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

Nigam, A.; Goñí, Álvaro Zapico; Benjamin, Arthur E.; Dasgupta, Atrayee

doi:10.1136/emj.10.4.293

Cited by 47 publications

(37 citation statements)

References 6 publications

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“…3 Although a routine radiographic examination is the main diagnostic tool for traumas to the nose, it is not very accurate and it is difficult to determine which side is fractured on conventional radiographs. 4,5 CT has been considered as a gold standard and it is the procedure of choice for diagnosing complex facial fractures, especially mid-facial fractures. [6][7][8] However, CT techniques are expensive, are not readily available and provide a high patient exposure dose.…”

Section: Introductionmentioning

confidence: 99%

Comparison of ultrasonography with computed tomography in the diagnosis of nasal bone fractures

Javadrashid¹,

Khatoonabad²,

Shams³

et al. 2011

Dentomaxillofacial Radiology

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Objectives: The aim of this study is to compare ultrasonography with CT in the diagnosis of nasal bone fractures. Methods: 40 patients (9 female and 31 male) with mid-facial fractures, which were suspected nasal bone fractures, were included. All of the patients had mid-facial CT images. Ultrasonography with a 7.5 MHz transducer (Aloka 3500, Tokyo, Japan) was used to evaluate the nasal bone fractures. All of the sonograms were compared with CT findings for sensitivity, specificity and predictive values. A x 2 test was applied to the data to assess statistical significance. Results: CT diagnosed nasal bone fractures in 24 of the 40 patients (9 unilateral fractures and 15 bilateral fractures) while ultrasonography diagnosed the fractured bones in 23 patients (9 unilateral fractures and 14 bilateral fractures). Ultrasonography missed one fractured bone in a bilateral fractured case and a unilateral fracture was also missed (two false-negative results). The sensitivity and specificity of ultrasonography in assessing nasal bone fracture in comparison with CT were 94.9% and 100%, respectively. The positive predictive value (PPV) and the negative predictive value (NPV) of ultrasonographic evaluation of the nasal bone fractures were 100% and 95.3%, respectively. The x 2 test did not show any significant difference between CT and ultrasonography in diagnosis of nasal bone fractures (P 5 0.819). Conclusion: Ultrasonography can be used as a first line of diagnostic imaging for evaluating nasal bone fractures, especially in children and pregnant women.

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Section: Introductionmentioning

confidence: 99%

Comparison of ultrasonography with computed tomography in the diagnosis of nasal bone fractures

Javadrashid¹,

Khatoonabad²,

Shams³

et al. 2011

Dentomaxillofacial Radiology

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“…Nasal injuries are rarely x rayed, confirming that x rays neither aid decision making, nor are they necessary for medicolegal reasons. [1][2][3] As ENT departments deal with the bulk of nasal injuries, we will assume that nasal injuries are all referred to ENT departments for the rest of this discussion. However, we acknowledge that in some hospitals local arrangements may dictate that maxillofacial or plastic surgery teams manage nasal injuries.…”

Section: Discussionmentioning

confidence: 99%

Management of nasal injuries by UK accident and emergency consultants: a questionnaire survey

Coulson

De²

2006

Emergency Medicine Journal

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“…Nazal fraktürlerin tan› ve tedavisi aç›s›ndan radyolojik görüntülemenin her zaman gerekli olmad›¤› bildirilmektedir (5,18,19). Sharp ve ark.…”

Section: Tartifimaunclassified

Nazal Fraktürlerin Değerlendirilmesi ve Adli Tıp Yaklaşımı

Sayın¹,

Ekizoğlu²,

Yazıcı³

et al. 2010

Bull Leg Med

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ÖZETBu çal›flmada klini¤imize baflvuran nazal fraktür olgular›n›n de¤erlendirilmesi ve nazal fraktürlerde güncel adli t›bbi yaklafl›-m›n sunulmas› amaçlanm›flt›r. Bu amaçla Ocak 2009-Ocak 2010 tarihleri aras›nda klini¤imize maksillofasyal fraktür ile baflvuran olgulardan nazal fraktür tan›s› alan ve tedavi edilen hastalar geriye dönük olarak de¤erlendirilmifltir.Çal›flmam›zda toplam 580 olgu saptand›. Nazal fraktür s›kl›¤› tüm maksillofasyal k›-r›klar aras›nda %84,9' du (n:580/683). Ortalama baflvuru yafl› 28,4 idi (8 ay-84 yafl). Olgular›n 479' u (%82,6) erkek iken 101'i (%17,4) kad›nd›. En s›k rastlanan 3 neden etkili eylem (n:216, %37,2), düflme (n:122, %21) ve araç içi trafik kazas› (n:34, %5,9) idi. Fraktürlerin 41' i (%7,1) aç›k k›r›kken, 539'› (%92,9) kapal› fraktürlerdi. Kapal› fraktürler aras›nda 205 (%35,3) hastada deplase nazal fraktür saptan›rken deplase olmayan nazal fraktür say›s› 334 (%57,6) idi. Nazal fraktürler maksillofasyal travmalar içinde s›k rastlan›l›r ve erken dönem komplikasyonlar d›fl›nda uzun dönemde burun yap›s›nda de¤iflikli¤e neden olabilir. Etyoloji s›kl›kla etkili eylem, trafik veya ifl kazas› gibi nedenler oldu¤undan tüm olgular›n kay›t alt›na al›nmas› ve bu olgularda güncel adli t›bbi yaklafl›m›n bilinmesi önemlidir.Anahtar kelimeler: Nazal fraktür, etyoloji, adli t›p SUMMARYThe evaluation of the subjects with nasal fracture and present the current forensic approach. Between the dates January 2009 to January 2010 subjects who were diagnosed and treated with nasal fracture were enrolled for the study. A retrospective chart review was preformed and demographic data as well as etiology, fracture type were recorded. During the study period 580 subjects were identified. The incidence of nasal fractures was 84, 9% (n:580/683) among all the maxillofacial fractures.The mean age was 28,4 years (range between 8 months to 84 years). Four hundred and seventy eight (n:479 -82, 6%) out of 580 subjects were male whereas remaining 101 (17,4%) were female. Most common etiology were interpersonal violence (n:216, 37,2%), falls (n:122, 21%) and traffic accidents (n:34, 5,9%).Forty one ( n:41-7,1%) out of 580 fractures were open fractures whereas remaining 539 (%92,9) were closed fractures. Among the closed fractures 205 (35,3%) out of 539 fractures were displaced and the remaining 334 (57,6%) fractures were non displaced. Nasal fracture is a frequent situation among the maxillofacial fractures. Besides short term problems in long term it will cause structural changes within the nose. The etiologies mainly have forensic features that will be interpersonal violence and accidents. In this subjects needed a complete medical recording needed. Besides, physicians also need to know the current forensic approach.

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

Cited by 47 publications

References 6 publications

Comparison of ultrasonography with computed tomography in the diagnosis of nasal bone fractures

Comparison of ultrasonography with computed tomography in the diagnosis of nasal bone fractures

Management of nasal injuries by UK accident and emergency consultants: a questionnaire survey

Nazal Fraktürlerin Değerlendirilmesi ve Adli Tıp Yaklaşımı

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