çelik, mehmet istanbul university - faculty of medicine - department of otolaryngology- head and neck surgery, Turkey , sönmez, said istanbul university - department of otorhinolaryngology-head and neck surgery, TURKEY , çiçek, mehmet melih istanbul university - faculty of medicine - department of otorhinolaryngology-head and neck surgery, TURKEY , aydemir, levent istanbul university - faculty of medicine - department of otorhinolaryngology-head and neck surgery, TURKEY , alpaslan, mehmet serkan istanbul university - faculty of medicine - department of otorhinolaryngology-head and neck surgery, TURKEY , çomoğlu, şenol istanbul university - faculty of medicine - department of otorhinolaryngology-head and neck surgery, TURKEY

ACCORDANCE BETWEEN CLINICAL AND RADIOLOGIC FINDINGS OF NASAL BONE FRACTURE

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Objective: The goal of our study was to compare physical examination with plain X-ray findings in patients with a suspected nasal bone fracture (NBF). Methods: The study included 403 patients who received a suspected NBF between 2014 and 2016; the files of these patients were retrospectively reviewed. In our tertiary hospital, patients with nasal bone trauma are principally admitted to the trauma and emergency department. Patients are first examined by a general surgeon for suspected NBF. Afterwards, lateral nasal radiography and otorhinolaryngology (ORL) consultations are requested. Presence of crepitation, radiologic findings, swelling, deviation of nasal axis, septal hematoma/fracture, and cause of trauma are all documented. Results: The 403 patients who presented to the trauma and emergency department for suspected NBF included 274 males and 129 females, the median age was 25±18.7 years (range, 2-106 years). When the correlation between positive clinical and radiologic findings was analyzed, crepitation was correlated with radiologic data in 155/156 (99.3%) cases, deviation of nasal axis in 135/142 (95%), septal hematoma 4/5 (80%), swelling in 103/134 (76.8%), laceration in 60/93 (64.5%), and epistaxis in 7/14 (50%). The correlation of crepitation, deviation of nasal axis, and swelling with radiologic evaluation were found statistically significant. Conclusion: Crepitation of nasal bone, deviation of nasal axis and swelling of the nasal dorsum were significantly correlated with plain X-ray imaging that had a positive finding of fracture. We believe that these results might have practical potential for diagnostic management and save time especially in crowded emergency departments.

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Crepitation , epistaxis , nasal , nasal bone fracture , plain X , ray , septal hematoma , trauma

Journal Of Istanbul Faculty Of Medicine

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