Manipulation of nasal fractures with local anaesthetic: A 'How to do it' with online video tutorial

Repanos, Costa, Anderson, Daniel, Earnshaw, James, Mitchell, David and Coman, William (2010) Manipulation of nasal fractures with local anaesthetic: A 'How to do it' with online video tutorial. Emergency Medicine Australasia, 22 3: 236-239. doi:10.1111/j.1742-6723.2010.01289.x

Author Repanos, Costa
Anderson, Daniel
Earnshaw, James
Mitchell, David
Coman, William
Title Manipulation of nasal fractures with local anaesthetic: A 'How to do it' with online video tutorial
Journal name Emergency Medicine Australasia   Check publisher's open access policy
ISSN 1742-6731
Publication date 2010-06-01
Sub-type Article (original research)
DOI 10.1111/j.1742-6723.2010.01289.x
Open Access Status Not Open Access
Volume 22
Issue 3
Start page 236
End page 239
Total pages 4
Place of publication Richmond, Vic., Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Abstract Nasal fractures are the most common facial fractures and displaced fractures may cause considerable cosmetic concern. Traditionally, displaced nasal fractures have been manipulated under general anaesthesia (GA) performed within 2 weeks of the injury. Despite evidence for the benefit of local anaesthesia (LA), nasal fractures are still most commonly reduced under GA. We have presented a method of reduction of simple nasal fractures under LA in an outpatient setting. This has the advantage of being painless, simple to attempt and cost-effective. If reduction is inadequate then a general anaesthetic reduction is still possible. A recent comprehensive systematic review of all the available evidence did not show any significant difference (in terms of cosmesis, pain or nasal obstruction) between using LA and GA methods and highlighted the evidence base to support LA. We describe our method of assessment and treatment of displaced nasal fractures and provide an online tutorial ( reduction.html). It is important to keep in mind that any concerns should be referred to an otolaryngology specialist for further management and that practitioners attempting this technique should first receive training from an otolaryngologist. © 2010 The Authors.
Keyword Fracture reduction
Local anaesthetic
Nasal fracture
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Medicine Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 2 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 3 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Fri, 18 Mar 2011, 19:02:47 EST by Mrs Maureen Pollard on behalf of PA - Southside Clinical School