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Journal of Korean Cleft Palate-Craniofacial Association 2008;9(2):77-80.
Closed Reduction of Nasal Bone Fracture Under the Mask Ventilation Anesthesia Using Oral Airway.
Byung Chan Park, Hyun Jae Nam, Jun Ho Lee, Yong Ha Kim, Min Jung Heo, Il Sook Seo
1Department of Plastic & Reconstructive Surgery, College of Medicine, Yeungnam University, Daegu, Korea. yhkim@med.yu.kr
2Department of Anesthesiology, College of Medicine, Yeungnam University, Daegu, Korea.
The majority of nasal fractures have been treated by closed reduction. And they were manipulated under local anesthesia or general anesthesia. Under the local anesthesia, patients can feel the pain and fear, so general anesthesia through the endotracheal intubation became popularized recently to treat the nasal fracture. But it has still the drawbacks of postanesthetic complication. Therefore, under the mask ventilation anesthesia using oral airway, we tried to manipulate the nasal fracture. METHODS: From July 2007 to November 2007, we worked with fifty patients that were manipulated the nasal fracture. Fifty patients were divided into two groups, general anesthesia with the endotracheal intubation group(n=25) and the mask ventilation using oral airway group(n=25). We checked up the anesthesia time, postanesthetic complication, postoperative aesthetic & functional problem of nose in two groups.
In total operation time and sore throat frequency among the postoperative anesthetic complications, there was statistically significant difference between the mask ventilation group and the endotracheal intubation group(p<0.05). But there was no difference statistically in nausea frequency(p>0.05). And no patients complained of postoperative nasal complication such as septal deviation, septal perforation, nasal obstruction and hump nose in two groups.
Through the mask ventilation using oral airway, we could reach satisfactory results in the anesthetic time and postanesthetic complication.
Keywords: Nasal fracture; Closed reduction; Mask ventilation; Oral airway


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