Minimal packing duration in close reduction for nasal bone fracture treatment

Choi, Dong Sik; Lee, Jeong Woo; Yang, Jung Dug; Chung, Ho Yun; Cho, Byung Chae; Choi, Kang Young

doi:10.3109/2000656x.2015.1034726

Cited by 9 publications

(8 citation statements)

References 5 publications

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“…Pain caused by removal of nasal packs after closed reduction of nasal bone fractures is a common problem. There have been reports of reduced pain when these packs are retained for shorter periods, when the sphenopalatine ganglion is blocked, and when preemptive analgesia is used [2][3][4]. Several studies have suggested that injection of a topical anesthetic agent into nasal packs prior to their removal may reduce pain after septoplasty, although the effects are controversial [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Effect of lidocaine on pain caused by nasal pack removal after closed reduction of nasal bone fractures

Sung

Kang²,

Kim

2020

Arch Plast Surg

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Background Pain caused by nasal pack removal after closed reduction of nasal bone fractures is a common problem. This study investigated the effect of infiltrating lidocaine into nasal packs on the pain caused by pack removal after closed reduction of nasal bone fractures. Methods Seventy-five patients who underwent closed reduction of nasal bone fractures between March 2016 and March 2018 were enrolled in this prospective, randomized, singleblind study. Merocel (hydroxylated polyvinyl acetate) packs were applied bilaterally and retained for 5 days. Twenty minutes before removal, both packs were rehydrated with 6 mL of 2% lidocaine in 26 patients and with 6 mL of saline in 24 patients; the packs were not rehydrated in 25 patients. Visual analog scale (VAS) scores for pain on removal were recorded. Results The mean VAS score was 5.3 ± 2.0 in all patients, 3.8 ± 1.5 in the lidocaine group, 5.8 ± 1.4 in the saline group, and 6.3 ± 2.1 in the non-rehydrated group. There was a significant difference in the pain score between the lidocaine and saline groups (P < 0.001) but not between the saline and non-rehydrated groups (P = 0.186). Conclusions Infiltration of lidocaine into Merocel packs reduced the pain caused by pack removal after closed reduction of nasal bone fractures.

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Section: Introductionmentioning

confidence: 99%

Effect of lidocaine on pain caused by nasal pack removal after closed reduction of nasal bone fractures

Sung

Kang²,

Kim

2020

Arch Plast Surg

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“…Intranasal packing is usually removed at 3–5 days after the operation. Following the study of Choi et al [6] in 2015, the clinical outcome of nasal bone surgery is not altered by different duration of nasal packing. In this study, the author removed nasal packing on postoperative day 4, which is roughly average values of duration of nasal packing.…”

Section: Discussionmentioning

confidence: 97%

Are postoperative prophylactic antibiotics in closed reduction of nasal bone fracture valuable?: prospective study of 30 cases

Jang

Shin

2019

Arch Craniofac Surg

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Background Prophylactic antibiotic administration after surgery for a nasal bone fracture is performed due to concerns about infection-related complications, such as, toxic shock syndrome. To evaluate the validity and efficacy of antibiotic use, we compared the results obtained and the bacterial profiles of nasal packing materials in patients that underwent closed reduction for a nasal bone fracture with or without prophylactic antibiotic administration. Methods Thirty consecutive patients with a nasal bone fracture, but without an open wound, that underwent closed reduction during March to August 2017 were included in the present study. Fifteen of these 30 patients were randomly assigned to a control group, members of were administered postoperative intravenous antibiotics once at the day of surgery and then oral antibiotics for 4 days. The other 15 patients were assigned to an experimental group and not administered any antibiotic postoperatively. Antibiotic ointment was not applied to nasal packing in either group. Nasal packing was removed on postoperative day 4 in all cases. Removed nasal gauze packings were culture tested and strains identified in the two groups were compared. Results Bacterial strain types cultured from packings were similar in the experimental and control groups and no patient showed signs of clinically significant infection. Conclusion The findings of this study suggest postoperative prophylactic antibiotic use is not clinically required after closed reduction of a nasal bone fracture. Furthermore, the non-use of postoperative antibiotics is biologically beneficial, as it reduces the occurrence of resistant strains and medical costs, and is more convenient for patients.

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“…. According to Dong et al, one day nasal packing group had good clinical outcome and decreased post operative discomfort when compared with 3 and 4 days packing groups [4]. Closed reduction can be done under local anesthesia 3 days after trauma which showed decreased post operative pain and nasal bleed after manipulation.…”

Section: Discussionmentioning

confidence: 97%

Look Better, Feel Better, Breath Better: A Case Series

Thangavelu

Ramesh

et al. 2020

ijsr

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Nasal trauma plays a major role in craniofacial trauma as nose is the prominent part of face. Though nasal injury is ignored at times but it is noticeable as it is aesthetically, functionally and structurally concerned. This article discusses about the nasal septum fracture in relation to mode of nasal injury, patient’s compliance, treatment procedure and post-operative complication. along taking in account with the patients local, systemic and economical consideration.

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Minimal packing duration in close reduction for nasal bone fracture treatment

Abstract: The present study demonstrated that 1-day packing had comparable postoperative outcome with reducing the patients' discomfort. As such, a longer packing duration was not needed to achieve stable results one day is a reasonable packing time for most nasal bone fractures.

Cited by 9 publications

References 5 publications

Effect of lidocaine on pain caused by nasal pack removal after closed reduction of nasal bone fractures

Effect of lidocaine on pain caused by nasal pack removal after closed reduction of nasal bone fractures

Are postoperative prophylactic antibiotics in closed reduction of nasal bone fracture valuable?: prospective study of 30 cases

Look Better, Feel Better, Breath Better: A Case Series

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