Applicability and Effectiveness of Closed Reduction of Nasal Fractures under Local Anesthesia
Abstract Introduction A significant portion of patients treated in emergency departments have nasal fracture. It is important that the otolaryngologist know how to treat such damage. Objectives To evaluate the effectiveness of nasal fracture reduction under local anesthesia...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2014-03-01
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| Series: | International Archives of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1368138 |
| _version_ | 1818081341234741248 |
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| author | Fernando Vilela Ronaldo Granjeiro Carlos Maurício Júnior Patrícia Andrade |
| author_facet | Fernando Vilela Ronaldo Granjeiro Carlos Maurício Júnior Patrícia Andrade |
| author_sort | Fernando Vilela |
| collection | DOAJ |
| description | Abstract
Introduction A significant portion of patients treated in emergency departments have nasal fracture. It is important that the otolaryngologist know how to treat such damage.
Objectives To evaluate the effectiveness of nasal fracture reduction under local anesthesia and tolerance to the procedure.
Methods Twenty-four patients treated in the emergency department with closed reduction under local anesthesia were prospectively followed. Epidemiologic information and data regarding pain and complications during the management were noted. The degree of satisfaction was researched by visual analog scale.
Results The majority of patients were male (75%), and the most common cause of injury was motor vehicle accident. We found a significant association between time to reduction and referred pain during the procedure. In patients in whom the procedure was delayed (over 3 days), there was less pain, and those who bled during the procedure had a shorter average time to reduction than the group of patients who did not bleed. Most patients were very satisfied, with more than 95% of these willing to undergo the same process again, if necessary.
Conclusions The closed approach in the clinic under local anesthesia was effective and safe in restoration of the nose. |
| first_indexed | 2024-12-10T19:04:40Z |
| format | Article |
| id | doaj.art-d05755cdee384ae993294cd54b796524 |
| institution | Directory Open Access Journal |
| issn | 1809-9777 1809-4864 |
| language | English |
| last_indexed | 2024-12-10T19:04:40Z |
| publishDate | 2014-03-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | International Archives of Otorhinolaryngology |
| spelling | doaj.art-d05755cdee384ae993294cd54b7965242022-12-22T01:36:55ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642014-03-01180326627110.1055/s-0034-1368138Applicability and Effectiveness of Closed Reduction of Nasal Fractures under Local AnesthesiaFernando Vilela0Ronaldo Granjeiro1Carlos Maurício Júnior2Patrícia Andrade3Department of Otorhinolaryngology, Hospital de Base Brasília, Distrito Federal, BrazilDepartment of Otorhinolaryngology, Hospital de Base Brasília, Distrito Federal, BrazilDepartment of Otorhinolaryngology, Hospital de Base Brasília, Distrito Federal, BrazilDepartment of Otorhinolaryngology, Hospital de Base Brasília, Distrito Federal, BrazilAbstract Introduction A significant portion of patients treated in emergency departments have nasal fracture. It is important that the otolaryngologist know how to treat such damage. Objectives To evaluate the effectiveness of nasal fracture reduction under local anesthesia and tolerance to the procedure. Methods Twenty-four patients treated in the emergency department with closed reduction under local anesthesia were prospectively followed. Epidemiologic information and data regarding pain and complications during the management were noted. The degree of satisfaction was researched by visual analog scale. Results The majority of patients were male (75%), and the most common cause of injury was motor vehicle accident. We found a significant association between time to reduction and referred pain during the procedure. In patients in whom the procedure was delayed (over 3 days), there was less pain, and those who bled during the procedure had a shorter average time to reduction than the group of patients who did not bleed. Most patients were very satisfied, with more than 95% of these willing to undergo the same process again, if necessary. Conclusions The closed approach in the clinic under local anesthesia was effective and safe in restoration of the nose.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1368138traumatologynasal bonenose deformitiesacquired |
| spellingShingle | Fernando Vilela Ronaldo Granjeiro Carlos Maurício Júnior Patrícia Andrade Applicability and Effectiveness of Closed Reduction of Nasal Fractures under Local Anesthesia International Archives of Otorhinolaryngology traumatology nasal bone nose deformities acquired |
| title | Applicability and Effectiveness of Closed Reduction of Nasal Fractures under Local Anesthesia |
| title_full | Applicability and Effectiveness of Closed Reduction of Nasal Fractures under Local Anesthesia |
| title_fullStr | Applicability and Effectiveness of Closed Reduction of Nasal Fractures under Local Anesthesia |
| title_full_unstemmed | Applicability and Effectiveness of Closed Reduction of Nasal Fractures under Local Anesthesia |
| title_short | Applicability and Effectiveness of Closed Reduction of Nasal Fractures under Local Anesthesia |
| title_sort | applicability and effectiveness of closed reduction of nasal fractures under local anesthesia |
| topic | traumatology nasal bone nose deformities acquired |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1368138 |
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