Comparison of Ultrasonography and Conventional Radiography in the Diagnosis of New Nasal Bone Fractures in Adults

2015 ◽  
Vol 12 (SEMAR) ◽  
pp. 01-06
Author(s):  
Abdolhosayn Masoomi ◽  
Mohamad Momen Gharibvand ◽  
Hossien Rekabi ◽  
Mohsen Zakaeifar ◽  
Elahe khorami ◽  
...  
Keyword(s):  
Bone Fractures ◽  
Nasal Bone ◽  
Conventional Radiography

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

2015 ◽  
Vol 273 (2) ◽  
pp. 413-418 ◽  
Author(s):  
In Sook Lee ◽  
Jung-Hoon Lee ◽  
Chang-Ki Woo ◽  
Hak Jin Kim ◽  
Yu Li Sol ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Bone Fractures ◽  
Nasal Bone ◽  
Conventional Radiography

Sonographic Evaluation of Nasal Bone Fractures

2000 ◽  
Vol 43 (1) ◽  
pp. 95
Author(s):  
Jung Eun Kim ◽  
Sun Wha Lee ◽  
Jung Kyoung Lee ◽  
Sun Hee Chung
Keyword(s):  
Bone Fractures ◽  
Nasal Bone ◽  
Sonographic Evaluation

scholarly journals Patterns of Maxillofacial Fractures in Road Traffic Crashes in an Indian Rural Tertiary Center

2014 ◽  
Vol 3 (2) ◽  
pp. 53-58
Author(s):  
A Sagayaraj ◽  
Rijo M Jayaraju ◽  
Mallika P Reddy ◽  
KR Harshitha ◽  
Priyanka Majety
Keyword(s):  
Road Traffic ◽  
Bone Fractures ◽  
Nasal Bone ◽  
Road Traffic Crash ◽  
Mandibular Fractures ◽  
Traffic Crashes ◽  
Large Variability ◽  
Road Traffic Crashes ◽  
Maxillofacial Fractures ◽  
Tertiary Center

ABSTRACT Background and objectives Road traffic crashes are reported to be the leading cause of maxillofacial fractures in developing countries. The large variability in reported incidence and etiology is due to a variety of contributing factors, including environmental, cultural and socioeconomic factors. The study aims at describing the patterns of maxillofacial fractures in road traffic crashes by clinical and radiological methods and to study the complications associated with these fractures. Materials and methods The study included 100 road traffic crash patients with maxillofacial injuries. Patients were evaluated for any maxillofacial fracture by clinical assessment and, radiologically, using plain radiographs and computed tomography scan. Results Midfacial skeleton was more prone to fractures. Isolated fractures of the maxilla was the commonest (58%) followed by nasal bone fractures (43%). Among the complex fractures, Le Fort type II was the commonest. Mandibular fractures were seen in 33% of the patients, parasymphysis being the commonest site. Majority of the patients had associated soft tissue injuries. The incidence of complications associated with maxillofacial fractures was 11%, malocclusion being the commonest. Conclusion Maxillofacial fractures are commoner in the mobile population in the most productive age group, more so in two wheeler riders causing significant morbidity and mortality. Midface region is more prone to fractures and is most of the time associated with complications. How to cite this article Jayaraju RM, Sagayaraj A, Reddy MP, Harshitha KR, Majety P. Patterns of Maxillofacial Fractures in Road Traffic Crashes in an Indian Rural Tertiary Center. Panam J Trauma Crit Care Emerg Surg 2014;3(2):53-58.

scholarly journals Is Ultrasonography Efficient for the Detection of the Zygomatic Arch, Nasal Bone and Cartilage Fractures?

2020 ◽  
Vol 14 (1) ◽  
pp. 178-183
Author(s):  
Amir Eskandarloo ◽  
Atena karimi ◽  
Abbas Shokri ◽  
Jalal Poorolajal ◽  
Mohammad Hosseinipanah
Keyword(s):  
Bone Fractures ◽  
Imaging Modality ◽  
Nasal Bone ◽  
Kappa Coefficient ◽  
Zygomatic Arch ◽  
Nasal Cartilage ◽  
Specificity And Sensitivity ◽  
Wide Range ◽  
Linear Probe ◽  
And Cartilage

Background: The high incidence of nasal and zygomatic arch fractures highlights the need for an accurate imaging modality for their detection. The superimposition of structures is a major problem in conventional radiography. Ultrasonography is a low-cost imaging modality with a wide range of applications, that does not employ ionizing radiation. This study aimed to assess the efficacy of ultrasonography for the detection of the zygomatic arch and nasal bone fractures. Materials and Methods: This study was conducted on 16 sheep heads. Artificial fractures were created in some parts of the zygomatic arch, dorsum and lateral wall of the nose, and nasal cartilage. All sheep heads underwent Cone-Beam Computed Tomography (CBCT) to ensure the presence of a fracture. Next, the lateral nasal and submentovertex radiographs were obtained, and ultrasonography was performed with a 12-15 MHz linear probe. Ultrasonography and radiography were repeated after 1 week to assess their reproducibility by calculating the kappa coefficient. Data were analyzed using Stata 11 software and Chi-square test. Results: The specificity and sensitivity of ultrasonography ranged from 87% to 100%, and 50% to 75%, respectively. The specificity and sensitivity of radiography ranged from 87% to 100%, and 62% to 87%, respectively. The differences between the two imaging modalities were not statistically significant (p>0.05). The kappa coefficient ranged from 46% to 100% for ultrasonography and 44% to 87% for radiography. Conclusion: Ultrasonography seemed useful for the detection of displaced bone and cartilage fractures. For non-displaced fractures, US is not recommended.

