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Finger reduction of nasal bone fracture under local anesthesia: outcomes and patient reported satisfaction

BACKGROUND: Closed reduction of the fracture under general or local anesthesia with elevators or forceps is widely used to treat nasal bone fractures. However, operating under general anesthesia increases the risk of morbidity and raises the cost of management. Furthermore, using forceps or elevator...

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Autores principales: Lee, Young-Jae, Lee, Kyeong-Tae, Pyon, Jai-Kyong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Cleft Palate-Craniofacial Association 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411525/
https://www.ncbi.nlm.nih.gov/pubmed/30840815
http://dx.doi.org/10.7181/acfs.2018.02222
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author Lee, Young-Jae
Lee, Kyeong-Tae
Pyon, Jai-Kyong
author_facet Lee, Young-Jae
Lee, Kyeong-Tae
Pyon, Jai-Kyong
author_sort Lee, Young-Jae
collection PubMed
description BACKGROUND: Closed reduction of the fracture under general or local anesthesia with elevators or forceps is widely used to treat nasal bone fractures. However, operating under general anesthesia increases the risk of morbidity and raises the cost of management. Furthermore, using forceps or elevators may cause undercorrection, new fractures, mucosal damage, and nasal hemorrhage. We therefore performed manual reduction under local anesthesia, using the little finger, to minimize the demerits of treatment under general anesthesia with forceps or elevators and aimed to assess functional and aesthetic outcomes, and patient satisfaction. METHODS: Patients who visited the plastic and reconstructive surgery department between November 2016 and November 2017 with nasal bone fractures and treated by a single surgeon were prospectively followed up. Patients with simple unilateral or bilateral nasal bone fractures were treated with bedside finger reduction under local anesthesia and patients with comminuted nasal bone or septal fractures were scheduled for closed reduction under general anesthesia. RESULTS: Of 84 patients, 28 met the inclusion criterion and underwent bedside finger reduction under local anesthesia. Twenty-seven patients (96.4%) were successfully contacted via telephone for survey. Twenty-three (85.2%) showed good and three (11.1%) showed fair results. All 27 patients (100%) were satisfied with their postoperative function and 25 (92.6%) were satisfied with their postoperative aesthetic result. Twenty-five patients (92.6%) preferred the finger reduction method under local anesthesia over closed reduction under general anesthesia. CONCLUSION: Finger reduction under local anesthesia in patients with mild unilateral or bilateral nasal bone fractures is an easy and efficient procedure with high patient satisfaction and favorable postoperative functional and aesthetic outcomes.
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spelling pubmed-64115252019-03-21 Finger reduction of nasal bone fracture under local anesthesia: outcomes and patient reported satisfaction Lee, Young-Jae Lee, Kyeong-Tae Pyon, Jai-Kyong Arch Craniofac Surg Original Article BACKGROUND: Closed reduction of the fracture under general or local anesthesia with elevators or forceps is widely used to treat nasal bone fractures. However, operating under general anesthesia increases the risk of morbidity and raises the cost of management. Furthermore, using forceps or elevators may cause undercorrection, new fractures, mucosal damage, and nasal hemorrhage. We therefore performed manual reduction under local anesthesia, using the little finger, to minimize the demerits of treatment under general anesthesia with forceps or elevators and aimed to assess functional and aesthetic outcomes, and patient satisfaction. METHODS: Patients who visited the plastic and reconstructive surgery department between November 2016 and November 2017 with nasal bone fractures and treated by a single surgeon were prospectively followed up. Patients with simple unilateral or bilateral nasal bone fractures were treated with bedside finger reduction under local anesthesia and patients with comminuted nasal bone or septal fractures were scheduled for closed reduction under general anesthesia. RESULTS: Of 84 patients, 28 met the inclusion criterion and underwent bedside finger reduction under local anesthesia. Twenty-seven patients (96.4%) were successfully contacted via telephone for survey. Twenty-three (85.2%) showed good and three (11.1%) showed fair results. All 27 patients (100%) were satisfied with their postoperative function and 25 (92.6%) were satisfied with their postoperative aesthetic result. Twenty-five patients (92.6%) preferred the finger reduction method under local anesthesia over closed reduction under general anesthesia. CONCLUSION: Finger reduction under local anesthesia in patients with mild unilateral or bilateral nasal bone fractures is an easy and efficient procedure with high patient satisfaction and favorable postoperative functional and aesthetic outcomes. Korean Cleft Palate-Craniofacial Association 2019-02 2019-02-20 /pmc/articles/PMC6411525/ /pubmed/30840815 http://dx.doi.org/10.7181/acfs.2018.02222 Text en Copyright © 2019 The Korean Cleft Palate-Craniofacial Association This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lee, Young-Jae
Lee, Kyeong-Tae
Pyon, Jai-Kyong
Finger reduction of nasal bone fracture under local anesthesia: outcomes and patient reported satisfaction
title Finger reduction of nasal bone fracture under local anesthesia: outcomes and patient reported satisfaction
title_full Finger reduction of nasal bone fracture under local anesthesia: outcomes and patient reported satisfaction
title_fullStr Finger reduction of nasal bone fracture under local anesthesia: outcomes and patient reported satisfaction
title_full_unstemmed Finger reduction of nasal bone fracture under local anesthesia: outcomes and patient reported satisfaction
title_short Finger reduction of nasal bone fracture under local anesthesia: outcomes and patient reported satisfaction
title_sort finger reduction of nasal bone fracture under local anesthesia: outcomes and patient reported satisfaction
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411525/
https://www.ncbi.nlm.nih.gov/pubmed/30840815
http://dx.doi.org/10.7181/acfs.2018.02222
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