Clinical otolaryngology and allied sciences
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Clin Otolaryngol Allied Sci · Aug 1992
Randomized Controlled Trial Comparative Study Clinical TrialManipulation of the fractured nose under local anaesthesia.
Simple fractures of the nasal pyramid without significant septal deformity may be reduced as effectively under local as under general anaesthesia. Currently, the former may involve regional nerve blockade by intranasal infiltration and is often unpleasant. We have attempted to find a more acceptable method. ⋯ The surgeon recorded the cosmetic result. Analysis revealed the internal route to be significantly more painful (P less than 0.001) and with no advantage to the patient with respect to post-operative airway patency or cosmesis. We recommend the technically easier external method for this procedure.