ObjectiveTo explore the feasibility and effectiveness of minimally invasive reduction of displaced nasal bone fractures under fine needle guidance.MethodsA retrospective analysis was conducted on 52 patients with nasal bone fractures who had undergone fine needle and endoscopic reduction surgery from June 2022 to December 2023. All patients had nasal bone fractures in the early stage within 2 weeks. According to the preoperative CT findings, all had nasal bone fracture deformities.ResultsAll patients with nasal bone fractures did not undergo incisions during the surgery, but were successfully reduced through manual reduction under the guidance of fine needles. During the subsequent 1-month follow-up period, all patients achieved satisfactory results in terms of appearance, patient experience, and CT evaluation.ConclusionMinimally invasive reduction technique for displaced nasal bone fractures under fine needle guidance can correct the misalignment of nasal bone fractures without additional incisions or subcutaneous dissection, resulting in no significant scars postoperatively. The patient is satisfied with the nasal appearance. This method is safe, feasible, and worthy of clinical promotion and application.