Koch Klaus U, Gano Lars, Kjeldsen Anette D
Odense Universitetshospital, Øre-, naese-, Halskirurgisk Afdeling F.
Ugeskr Laeger. 2007 Jun 11;169(24):2322-5.
Nose fractures are the most common among facial fractures. A well-approved treatment of isolated nose fractures is closed reposition under local or general anaesthesia.
This study included 150 patients who were treated with closed reposition for simple and isolated nose fracture at the Otorhinolaryngology Department of Odense University Hospital during the period 1 January 2003 until 31 December 2004. The case records were retrospectively examined and the patients were sent a questionnaire and were offered outpatient follow-up.
The most frequent cause of damage was violence. The average interval from trauma to treatment was 4.1 days. 60% of the patients filed cosmetic results equal to or better than before fracturing the nose regardless of the anaesthetic procedure, while 69% of the patients experienced the function of the nose as equal to or better than before.
The majority of nose fractures are treated under local anaesthesia. A follow-up at least 1 year later found no difference between patient satisfaction of cosmetic and functional results of the nose, regardless of whether they had local or general anaesthesia. In general, the patients were satisfied with the anaesthesia, whether it was local or general.
鼻骨骨折是面部骨折中最常见的。一种广泛认可的单纯鼻骨骨折治疗方法是在局部或全身麻醉下进行闭合复位。
本研究纳入了2003年1月1日至2004年12月31日期间在欧登塞大学医院耳鼻喉科接受单纯鼻骨骨折闭合复位治疗的150例患者。对病例记录进行回顾性检查，并向患者发送问卷，提供门诊随访。
损伤的最常见原因是暴力。从受伤到治疗的平均间隔时间为4.1天。无论麻醉方式如何，60%的患者获得了与鼻骨骨折前相当或更好的美容效果，而69%的患者感觉鼻子功能与骨折前相当或更好。
大多数鼻骨骨折在局部麻醉下进行治疗。至少1年后的随访发现，无论患者接受的是局部麻醉还是全身麻醉，他们对鼻子美容和功能效果的满意度没有差异。总体而言，患者对麻醉方式（无论是局部麻醉还是全身麻醉）都感到满意。
