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dc.contributor.authorRepanos, Costaen_US
dc.contributor.authorAnderson, Danielen_US
dc.contributor.authorEarnshaw, Jamesen_US
dc.contributor.authorMitchell, Daviden_US
dc.contributor.authorComan, Williamen_US
dc.date.accessioned2017-05-03T14:19:03Z
dc.date.available2017-05-03T14:19:03Z
dc.date.issued2010en_US
dc.date.modified2010-11-12T08:34:39Z
dc.identifier.issn17426731en_US
dc.identifier.doi10.1111/j.1742-6723.2010.01289.xen_AU
dc.identifier.urihttp://hdl.handle.net/10072/34992
dc.description.abstractNasal fractures are the most common facial fractures and displaced fractures may cause considerable cosmetic concern. Traditionally, displaced nasal fractures have been manipulated under general anaesthesia (GA) performed within 2 weeks of the injury. Despite evidence for the benefit of local anaesthesia (LA), nasal fractures are still most commonly reduced under GA. We have presented a method of reduction of simple nasal fractures under LA in an outpatient setting. This has the advantage of being painless, simple to attempt and cost-effective. If reduction is inadequate then a general anaesthetic reduction is still possible. A recent comprehensive systematic review of all the available evidence did not show any significant difference (in terms of cosmesis, pain or nasal obstruction) between using LA and GA methods and highlighted the evidence base to support LA. We describe our method of assessment and treatment of displaced nasal fractures and provide an online tutorial (http://sciencestage.com/v/22194/local-anaesthetic-nasal-fracture-reduction.html). It is important to keep in mind that any concerns should be referred to an otolaryngology specialist for further management and that practitioners attempting this technique should first receive training from an otolaryngologist.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_AU
dc.languageEnglishen_US
dc.language.isoen_AU
dc.publisherWiley-Blackwell Publishing Asiaen_US
dc.publisher.placeAustraliaen_US
dc.relation.ispartofstudentpublicationNen_AU
dc.relation.ispartofpagefrom236en_US
dc.relation.ispartofpageto239en_US
dc.relation.ispartofissue3en_US
dc.relation.ispartofjournalEmergency Medicine Australasiaen_US
dc.relation.ispartofvolume22en_US
dc.rights.retentionYen_AU
dc.subject.fieldofresearchMedical and Health Sciences not elsewhere classifieden_US
dc.subject.fieldofresearchcode119999en_US
dc.titleManipulation of nasal fractures with local anaesthetic: A ‘How to do it’ with online video tutorialen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.date.issued2010
gro.hasfulltextNo Full Text


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