Nasal Bone Fracture Reduction Under Local Anaesthesia: A Holistic Approach to Nasal Blocks and a Comparison with General Anaesthesia
To compare the pain scores in closed reduction of nasal bone fractures under local anaesthesia (LA) and general anaesthesia (GA), and to outline the blocks that should be used for the same based on their nerve supply. A prospective study was conducted with 40 patients with Class 1 and 2 nasal bone a...
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| Veröffentlicht in: | Indian journal of otolaryngology, and head, and neck surgery and head, and neck surgery, 2024-02, Vol.76 (1), p.358-364 |
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| container_title | Indian journal of otolaryngology, and head, and neck surgery |
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| creator | Jana, Sonali Guha, Ruma De, Kumar Shankar Adhikari, Biswajit Das, Prithvi |
| description | To compare the pain scores in closed reduction of nasal bone fractures under local anaesthesia (LA) and general anaesthesia (GA), and to outline the blocks that should be used for the same based on their nerve supply. A prospective study was conducted with 40 patients with Class 1 and 2 nasal bone and septal fracture. 20 patients underwent the procedure under LA and 20 under GA. The local blocks that should be used based on the complete nerve supply of the nose has been tabulated. Pain scores were recorded immediately after the procedure and 6 h later. Additionally, all the patients undergoing reduction under LA were asked, if given the choice again, if they would prefer to undergo the procedure under LA or GA. The overall difference in the pain scores calculated by T-test showed a p-value of 0.08807 (the result was not significant at p |
| doi_str_mv | 10.1007/s12070-023-04163-9 |
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A prospective study was conducted with 40 patients with Class 1 and 2 nasal bone and septal fracture. 20 patients underwent the procedure under LA and 20 under GA. The local blocks that should be used based on the complete nerve supply of the nose has been tabulated. Pain scores were recorded immediately after the procedure and 6 h later. Additionally, all the patients undergoing reduction under LA were asked, if given the choice again, if they would prefer to undergo the procedure under LA or GA. The overall difference in the pain scores calculated by T-test showed a p-value of 0.08807 (the result was not significant at p < .05) in the immediate post operative period. At the 6 h post operative period, overall difference in the pain scores showed a p-value of 0.384972 (not significant at p < .05). Of the patients who underwent the procedure under LA, 18 of 20 (90%) said that if given a choice again, they would undergo the procedure under LA, while 2 said they would prefer GA. Based on the pain score in the La vs. GA groups, there is no significant difference in the pain scores whether closed reduction is done under local or general anaesthesia. If all the blocks are given keeping the nerve supplies in mind, and both externally, and with pledgets, the entire nerve supply of the nose can be blocked.</description><identifier>ISSN: 2231-3796</identifier><identifier>EISSN: 0973-7707</identifier><identifier>DOI: 10.1007/s12070-023-04163-9</identifier><identifier>PMID: 38440457</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Closed reduction ; Fractures ; General anesthesia ; Head and Neck Surgery ; Local anesthesia ; Medicine ; Medicine & Public Health ; Nose ; Original Article ; Otorhinolaryngology ; Pain ; Postoperative period</subject><ispartof>Indian journal of otolaryngology, and head, and neck surgery, 2024-02, Vol.76 (1), p.358-364</ispartof><rights>Association of Otolaryngologists of India 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-a463196d269908324226025761f3754790c2edb0419159f39d86f66f73c16ed33</cites><orcidid>0000-0002-7697-0228</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12070-023-04163-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12070-023-04163-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38440457$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jana, Sonali</creatorcontrib><creatorcontrib>Guha, Ruma</creatorcontrib><creatorcontrib>De, Kumar Shankar</creatorcontrib><creatorcontrib>Adhikari, Biswajit</creatorcontrib><creatorcontrib>Das, Prithvi</creatorcontrib><title>Nasal Bone Fracture Reduction Under Local Anaesthesia: A Holistic Approach to Nasal Blocks and a Comparison with General Anaesthesia</title><title>Indian journal of otolaryngology, and head, and neck surgery</title><addtitle>Indian J Otolaryngol Head Neck Surg</addtitle><addtitle>Indian J Otolaryngol Head Neck Surg</addtitle><description>To compare the pain scores in closed reduction of nasal bone fractures under local anaesthesia (LA) and general anaesthesia (GA), and to outline the blocks that should be used for the same based on their nerve supply. A prospective study was conducted with 40 patients with Class 1 and 2 nasal bone and septal fracture. 20 patients underwent the procedure under LA and 20 under GA. The local blocks that should be used based on the complete nerve supply of the nose has been tabulated. Pain scores were recorded immediately after the procedure and 6 h later. Additionally, all the patients undergoing reduction under LA were asked, if given the choice again, if they would prefer to undergo the procedure under LA or GA. The overall difference in the pain scores calculated by T-test showed a p-value of 0.08807 (the result was not significant at p < .05) in the immediate post operative period. At the 6 h post operative period, overall difference in the pain scores showed a p-value of 0.384972 (not significant at p < .05). Of the patients who underwent the procedure under LA, 18 of 20 (90%) said that if given a choice again, they would undergo the procedure under LA, while 2 said they would prefer GA. Based on the pain score in the La vs. GA groups, there is no significant difference in the pain scores whether closed reduction is done under local or general anaesthesia. If all the blocks are given keeping the nerve supplies in mind, and both externally, and with pledgets, the entire nerve supply of the nose can be blocked.