Nasal Bone Reduction under Local Anesthesia: A Case Series

The nasal bone is the most commonly fractured bone in the face. The initial assessment and evaluation of nasal injuries is very important factor as undiagnosed or untreated nasal injuries account for a high percentage of septoplasty or rhinoplasty procedures performed months to years after the initial trauma. Management of nasal bone fractures can be largely divided into open and closed reductions. Of the two, closed reduction under local anesthesia is the treatment of choice in most cases because of the relatively short operation time, minimal scars, tissue damage, and shorter recovery time. Reports from literature show that manipulation of the nasal bones under local anesthesia was acceptable to almost all patients and yielded cosmetic and functional results as good as manipulation under general anesthesia. This paper reports two cases of nasal bone fracture reduced under local anesthesia with good cosmetic results.