Manipulation of the fractured nose using topical local anaesthesia.
Simple fracture of the nasal bone can be reduced under local or general anaesthesia. A combination of topical anaesthetic (EMLA cream) and cocainization of the nasal mucosa was used successfully in manipulation of fractured nasal bones in twelve patients without discomfort.
el-Kholy
A
A
ENT Department, Glasgow Royal Infirmary.
D000287:Administration, Topical; D000293:Adolescent; D000328:Adult; D000772:Anesthesia, Local; D003042:Cocaine / Q000008:administration & dosage; D004338:Drug Combinations / Q000008:administration & dosage; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage*; D000077442:Lidocaine, Prilocaine Drug Combination; D008297:Male; D008349:Manipulation, Orthopedic; D009295:Nasal Bone / Q000293:injuries*; D011318:Prilocaine / Q000008:administration & dosage*; D012887:Skull Fractures / Q000628:therapy*
D004338:Drug Combinations; D000077442:Lidocaine, Prilocaine Drug Combination; D011318:Prilocaine; D008012:Lidocaine; D003042:Cocaine