Investigation of the effectiveness of physical examination and radiologıcal imaging methods in the diagnosis of nasal bone fractures

Abstract

Aim: Our objective is comparing the physical examination and radiological imaging (lateral nasal x-ray and computed tomography(CT)) methods for diagnosis in patients admitted to the emergency department due to nasal trauma and referring them to thedepartment of otolaryngology.Material and Methods: We retrospectively analyzed the physical examination and radiological imaging (lateral nasal radiography,paranasal CT) of 64 patients who were admitted to our hospital emergency department between October 2016 and October 2018 dueto isolated nasal trauma and consulted to the department of otolaryngology and head and neck surgery.Results: Of the 64 patients who participated in the study, 51 were male and 13 were female. While nasal fracture was detected in 56patients, nasal fracture was not observed in 8 patients. As a result of our study, the rate of detecting nasal fracture only by physicalexamination was 41%, 73.2% by lateral nasal radiography, and 85.7% by physical examination and lateral nasal radiography. Withparanasal CT, nasal fracture was diagnosed in all patients. Paranasal CT was found to be statistically signifiantly more successfulin detecting nasal fracture compared to physical examination and direct nasal radiograph fidings (p = 0.002).Conclusion: As a result; physical examination and lateral nasal radiography provide useful information for diagnosis, but paranasalCT was the best diagnostic method in the diagnosis of nasal fracture.