scholarly journals Effects of COVID-19 Pandemic on Otolaryngology Surgery in Italy: The Experience of Our University Hospital

2020 ◽  
Vol 163 (1) ◽  
pp. 86-88 ◽  
Author(s):  
Massimo Ralli ◽  
Antonio Minni ◽  
Francesca Candelori ◽  
Fabrizio Cialente ◽  
Antonio Greco ◽  
...  
Keyword(s):  
Head And Neck ◽  
Bone Fractures ◽  
Malignant Tumors ◽  
Nasal Bone ◽  
Upper Airway ◽  
Neck Surgery ◽  
University Hospital ◽  
Outpatient Procedures ◽  
Therapeutic Procedures ◽  
Adults And Children

Otolaryngology and head and neck surgery underwent drastic changes during the COVID-19 pandemic. Since March 10, the first day of the lockdown in Italy, diagnostic and therapeutic procedures were limited to emergency and oncology cases, while outpatient procedures and clinical examinations were temporarily suspended to limit virus diffusion and to reallocate personnel into wards dedicated to COVID-19. In our otolaryngology unit, between March 10 and April 28, 2020, we performed 96 surgical procedures; they mainly consisted in diagnosis and treatment of malignant tumors of the head and neck (77%), management of acute upper airway obstruction in adults and children (14.7%), drainage of abscesses of the head and neck (6.2%), and treatment of nasal bone fractures (2.1%). When comparing these data with those of the same period in 2019 for emergency and oncology procedures, we noticed a drastic reduction of head and neck abscesses and nasal bone fractures, while oncology surgery remained stable.

scholarly journals Diagnostic tools in maxillofacial fractures: Is there really a need of three-dimensional computed tomography?

2016 ◽  
Vol 49 (02) ◽  
pp. 225-233 ◽  
Author(s):  
Sheerin Shah ◽  
Sanjeev K. Uppal ◽  
Rajinder K. Mittal ◽  
Ramneesh Garg ◽  
Kavita Saggar
Keyword(s):  
Computed Tomography ◽  
Clinical Examination ◽  
Computed Radiography ◽  
Three Dimensional ◽  
Nasal Bone ◽  
Conventional Radiography ◽  
Diagnostic Tools ◽  
Ct Reconstruction ◽  
Management Protocol ◽  
Maxillofacial Fractures

ABSTRACTIntroduction: Because of its functional and cosmetic importance, facial injuries, especially bony fractures are clinically very significant. Missed and maltreated fractures might result in malocclusion and disfigurement of the face, thus making accurate diagnosis of the fracture very essential. In earlier times, conventional radiography along with clinical examination played a major role in diagnosis of maxillofacial fractures. However, it was noted that the overlapping nature of bones and the inability to visualise soft tissue swelling and fracture displacement, especially in face, makes radiography less reliable and useful. Computed tomography (CT), also called as X-ray computed radiography, has helped in solving this problem. This clinical study is to compare three-dimensional (3D) CT reconstruction with conventional radiography in evaluating the maxillofacial fractures preoperatively and effecting the surgical management, accordingly. Materials and Methods: Fifty patients, with suspected maxillofacial fractures on clinical examination, were subjected to conventional radiography and CT face with 3D reconstruction. The number and site of fractures in zygoma, maxilla, mandible and nose, detected by both the methods, were enumerated and compared. The final bearing of these additional fractures, on the management protocol, was analysed. Results: CT proved superior to conventional radiography in diagnosing additional number of fractures in zygoma, maxilla, mandible (subcondylar) and nasal bone. Coronal and axial images were found to be significantly more diagnostic in fracture sites such as zygomaticomaxillary complex, orbital floor, arch, lateral maxillary wall and anterior maxillary wall. Conclusion: 3D images gave an inside out picture of the actual sites of fractures. It acted as mind’s eye for pre-operative planning and intra-operative execution of surgery. Better surgical treatment could be given to 33% of the cases because of better diagnostic ability of CT.

Demographic Factors of Nasal Bone Fractures and Social Reflection

2020 ◽  
Vol 31 (1) ◽  
pp. 169-171
Author(s):  
Il Hwan Byun ◽  
Won Jai Lee ◽  
Tai Suk Roh ◽  
Jong Won Hong
Keyword(s):  
Bone Fractures ◽  
Nasal Bone ◽  
Demographic Factors
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