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.
ENT Department, Glasgow Royal Infirmary.
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el-Kholy
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