Manipulation under anaesthetic of fractured nasal bones – a ten-year retrospective study

Gokani, Shyam Ajay, Shwan Sadik, Hannah, Espehana, Andreas, Jegatheeswaran, Lavandan, Luke, Louis, Philpott, Carl ORCID: and Nassif, Ramez (2022) Manipulation under anaesthetic of fractured nasal bones – a ten-year retrospective study. Journal of Laryngology & Otology. ISSN 0022-2151

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Background: Nasal bone fractures are treated by manipulation (MUA) under general (GA) or local anaesthetic (LA). Data on long-term benefits of LA MUA is limited. We aimed to quantify the proportion of patients requiring septoplasty or septorhinoplasty after GA and LA MUA. Methods: Anonymised data was collected from electronic records for all patients undergoing MUA at our centre over a ten-year period, including demographics, timing of MUA and need for further surgery. Results: We identified 625 GA and 52 LA MUAs. LA MUAs were performed earlier (LA: 9 days, GA: 15 days, p<0.05) and were more likely to achieve manipulation (LA: 83%, GA: 76%, p<0.05). There was no difference in the percentage of patients requiring further surgery between techniques. Conclusion: We describe a large cohort of MUAs over a 10-year period. LA MUAs are increasing since COVID-19 and results are comparable to GA with reduced delays between injury and manipulation.

Item Type: Article
Uncontrolled Keywords: facial injuries,nasal surgical procedures,nasal bone,otorhinolaryngology ,/dk/atira/pure/subjectarea/asjc/2700/2733
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 08 Nov 2022 16:31
Last Modified: 14 May 2023 01:38
DOI: 10.1017/S0022215122002432

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