</description><subject>Closed reduction</subject><subject>Fractures</subject><subject>General anesthesia</subject><subject>Head and Neck Surgery</subject><subject>Local anesthesia</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nose</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Pain</subject><subject>Postoperative period</subject><issn>2231-3796</issn><issn>0973-7707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kcFOGzEQhq2qqITAC3BAlnrhsmXs2bVjbiEqASkCqWrOlvF6m4WNHexdod55cEwTiuihJx_8zfeP5ifkmME3BiDPEuMgoQCOBZRMYKE-kREoiYWUID-TEefICpRK7JODlO4BsGISvpB9nJQllJUckecbk0xHL4J39DIa2w_R0R-uHmzfBk-XvnaRLoLNzNQbl_qVS605p1N6Fbo29a2l080mBmNXtA90Z-uCfUjU-JoaOgvrjYltyrantl_RufMuftQdkr3GdMkd7d4xWV5-_zm7Kha38-vZdFFY5KIvTCmQKVFzoRRMkJecC-CVFKxBWZVSgeWuvsu3UKxSDap6IhohGomWCVcjjsnp1psXfhxyul63ybquM96FIWmuMF-uFFxk9Os_6H0Yos_bvVKocnheYUz4lrIxpBRdozexXZv4WzPQrx3pbUc6d6T_dKRVHjrZqYe7tav_jryVkgHcAil_-V8uvmf_R_sCMfiaJQ</recordid><startdate>20240201</startdate><enddate>20240201</enddate><creator>Jana, Sonali</creator><creator>Guha, Ruma</creator><creator>De, Kumar Shankar</creator><creator>Adhikari, Biswajit</creator><creator>Das, Prithvi</creator><general>Springer India</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7697-0228</orcidid></search><sort><creationdate>20240201</creationdate><title>Nasal Bone Fracture Reduction Under Local Anaesthesia: A Holistic Approach to Nasal Blocks and a Comparison with General Anaesthesia</title><author>Jana, Sonali ; Guha, Ruma ; De, Kumar Shankar ; Adhikari, Biswajit ; Das, Prithvi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-a463196d269908324226025761f3754790c2edb0419159f39d86f66f73c16ed33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Closed reduction</topic><topic>Fractures</topic><topic>General anesthesia</topic><topic>Head and Neck Surgery</topic><topic>Local anesthesia</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nose</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Pain</topic><topic>Postoperative period</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jana, Sonali</creatorcontrib><creatorcontrib>Guha, Ruma</creatorcontrib><creatorcontrib>De, Kumar Shankar</creatorcontrib><creatorcontrib>Adhikari, Biswajit</creatorcontrib><creatorcontrib>Das, Prithvi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Indian journal of otolaryngology, and head, and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jana, Sonali</au><au>Guha, Ruma</au><au>De, Kumar Shankar</au><au>Adhikari, Biswajit</au><au>Das, Prithvi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nasal Bone Fracture Reduction Under Local Anaesthesia: A Holistic Approach to Nasal Blocks and a Comparison with General Anaesthesia</atitle><jtitle>Indian journal of otolaryngology, and head, and neck surgery</jtitle><stitle>Indian J Otolaryngol Head Neck Surg</stitle><addtitle>Indian J Otolaryngol Head Neck Surg</addtitle><date>2024-02-01</date><risdate>2024</risdate><volume>76</volume><issue>1</issue><spage>358</spage><epage>364</epage><pages>358-364</pages><issn>2231-3796</issn><eissn>0973-7707</eissn><abstract>To compare the pain scores in closed reduction of nasal bone fractures under local anaesthesia (LA) and general anaesthesia (GA), and to outline the blocks that should be used for the same based on their nerve supply. A prospective study was conducted with 40 patients with Class 1 and 2 nasal bone and septal fracture. 20 patients underwent the procedure under LA and 20 under GA. The local blocks that should be used based on the complete nerve supply of the nose has been tabulated. Pain scores were recorded immediately after the procedure and 6 h later. Additionally, all the patients undergoing reduction under LA were asked, if given the choice again, if they would prefer to undergo the procedure under LA or GA. The overall difference in the pain scores calculated by T-test showed a p-value of 0.08807 (the result was not significant at p < .05) in the immediate post operative period. At the 6 h post operative period, overall difference in the pain scores showed a p-value of 0.384972 (not significant at p < .05). Of the patients who underwent the procedure under LA, 18 of 20 (90%) said that if given a choice again, they would undergo the procedure under LA, while 2 said they would prefer GA. Based on the pain score in the La vs. GA groups, there is no significant difference in the pain scores whether closed reduction is done under local or general anaesthesia. If all the blocks are given keeping the nerve supplies in mind, and both externally, and with pledgets, the entire nerve supply of the nose can be blocked.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>38440457</pmid><doi>10.1007/s12070-023-04163-9</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-7697-0228</orcidid></addata></record> |
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| subjects | Closed reduction Fractures General anesthesia Head and Neck Surgery Local anesthesia Medicine Medicine & Public Health Nose Original Article Otorhinolaryngology Pain Postoperative period |
| title | Nasal Bone Fracture Reduction Under Local Anaesthesia: A Holistic Approach to Nasal Blocks and a Comparison with General Anaesthesia |
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