Manipulation of nasal fractures with local anaesthetic: A 'How to do it' with online video tutorial

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Title Manipulation of nasal fractures with local anaesthetic: A 'How to do it' with online video tutorial
Author Repanos, Costa; Anderson, Daniel; Earnshaw, James; Mitchell, David; Coman, William B.
Journal Name Emergency Medicine Australasia
Year Published 2010
Place of publication Australia
Publisher Wiley-Blackwell Publishing Asia
Abstract Nasal fractures are the most common facial fractures and displaced fractures may cause considerable cosmetic concern. Traditionally, displaced nasal fractures have been manipulated under general anaesthesia (GA) performed within 2 weeks of the injury. Despite evidence for the benefit of local anaesthesia (LA), nasal fractures are still most commonly reduced under GA. We have presented a method of reduction of simple nasal fractures under LA in an outpatient setting. This has the advantage of being painless, simple to attempt and cost-effective. If reduction is inadequate then a general anaesthetic reduction is still possible. A recent comprehensive systematic review of all the available evidence did not show any significant difference (in terms of cosmesis, pain or nasal obstruction) between using LA and GA methods and highlighted the evidence base to support LA. We describe our method of assessment and treatment of displaced nasal fractures and provide an online tutorial ( It is important to keep in mind that any concerns should be referred to an otolaryngology specialist for further management and that practitioners attempting this technique should first receive training from an otolaryngologist.
Peer Reviewed Yes
Published Yes
Alternative URI
Volume 22
Issue Number 3
Page from 236
Page to 239
ISSN 1742-6731
Date Accessioned 2010-10-27
Language en_AU
Faculty Griffith Health Faculty
Subject Medical and Health Sciences
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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