Comparison of Physical Examination and Conventional Radiography in Diagnosis of Nasal Fracture

Abstract

Nasal bone fracture is the most common fracture which would result from facial trauma. So, the present study performed to select the most reliable way to diagnose new fractures considering CT scan results as a gold standard in this matter. All the people refer to a forensic medicine center were, at first, physically examined by general practitioners. Plain lateral radiography and ENT consult were requested afterwards. CT scan was requested to get trusty results in case of any imbalance between Radiographic finding and physical examination. The results finally were evaluated and compared. CT scan was tried for 61 (6%) patients with positive clinical findings for new fracture which were not supported by radiologic studies. New fracture was identified in 55 participants out of the above number. Trusting physical examination and its preference to the radiologic findings has special value in cases where fracture is not detectable by radiography and there is no access to CT scan.

Evaluation of Treatment Outcome Following Closed Reduction of Nasal Bone Fractures

“…9 Therefore, lateral view of nasal bone and waters view were taken as a part of routine examination. 10 To arrive at a confirmatory diagnosis, also CT and its three-dimensional reformatting 11 aid in more accurate and precise diagnosis. 12 In the present study, CT scan was taken in 40% of cases to assess multiple facial bone fractures.…”

Trauma of the midface

“…Injuries of the external nose and nasal bone fractures are the most frequent lesions of the midface [ 63 ], [ 64 ]. The gender ratio is 12–37% of female and 63–88% of male patients with a median age of 27 years [ 65 ], [ 66 ]. Assault and battery is the most frequent reason of fractures in 80% of cases [ 66 ].…”

“…The gender ratio is 12–37% of female and 63–88% of male patients with a median age of 27 years [ 65 ], [ 66 ]. Assault and battery is the most frequent reason of fractures in 80% of cases [ 66 ]. The fracture line mostly extends vertical to the nasal axis and is often (in 78.8%) associated with fractures of the bony and cartilaginous septum [ 67 ].…”

“…2) ), although the medical colleagues know well about the limited diagnostic value of this examination [ 81 ]. Additional examinations are necessary in 52% of simple nasal bone fractures to ensure diagnosis [ 66 ]. Other authors report about a rate of 50% of false-negative findings in the lateral radiological imaging [ 65 ].…”

Traumatologie des Mittelgesichts

“…2) Problemen vorzubeugen, obwohl sich die Kollegen des eingeschränkten diagnostischen Wertes dieser Untersuchung bewusst sind [81]. So sind bei einfachen Nasenbeinbrüchen in 52 % zusätzliche Untersuchungen erforderlich, um die Diagnose zu sichern [67]. Auch andere Autoren berichten über eine Rate von 50 % falsch negativer Befunde in der seitlichen Röntgenaufnahme [66].…”