Closed reduction of nasal fractures can be performed under local anesthesia in the majority of patients.
The nasal cavity should be prepared with cotton pledgets moistened in a solution with topical anesthetic with vasoconstrictor. In addition, local anesthetic is injected to block the infraorbital nerve.
IV sedation can be added for the comfort of the patient.
General anesthesia is an option according to the surgeon’s and/or patient’s preference.