Watson D J, Parker A J, Slack R W, Griffiths M V
Bristol Royal Infirmary.
Clin Otolaryngol Allied Sci. 1988 Dec;13(6):491-4. doi: 10.1111/j.1365-2273.1988.tb00323.x.
Displaced fractured noses are usually manipulated under general anesthetic. The appearances of fractured noses were assessed and the airways measured by rhinomanometry before and after nasal manipulation in 29 patients. Seventeen received a local anaesthetic (LA) and 12 a general anaesthetic (GA) for the manipulation. Patients were generally pleased with the outcome and there were no significant differences between results in the 2 groups. Bony manipulation did not affect the nasal airway. Local anaesthesia was acceptable to all but one patient. The benefits, including those of cost and safety, of local anaesthetic for manipulation of almost all fractured noses are discussed.
移位性鼻骨骨折通常在全身麻醉下进行整复。对29例患者鼻骨骨折的外观进行了评估，并在鼻整复前后通过鼻阻力计测量气道情况。其中17例患者在整复时接受了局部麻醉（LA），12例接受了全身麻醉（GA）。患者总体对结果满意，两组结果之间无显著差异。骨整复未影响鼻气道。除1例患者外，其他患者均接受局部麻醉。本文讨论了局部麻醉用于几乎所有鼻骨骨折整复的益处，包括成本和安全性方面的益处。
