Closed reduction of nasal fracture

PREOPERATIVE DIAGNOSIS:  Nasal fracture.

POSTOPERATIVE DIAGNOSIS:  Nasal fracture.

PROCEDURE:  Closed reduction of nasal fracture.

ANESTHESIA:  General.

COMPLICATIONS:  None.

ESTIMATED BLOOD LOSS:  Minimal.

PROCEDURE IN DETAIL:  The patient was taken to the operating room and placed supine on the operating room table.  General anesthesia was induced via an endotracheal tube.  The nose was decongested with Afrin on pledgets.  Fibroids were removed revealing an underlying normal nasal mucosa, but they had deviated dorsal external nares.  A dull nasal elevator was placed in the right naris, used to elevate the depressed segments as they were lifted and brought back towards the midline.  The elevation was then performed on the left side.  Some fine tuning elevation was performed in order to retrieve the already depressed segments, which were elevated.  Once the nose was noted to return back to the midline with the bony structures all elevated and lined up centrally, the external nares was prepped with Mastisol.  Layer of Steri-Strips were placed followed by an Aquaplast splint which was fashioned to the appropriate shape.  The Aquaplast splint was allowed to heat in hot water and then was placed on the patient‘s nose and allowed to harden as a cast.  Once the Aquaplast splint was hardened and placed, another layer of Mastisol and Steri-Strips were applied.  The patient was reversed from anesthesia, taken back to recovery room in stable condition.