Int Arch Otorhinolaryngol 2014; 18(03): 266-271
DOI: 10.1055/s-0034-1368138
Original Research
Thieme Publicações Ltda Rio de Janeiro, Brazil

Applicability and Effectiveness of Closed Reduction of Nasal Fractures under Local Anesthesia

Fernando Vilela
1  Department of Otorhinolaryngology, Hospital de Base Brasília, Distrito Federal, Brazil
,
Ronaldo Granjeiro
1  Department of Otorhinolaryngology, Hospital de Base Brasília, Distrito Federal, Brazil
,
Carlos Maurício Júnior
1  Department of Otorhinolaryngology, Hospital de Base Brasília, Distrito Federal, Brazil
,
Patrícia Andrade
1  Department of Otorhinolaryngology, Hospital de Base Brasília, Distrito Federal, Brazil
› Author Affiliations
Further Information

Publication History

31 October 2013

16 November 2013

Publication Date:
13 March 2014 (eFirst)

  

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.