Comparison of Post Operative Aesthetic Outcome Between Local and General Anesthesia after Close Reduction for Nasal Bone Fracture
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 1st and 3rd month of follow up. Conclusion: In patients of fractured nasal bone post operative aesthetic outcome after close reduction are better under general anesthesia at 1st and 3rd month of follow up. However, at 6th month of follow up results are not statistically significant for reduction under both types of anesthesia.