title: Fractured-nose reduction under local anaesthesia. Is it acceptable to the patient?
abstract: This article examines patients' acceptance of fractured-nose reduction under local anaesthesia, both objectively and subjectively. At each stage of the reduction the level of the discomfort, the patients' experiences were recorded. The success rate of complete reduction of the nasal fracture was found to be 71% and this was similar to that obtained in other studies that have used general anaesthesia. An overall level of discomfort for the procedure in terms a layman can understand was obtained by comparing the manipulation with that of having a tooth filled at the dentist. Sixty-three percent of the patients said that the nasal fracture reduction was no worse or the same as a dental filling. Our study showed that 96% of patients would be willing to undergo the same local anaesthetic procedure if they fractured their nose a second time. We conclude that it is possible to reduce the majority of fractured noses adequately with little inconvenience to the patient under local anaesthesia, and so we recommend that this procedure should be considered in the first-line treatment of the displaced fractured nose.
authors.affiliation: Dept. of Otolaryngology, Bristol Royal Infirmary, United Kingdom.
authors.forename: G O
authors.initials: GO
authors.lastname: Owen
authors.forename: A J
authors.initials: AJ
authors.lastname: Parker
authors.forename: D J
authors.initials: DJ
authors.lastname: Watson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000772:Anesthesia, Local / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008349:Manipulation, Orthopedic; D008875:Middle Aged; D009295:Nasal Bone / Q000293:injuries* / Q000601:surgery*; D010342:Patient Acceptance of Health Care; D012887:Skull Fractures / Q000601:surgery*