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Meta-Analysis
. 2024 Jun 2;29(1):306.
doi: 10.1186/s40001-024-01896-3.

Comparison of outcomes for general and local anesthesia in the management of nasal bone fractures: a meta-analysis

Ting Xu  1   2 , Xinsheng Yi  3 , Shitong Xia  3 , Sihai Wu  3
Affiliations
Meta-Analysis

Comparison of outcomes for general and local anesthesia in the management of nasal bone fractures: a meta-analysis

Ting Xu et al. Eur J Med Res. .

Abstract

Background: This meta-analysis aimed to perform a head-to-head comparison of the role of general anesthesia (GA) and local anesthesia (LA) in the management of patients with nasal bone fractures (NBFs).

Methods: PubMed, Embase, and Web of Science were comprehensively searched. Studies investigating the clinical outcomes of GA and LA in the management of NBFs were included. Pooled odds ratios (OR) with the respective 95% confidence intervals (CIs) were calculated. Heterogeneity between the included studies was evaluated. The risk of bias in the included studies was assessed.

Results: Eight studies were included in this meta-analysis. The pooled ORs for cosmetic results, residual septal deformity, the need for further surgery, patients' satisfaction with the anesthesia procedure, and patients' satisfaction with the surgery results were 0.70 (95% CI 0.18, 2.64; z = - 0.53, p = 0.5957), 1.11 (95% CI 0.37, 3.30; z = 0.18, p = 0.8558), 1.19 (95% CI 0.65, 2.20; z = 0.56, p = 0.5760), 1.57 (95% CI 0.92, 2.69; z = 1.65, p = 0.0982), and 1.00 (95% CI 0.55, 1.80; z = - 0.00, p = 0.9974).

Conclusions: Insignificant difference on clinical outcomes was observed between GA and LA in the manipulation of patients with NBFs, and the choice of anesthetic approach should be based on the tolerability of the methods and the severity of nasal fractures.

Keywords: General anesthesia; Local anesthesia; Meta-analysis; Nasal bone fracture; Surgery.

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Conflict of interest statement

No potential conflicts of interest relevant to this article exist.

Figures

Fig. 1
Fig. 1
Flowchart of the literature search
Fig. 2
Fig. 2
Forest plot of cosmetic results
Fig. 3
Fig. 3
Forest plots of residual septal deformity
Fig. 4
Fig. 4
Forest plots of the need for further surgery
Fig. 5
Fig. 5
Forest plot of patients’ satisfaction with the anesthetic procedure
Fig. 6
Fig. 6
Forest plot of patients’ satisfaction with the surgery results
See this image and copyright information in PMC

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