Diagnostic Value of Ultrasonography in the Diagnosis of Nasal Fractures

Atighechi, Saeid; Baradaranfar, Mohammad Hossein; Karimi, Ghasem; Dadgarnia, Mohammad Hossein; Mansoorian, Hamid Reza; Barkhordari, Najmeh; Sajadinejad, Batool Sadat; Behniafard, Nasim

doi:10.1097/scs.0b013e3182a2eeda

Cited by 17 publications

(10 citation statements)

References 11 publications

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“…A total of 4628 cases of NBFs from 16 articles were analyzed. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] For the diagnosis of NBFs, PF (n ¼ 2020, 43.6%), USG (n ¼ 1480, 40.0%), and CT (n ¼ 1128, 14.4%) were used ( Table 1).…”

Section: Resultsmentioning

confidence: 99%

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Diagnostic Performance of Plain Film, Ultrasonography, and Computed Tomography in Nasal Bone Fractures: A Systematic Review

2018

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Section: Resultsmentioning

confidence: 99%

“…Thus, 16 articles were reviewed (Figure 1). [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] We followed "Preferred Reporting Items for Systematic Reviews and Meta-Analyses " guidelines in this study. 19…”

Section: Methodsmentioning

confidence: 99%

Diagnostic Performance of Plain Film, Ultrasonography, and Computed Tomography in Nasal Bone Fractures: A Systematic Review

2018

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“…Recently, US has been introduced as an alternative technique for the evaluation of maxillofacial fractures because it is easy and quick to perform, inexpensive, portable, noninvasive, and does not involve the use of radiation [7,10,13]. The diagnostic merits of HRUS for the diagnosis of nasal bone fractures compared with conventional radiography have been demonstrated, especially in pregnant women and child [4,10,13,18,19]. Furthermore, HRUS was reported to be a reliable diagnostic tool for estimating the time of nasal bone fracture [20] and higher frequency probes provided higher resolution of the nasal pyramid, especially of the nasal dorsum [14].…”

Section: Discussionmentioning

confidence: 99%

Ultrasonography in the diagnosis of nasal bone fractures: a comparison with conventional radiography and computed tomography

Lee

Woo

et al. 2015

Eur Arch Otorhinolaryngol

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The purpose of this study was to evaluate and compare the diagnostic efficacy of ultrasonography (US) with radiography and multi-detector computed tomography (CT) for the detection of nasal bone fractures. Forty-one patients with a nasal bone fracture who underwent prospective US examinations were included. Plain radiographs and CT images were obtained on the day of trauma. For US examinations, radiologist used a linear array transducer (L17-5 MHz) in 24 patients and hockey-stick probe (L15-7 MHz) in 17. The bony component of the nose was divided into three parts (right and left lateral nasal walls, and midline of nasal bone). Fracture detection by three modalities was subjected to analysis. Furthermore, findings made by each modality were compared with intraoperative findings. Nasal bone fractures were located in the right lateral wall (n = 28), midline of nasal bone (n = 31), or left lateral wall (n = 31). For right and left lateral nasal walls, CT had greater sensitivity and specificity than US or radiography, and better agreed with intraoperative findings. However, for midline fractures of nasal bone, US had higher specificity, positive predictive value, and negative predictive value than CT. Although two US evaluations showed good agreements at all three sites, US findings obtained by the hockey-stick probe showed closer agreement with intraoperative findings for both lateral nasal wall and midline of nasal bone. Although CT showed higher sensitivity and specificity than US or radiography, US found to be helpful for evaluating the midline of nasal bone. Furthermore, for US examinations of the nasal bone, a smaller probe and higher frequency may be required.

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“…According to Patel et al., bedside US of long bones is a rapid, efficient, and non-invasive method of evaluating patients with suspected orthopedic trauma, with an agreement of 96% with radiography ( 5 ). Moreover, as shown by Atighechi et al., US can replace radiography in the early diagnosis of nasal bone fractures, because of significantly better results of US compared with radiography ( P = 0.004) ( 6 ). Warkentine et al.…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal injuries in a resource-constrained environment: comparing diagnostic accuracy of on-the-spot ultrasonography and conventional radiography for bone fracture screening during the Paris–Dakar rally raid

Dallaudière

Larbi

Lefere

et al. 2015

Acta Radiologica Open

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BackgroundUltrasound (US) is a good first-line alternative for the diagnosis of bone fractures in adults as well as children. Our study shows that, compared to X-ray, in a resource-constrained environment, on-site US has a high sensitivity (98%) and specificity (96%) in the diagnosis of bone fractures.PurposeTo compare the accuracy of on-the-spot US with conventional radiography in the screening for bone fractures during the Paris–Dakar rally raid.Material and MethodsEighty-three patients (81 men, 2 women) with clinically suspected bone fractures were included in 2013 and 2014. They underwent X-ray and US on the spot, blindly interpreted by two musculoskeletal radiologists. Using X-ray as gold standard, we calculated sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) for US, for each anatomic location. The accuracy of US and radiography were also assessed, as were the number of fragments and their degree of displacement (Student’s t-test).ResultsCompared with X-ray, sensitivity, specificity, PPV, and NPV of on-site US were, respectively, for the presence (or absence) of fractures: 98%, 98%, 100%, and 95%. The accuracy of US was 99%. Only one radial styloid process fracture was misdiagnosed with US. There was no significant difference between US and X-ray (P > 0.93) concerning the number of fragments and their degree of displacement.ConclusionBedside musculoskeletal ultrasound performed by trained musculoskeletal radiologists is a useful method in determining and assessing bone fractures in a resource constrained environment.

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Diagnostic Value of Ultrasonography in the Diagnosis of Nasal Fractures

Cited by 17 publications

References 11 publications

Diagnostic Performance of Plain Film, Ultrasonography, and Computed Tomography in Nasal Bone Fractures: A Systematic Review

Diagnostic Performance of Plain Film, Ultrasonography, and Computed Tomography in Nasal Bone Fractures: A Systematic Review

Ultrasonography in the diagnosis of nasal bone fractures: a comparison with conventional radiography and computed tomography

Musculoskeletal injuries in a resource-constrained environment: comparing diagnostic accuracy of on-the-spot ultrasonography and conventional radiography for bone fracture screening during the Paris–Dakar rally raid

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