Online ISSN: 2515-8260

Keywords : nasal bone


NASAL BONE FRACTURE OVERVIEW AND ITS SURGICAL OUTCOME.

Rakesh Maran, Anusha Shukla, Mritunjay Shringirishi

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 763-768

Background:Nose is most prominent part of face and nasal bones are most commonly fractured during road traffic accident or accidental trauma. Many patients with nasal bone fracture do not take treatment so fracture may go undiagnosed. Nasal bone fracture leads to structural & functional abnormality of nose.
Aim & Objective:Aim of study was to evaluate operative outcome after close reduction according to type of nasal bone fracture.
Method:Study was conducted in Mahaveer Medical College, Bhopal Department of ENT. Total 157 patients were selected with fracture nasal bone, from February 2021 to 2022 (01 years), all underwent closed reduction.
Results:Post-Operative CT image showed 94 patients with excellent result, 49 with good result, 10 subject with fair result & 4 patients showed poor reduction of fracture nasal bone. 
Conclusion:Fracture nasal bone reduction immediate after CT-Scan showed better result in FI, LI, LII type than FII and C Type.
 

An analytical cross-sectional study to evaluate the diagnostic accuracy of ultrasonography in detecting nasal bone fractures compared with CT as the reference standard

Dr. Naresh Tripathi, Dr. Anchal Sharma, Dr. Govind Khatri, Dr. Sahil Chawla, Dr. Aditya Kaul, Dr. Yashaswi Sharma

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 1130-1134

Aim: To evaluate the diagnostic accuracy of ultrasonography in detecting nasal bone
fractures compared with CT as the reference standard.
Methodology: A cross-sectional study was conducted in the Department of Radiology,
Maharshi Medical College & Hospital, Kumarhatti, Dist. Solan, Himachal Pradesh, pin code
173229 for the period of 1 year. The study group consisted of 100 patients with nasal bone
fracture who were investigated by physical examination. These patients were then examined
by conventional radiography and sonography. Physical examination was considered as the
gold standard for the diagnosis of nasal bone fracture. All patients were investigated
radiographically by a lateral and a Waters view X-ray at the beginning. The results were
evaluated by a radiologist. The reports were then recorded as either “positive” or “negative”
according to the existence of nasal bone fracture. Then, patients were examined by
sonography. Soft tissue edema and subperiosteal hematoma was also examined as a possible
predictor to differentiate an acute from a chronic fracture. The negative and positive
likelihood ratios (LR- and LR+), NPV and PPV were calculated and used for determining the
diagnostic accuracy. The LR-of ultrasonography was lower than radiography. The LR+of
sonography for the diagnosis of nasal bone fracture was 65.20 [9.28-390.10] which represents
a large and conclusive increase in the likelihood of the fracture in the presence of positive
findings. Furthermore, LR of sonography was 0.14 [0.10-0.21] which proposed a large to
moderate decrease in the likelihood of the fracture, in the presence of negative findings. LR+
of radiography was 6.20 [2.87-6.27] which showed a small increase of the likelihood of
fracture in positive results and the LR¯ of x-ray was 0.36 [0.21-0.42] which proposed a small
decrease in the likelihood of the fractures when the findings were negative.
Results: In this study, 100 patients who had nasal bone fracture in their physical examination
were investigated by sonography and radiography. Of these patients, 31 were women and 69
were men. The mean age of patients was 24.7 years. 37 (37%) patients were between 20-30
years and 28 (28%) were between 30-40 years, and 5 (5%) patients were < 20 years of age
group, while 7 (7%) were > 50 yearsand 23 patients were between 40-50 years of age group.
The youngest patient included in the study was a 12 year old male child and the oldest
patientwas a male of 60 years of age. Of the 100 patients, 78 had nasal bone fracture
(according to physical examination) and 22 patients were found normal but were investigated
due to legal issues. Out of the 78 clinically proven nasal bone fracture cases, conventional
radiography showed a fracture line in 65 cases.