrative anesthesia resulted in significantly lower VAS pain scores during reduction maneuvers (4.83 vs. 6.71, p < .05).
• Pain scores during nasal packing were also significantly reduced with the addition of endonasal infiltrative anesthesia (3.46 vs. 5.18, p < .05).

Conclusions:

• Endonasal infiltrative anesthesia is an effective adjunct for reducing pain during nasal bone fracture reduction.
• This technique enhances patient comfort and improves the management of pain associated with nasal fracture treatment.