MB,ChB, FICMS, CABS (ENT), Consultant ENT Surgeon, Al-Sadr Teaching Hospital, Basrah, IRAQ.

The nose is the most prominent structure in human face, making it more susceptible to trauma which may reach more than one third of all facial injuries. Although fracture nose is a common surgical problem, very few studies are conducted in Iraq on it.
The aim of this study is to evaluate the efficiency of local anesthesia in fracture nose manipulation and to assess the degree of patient’s satisfaction from the functional and esthetic point of view.
The majority of patients attended ENT department were males (68.5%) lying in the age group between 21–30 years and the reason for their injuries was personal assault. Waiting for complete resolution of edema results in some complications such as bleeding and pain.
Fracture nose manipulation under local anesthesia gives high degree of satisfaction both for the functional (83.3%) and esthetic (88.9%) point of view, so this procedure can be recommended in ENT clinical practice in the view of these results as it is more safe, time saving and cost effective.