Waldron J, Mitchell D B, Ford G
ENT Department, St Thomas' Hospital, London, UK.
Clin Otolaryngol Allied Sci. 1989 Aug;14(4):357-9. doi: 10.1111/j.1365-2273.1989.tb00384.x.
This prospective study was designed to asses whether the results of reducing simple fractures of the nasal bones were different using local or general anaesthesia. Two consecutive groups of 50 patients had their fractures manipulated under (a) general, or (b) local anaesthesia. The results of reduction as assessed by the patients and surgeons were not significantly different between the 2 groups. The reoperation rate for nasal obstruction and external deformity was similar in the 2 groups. We suggest that fractured nasal bones may be reduced under local anaesthesia without detriment to the results. This represents a significant saving of hospital resources.
这项前瞻性研究旨在评估使用局部麻醉或全身麻醉复位鼻骨单纯骨折的结果是否存在差异。连续两组各50例患者分别在（a）全身麻醉或（b）局部麻醉下进行骨折整复。患者和外科医生评估的复位结果在两组之间无显著差异。两组鼻阻塞和外形畸形的再次手术率相似。我们认为鼻骨骨折可在局部麻醉下复位，而不影响结果。这可显著节省医院资源。
