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Manipulation under anaesthesia of fractured nasal bones – a 10-year retrospective study

Published online by Cambridge University Press:  14 November 2022

S A Gokani Open the ORCID record for S A Gokani [Opens in a new window] ,
H S Sadik ,
A Espehana ,
L Jegatheeswaran Open the ORCID record for L Jegatheeswaran [Opens in a new window] ,
L Luke ,
C Philpott  and
R Nassif
S A Gokani*
Affiliation:
Rhinology and ENT Research Group, Norwich Medical School, University of East Anglia, Norwich, UK
H S Sadik
Affiliation:
Norwich Medical School, University of East Anglia, Norwich, UK
A Espehana
Affiliation:
Rhinology and ENT Research Group, Norwich Medical School, University of East Anglia, Norwich, UK
L Jegatheeswaran
Affiliation:
Department of ENT, Norfolk and Norwich University Hospital, Norwich, UK
L Luke
Affiliation:
Department of ENT, James Paget University Hospital, Great Yarmouth, Norfolk, UK
C Philpott
Affiliation:
Rhinology and ENT Research Group, Norwich Medical School, University of East Anglia, Norwich, UK
R Nassif
Affiliation:
Department of ENT, Norfolk and Norwich University Hospital, Norwich, UK
*
Author for correspondence: Dr Shyam Ajay Gokani, Rhinology and ENT Research Group, Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK E-mail: s.gokani@uea.ac.uk
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Abstract

Background

Nasal bone fractures are treated by manipulation under general or local anaesthesia procedures. Data on long-term benefits of manipulation under local anaesthesia are limited. This study aimed to quantify the proportion of patients requiring septoplasty or septorhinoplasty after manipulation under general and local anaesthesia procedures.

Methods

Anonymised data were collected from electronic records of all patients who underwent manipulation under anaesthesia at our centre over a 10-year period, including demographics, manipulation under anaesthesia timing and further surgery requirements.

Results

The study identified 625 manipulation under general anaesthesia and 52 manipulation under local anaesthesia procedures. Manipulation under local anaesthesia procedures were performed earlier (local anaesthesia = 9 days, general anaesthesia = 15 days; p < 0.05) and were more likely to achieve manipulation (local anaesthesia = 83 per cent, general anaesthesia = 76 per cent; p < 0.05). There was no difference between techniques in the percentage of patients requiring further surgery.

Conclusion

This paper describes a large cohort of patients who underwent manipulation under anaesthesia over a 10-year period. Manipulation under local anaesthesia procedures have increased since the coronavirus disease 2019 pandemic, and the results are comparable to manipulation under general anaesthesia, with reduced delays between injury and manipulation.

Keywords

Nasal BoneFacial InjuriesNasal Surgical Procedures
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 10 , October 2023 , pp. 1126 - 1129
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr S Gokani takes responsibility for the integrity of the content of the paper

Presented at the East of England Otolaryngology Meeting, 19 July 2022, Cambridge, UK.

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