TY - JOUR
T1 - Manipulation under anaesthetic of fractured nasal bones – a ten-year retrospective study
AU - Gokani, Shyam Ajay
AU - Shwan Sadik, Hannah
AU - Espehana, Andreas
AU - Jegatheeswaran, Lavandan
AU - Luke, Louis
AU - Philpott, Carl
AU - Nassif, Ramez
PY - 2022/11/14
Y1 - 2022/11/14
N2 - 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.
AB - 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.
KW - Facial Injuries
KW - Nasal Surgical Procedures
KW - Nasal bone
UR - http://www.scopus.com/inward/record.url?scp=85143277682&partnerID=8YFLogxK
U2 - 10.1017/S0022215122002432
DO - 10.1017/S0022215122002432
M3 - Article
JO - Journal of Laryngology & Otology
JF - Journal of Laryngology & Otology
SN - 0022-2151
ER -