Comparison of Post Operative Aesthetic Outcome Between Local and General Anesthesia after Close Reduction for Nasal Bone Fracture

Abstract

Background: Nasal bone fractures are commonest type of facial bone fractures and 3rd most common among all body fractures. Objective: To compare the post operative aesthetic outcome after close reduction of fractured nasal bone when performed under local anesthesia and general anesthesia. Study Design: Randomized control trial. Settings: Department of ENT, Mayo Hospital Lahore Pakistan. Duration: From September 2018 to December 2020. Methods: Seventy patients with diagnosis of nasal bone fracture were included. Patients were randomized into two groups by random number table. Close reduction of Group A was done under local anesthesia and group B under general anesthesia. Pre and post operative aesthetic outcomes were measured by Likert score and nasal angles. Results: Mean age of patients was 23.8 ± 8.59 years. 90% patients were males and 10% were females. Statistically significant difference in aesthetic outcome was present between general and local group at 1^st and 3^rd month of follow up. Conclusion: In patients of fractured nasal bone post operative aesthetic outcome after close reduction are better under general anesthesia at 1^st and 3^rd month of follow up. However, at 6^th month of follow up results are not statistically significant for reduction under both types of anesthesia.