ObjectiveThis study aimed to evaluate the clinical efficacy and safety of endoscope-assisted nasal bone reduction performed in the outpatient clinic and determine whether this technique offers advantages over conventional closed reduction methods.MethodsWe conducted a retrospective review of 64 patients who underwent endoscope-assisted nasal bone reduction between May 2022 and December 2024 at a tertiary university hospital. Patient demographics, injury characteristics, surgical details, and postoperative outcomes were analyzed. Outcomes were assessed via clinical examination, facial computed tomography, and patient-reported satisfaction scores at 3 months postoperatively.ResultsAll procedures were successfully performed under local anesthesia without the need for general anesthesia or conversion to open surgery. Direct endoscopic visualization allowed real-time confirmation of fracture reduction. At 3 months, 87.5% of the patients had achieved favorable nasal symmetry, and >80% reported "excellent" satisfaction. The revision rate was 14.1%, and the incidence of saddle nose deformity was 1.6%. No significant complications such as infection, persistent bleeding, or major deformities were observed.ConclusionsEndoscope-assisted nasal bone reduction provides advantages over traditional closed reduction in terms of enhanced accuracy, improved patient satisfaction, and feasibility of early intervention in the outpatient setting.
Shim et al. (Sun,) studied this question.