J Korean Cleft Palate-Craniofac Assoc.  2008 Oct;9(2):77-80.

Closed Reduction of Nasal Bone Fracture Under the Mask Ventilation Anesthesia Using Oral Airway

Affiliations
  • 1Department of Plastic & Reconstructive Surgery, College of Medicine, Yeungnam University, Daegu, Korea. yhkim@med.yu.kr
  • 2Department of Anesthesiology, College of Medicine, Yeungnam University, Daegu, Korea.

Abstract

PURPOSE
The majority of nasal fractures have been treated by closed reduction. And they were manipulated under local anesthesia or general anesthesia. Under the local anesthesia, patients can feel the pain and fear, so general anesthesia through the endotracheal intubation became popularized recently to treat the nasal fracture. But it has still the drawbacks of postanesthetic complication. Therefore, under the mask ventilation anesthesia using oral airway, we tried to manipulate the nasal fracture.
METHODS
From July 2007 to November 2007, we worked with fifty patients that were manipulated the nasal fracture. Fifty patients were divided into two groups, general anesthesia with the endotracheal intubation group(n=25) and the mask ventilation using oral airway group(n=25). We checked up the anesthesia time, postanesthetic complication, postoperative aesthetic & functional problem of nose in two groups.
RESULTS
In total operation time and sore throat frequency among the postoperative anesthetic complications, there was statistically significant difference between the mask ventilation group and the endotracheal intubation group(p<0.05). But there was no difference statistically in nausea frequency(p>0.05). And no patients complained of postoperative nasal complication such as septal deviation, septal perforation, nasal obstruction and hump nose in two groups.
CONCLUSION
Through the mask ventilation using oral airway, we could reach satisfactory results in the anesthetic time and postanesthetic complication.

Keyword

Nasal fracture; Closed reduction; Mask ventilation; Oral airway

MeSH Terms

Anesthesia
Anesthesia, General
Anesthesia, Local
Humans
Intubation, Intratracheal
Masks
Nasal Bone
Nasal Septal Perforation
Nausea
Nose
Pharyngitis
Postoperative Complications
Ventilation
Full Text Links
  • JKCPCA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr