Clinical otolaryngology and allied sciences
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Clin Otolaryngol Allied Sci · Sep 1999
Randomized Controlled Trial Comparative Study Clinical TrialManipulation of the fractured nose: a comparison of local infiltration anaesthesia and topical local anaesthesia.
Reduction of simple nasal fractures under local anaesthetic is now an accepted practice. The anaesthetic is usually administered using an external percutaneous approach, coupled with topical intranasal cocaine. Topical local anaesthetic with intranasal cocaine is an alternative method. ⋯ However, patients in group A perceived the procedure as significantly more painful than the patients of groups B and C. Despite the increased procedure time, we recommend topical anaesthesia as the method of choice to reduce simple nasal fractures in the outpatient department. It offers a similar outcome, whilst being significantly less painful than external infiltration.