Arch Craniofac Surg.  2015 Dec;16(3):151-153. 10.7181/acfs.2015.16.3.151.

Usefulness of Ultrasonography-Assisted Closed Reduction for Nasal Fracture under Local Anesthesia

• Kim DH
• Kim KS

• KMID: 2132609
• DOI: http://doi.org/10.7181/acfs.2015.16.3.151

Abstract

Closed reduction is the treatment of choice for most nasal bone fractures. In this technique, the nasal bone cannot be directly visualized, proper reduction is confirmed by palpation of the bony contour. This confirmation-via-palpation is in most cases too uncomfortable or painful for patients, and this is the reason why most closed reductions of nasal bone fractures are performed under general anesthesia. Recently, ultrasonography has been adopted as a useful diagnostic method and operative adjunct. In this report, we report the use of ultrasonography as a means to provide palpation-less confirmation of proper reduction, which in turn allows for nasal bone reduction under local anesthesia.

Keyword

Nasal bone; Fracture, bone; Ultrasonography

MeSH Terms

Anesthesia, General
Anesthesia, Local*
Fractures, Bone
Humans
Nasal Bone
Palpation
Ultrasonography