Clinical otolaryngology and allied sciences
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Clin Otolaryngol Allied Sci · Aug 1990
Randomized Controlled Trial Comparative Study Clinical TrialA randomized comparison of manipulation of the fractured nose under local and general anaesthesia.
Reduction of simple nasal fractures may be performed under local or general anaesthesia: the latter is by far the most popular method in Britain, though why is hard to define. We have attempted to compare the 2 approaches by means of a randomized, prospective trial. ⋯ Analysis of results at 4 h and 8 weeks post-operatively showed no significant benefit conferred by fracture reduction under general anaesthesia as opposed to local anaesthesia with respect to post-operative airway patency or cosmesis. It is suggested that significant benefits can be obtained in terms of patient convenience and cost effectiveness if nasal fractures are reduced under local anaesthesia as an outpatient procedure.