Manipulation under anaesthetic of fractured nasal bones – a ten-year retrospective study

Shyam Ajay Gokani, Hannah Shwan Sadik, Andreas Espehana, Lavandan Jegatheeswaran, Louis Luke, Carl Philpott, Ramez Nassif

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Background: Nasal bone fractures are treated by manipulation (MUA) under general (GA) or local anaesthetic (LA). Data on long-term benefits of LA MUA is limited. We aimed to quantify the proportion of patients requiring septoplasty or septorhinoplasty after GA and LA MUA. Methods: Anonymised data was collected from electronic records for all patients undergoing MUA at our centre over a ten-year period, including demographics, timing of MUA and need for further surgery. Results: We identified 625 GA and 52 LA MUAs. LA MUAs were performed earlier (LA: 9 days, GA: 15 days, p<0.05) and were more likely to achieve manipulation (LA: 83%, GA: 76%, p<0.05). There was no difference in the percentage of patients requiring further surgery between techniques. Conclusion: We describe a large cohort of MUAs over a 10-year period. LA MUAs are increasing since COVID-19 and results are comparable to GA with reduced delays between injury and manipulation.

Original languageEnglish
JournalJournal of Laryngology & Otology
Early online date14 Nov 2022
Publication statusE-pub ahead of print - 14 Nov 2022


  • Facial Injuries
  • Nasal Surgical Procedures
  • Nasal bone

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