The role of radiography in the management of nasal fractures

Clayton, M. I.; Lesser, T. H. J.

doi:10.1017/s002221510010009x

Cited by 47 publications

(31 citation statements)

References 6 publications

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“…Diagnosis was confirmed in all cases with radiographic evaluation (lateral nasal bone radiograph) for medicolegal reasons. 6 The need for radiograph is controversial and in many places it is actively discouraged, Logan et al also concluded that they are not cost-effective only utility is proof of fracture in subsequent litigation.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Simple Nasal Bone Fracture and Interpreting Results of Closed Reduction under Local Anesthesia

Yousuf¹,

Pampori²,

Beigh³

2014

An International Journal Clinical Rhinology

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Objective: To analyze the age, gender and the most frequent causes of nasal fractures evaluated in the otorhinolaryngology service of a tertiary hospital and interpreting the result of closed reduction of nasal bone fracture under local anesthesia and need for revision surgery.Study design: Prospective case study. Materials and methods:The prospective analysis of 60 patients diagnosed as simple nasal bone fracture over a period of 6 months (between Jan 1st 2011 and July 1st 2011) who presented in department of ENT and HNS at Government Medical College, Srinagar. All the patient underwent closed fracture reduction under local anesthesia after proper assess ment and documentation. The patients were analyzed in groups and followed up to period of 6 months. Results:Total of 60 patients (group A) with nasal bones fracture were included in the study, including 48 men and 12 women. The most common age was between 25 and 65 years. Violence was the most frequent cause seen (48%), followed by traffic accidents (35%), 12% of cases were due to sports injury other causes about 5% (fall from their own height and work related injury). After performing closed reduction under local anesthesia, the immediate results were analyzed using linear analog scale. The followup period ranged from 1 week to 6 months. The functional and esthetic outcome of procedure were seen in followup period. Patients in group A1 (80%) were pleased with their results and did not require a secondary surgery 20%. Patients developed a posttraumatic nasal deformity requiring a posttraumatic septorhinoplasty (group A2).

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Section: Discussionmentioning

confidence: 99%

Analysis of Simple Nasal Bone Fracture and Interpreting Results of Closed Reduction under Local Anesthesia

Yousuf¹,

Pampori²,

Beigh³

2014

An International Journal Clinical Rhinology

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“…Clayton & Lesser (1986) studied 54 patients with nasal injuries and concluded that standard radiographs were not useful in their management.…”

Section: Discussionmentioning

confidence: 99%

The value of radiographs in the management of the fractured nose.

Nigam

Goñí

Benjamin

et al. 1993

Emergency Medicine Journal

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SUMMARYOver a 6-month period a record was kept of all patients presenting to the accident and emergency (A&E) department with nasal injuries. The results of the nasal radiographs were analysed to gauge their benefit. It was found that there was poor correlation between the radiological findings and the presence of external deformity, the latter determining the decision to carry out treatment. Routine radiographs of the nose are unnecessary in patients with nasal trauma.

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“…Annals of Plastic Surgery • Volume 53, Number 6, December 2004 cient 4,6 and that CT is very useful for diagnosis and treatment. [7][8][9] This remains true postoperatively.…”

Section: Yabe Et Almentioning

confidence: 99%

“…Poor reduction causes secondary deformity after the swelling subsides. 1 The correct diagnosis of nasal fracture cannot be made by x-ray findings alone, 4,6 and the usefulness of computed tomography (CT) is well known. [7][8][9] In the same way, the postoperative condition cannot be adequately demonstrated on x-ray findings alone, and CT examination is necessary.…”

mentioning

confidence: 99%

Pre- and Postoperative X-ray and Computed Tomography Evaluation in Acute Nasal Fracture

Yabe

Ozawa²,

Sakamoto³

et al. 2004

Annals of Plastic Surgery

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Between January 1997 and July 2003, 156 acute nasal fractures were treated by closed reduction in Ishikiri-Seiki Hospital. For all patients, x-ray and computed tomography (CT) taken pre- and postoperatively were used to classify fractures and evaluate postoperative conditions. Acute nasal fractures requiring surgery were classified into the following 5 types. Unilateral type (U), bilateral type (B), frontal type (F), laterofrontal type (L), and comminuted type (C). Postoperative conditions were classified as good, fair, or poor. On statistical analysis, it was found that reduction is easier in the U, F, B, L, and C types in order. Furthermore, it was found that in the U, B, and F types, reduction can be performed after swelling has subsided, but in the L and L+C types, reduction should be performed earlier. On follow-up x-ray and CT, there was no significant difference between the postoperative evaluation and follow-up evaluation. A few overreduced cases improved, but correct reduction was preferable to overreduction. Accurate preoperative understanding of the fracture type and postoperative evaluation by x-ray and CT are necessary to obtain good results and to decrease secondary deformity caused by poor primary reduction.

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The role of radiography in the management of nasal fractures

Cited by 47 publications

References 6 publications

Analysis of Simple Nasal Bone Fracture and Interpreting Results of Closed Reduction under Local Anesthesia

Analysis of Simple Nasal Bone Fracture and Interpreting Results of Closed Reduction under Local Anesthesia

The value of radiographs in the management of the fractured nose.

Pre- and Postoperative X-ray and Computed Tomography Evaluation in Acute Nasal Fracture

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