Nasal fractures and anesthetic applications

Authors : Neslihan SARI

Pages : 107-114

Doi:10.5472/marumj.1065843

View : 38 | Download : 13

Publication Date : 2022-01-31

Article Type : Research Paper

Abstract :Objective: The aim of this study was to review and compare the demographic characteristics, radiological findings, pain scores and the level of satisfaction of patients who underwent nasal fracture reduction insert ignore into journalissuearticles values(NFR); under sedation anesthesia insert ignore into journalissuearticles values(SA);, infiltrative anesthesia insert ignore into journalissuearticles values(IA); or topical anesthesia insert ignore into journalissuearticles values(TA);. Patients and Methods: Sixty patients were included in the study according to the types of anesthesia applied: SA group , IA group and TA group. Demographic data insert ignore into journalissuearticles values(age, gender, etiology, duration and time to NFR);, radiological findings insert ignore into journalissuearticles values(presence of septal fracture, hematoma);, pain scores, nasal patency and cosmetic satisfaction levels were analyzed. Results: The mean age of patients was 23.8 ± 19.3. The mean age of females was 23 insert ignore into journalissuearticles values(38.3%); and mean age of males was 37 insert ignore into journalissuearticles values(61.7%);. The mean age of the SA group was 6.1±4. The most common etiology was falls, insert ignore into journalissuearticles values(39 patients 65%);. Duration of the operation was higher in patients insert ignore into journalissuearticles values(TA group); who had closed reduction. Pain score was lowest at 0 hour in the IA group insert ignore into journalissuearticles values(open reduction);, while it was lowest at 48 hours in the TA group. Cosmetic satisfaction level was high in the SA group insert ignore into journalissuearticles values(p<0.05);. Septal fracture was detected in 95% of the patients and septal hematoma in 36% of the patients in tomographic evaluation. Conclusion: Sedation anesthesia was applied mostly to children, whereas, IA and TA were mostly applied to adult patients due to patient compliance. Short operation time and immediate pain control were advantages of IA.TA was preferred when cosmetic expectations were low in adults. Septal fracture and hematoma that cause nasal deformations, frequently seen in nasal fracture, may be missed by physical examination but can easily be detected by tomographic examination, but the risks of tomography should be noted.
Keywords : Demographic, Anesthesia, Pain, Fracture reduction, Satisfaction

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