Endoscopic-assisted nasal bone reduction for nasal bone fracture as a practical outpatient approach: A retrospective case series.

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.