Comparison of High-Resolution Ultrasonography and Computed Tomography in the Diagnosis of Nasal Fractures

Lee, Min Hee; Gyu, Jang; Hong, Hyun Sook; Lee, Jong Se; Park, Seong Jin; Paik, Sang Hyun; Lee, Hae Kyung

doi:10.7863/jum.2009.28.6.717

Cited by 48 publications

(30 citation statements)

References 13 publications

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“…These results conWrm this method to be a useful visualizing tool for facial bone fractures, regardless of the type of displacement [17]. The accuracy rates for high-resolution ultrasound, CT scan, and conventional radiography were 100, 92.1, and 78.6%, respectively [18].…”

Section: Discussionmentioning

confidence: 91%

Role of intra-operative ultrasound-guided reduction of nasal bone fracture in patient satisfaction and patient nasal profile (a randomized clinical trial)

Abu-Samra

Selmi

Mansy

et al. 2010

Eur Arch Otorhinolaryngol

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The objective of this study was to evaluate the benefits of intra-operative ultrasonic guidance in the management of isolated nasal bone fractures. A prospective, randomized, controlled, double blinded study was designed. Sixty-eight patients who had isolated fracture nose were treated by either a simple closed reduction or by ultrasound-guided reduction (34 patients each) with a follow up for an average of 4.5 and 5.5 months, respectively. Post-traumatic and post-reduction nasal profiles were compared (by blinded photographer), and patient's satisfaction was analyzed after reduction in both groups. We used Student's t test for independent groups to compare between the average patient's scores. The average patient's nasal profile score for closed reduction group was 2.31. Thirteen patients (40.6%) had scored 3, 16 (50%) had scored 2, and three (9.4%) patients had scored 1. The average patient's nasal profile score for ultrasonic assisted group was 2.72. Twenty-four patients (75%) had scored 3, 7 (22%) had scored 2, and one (3%) patient had scored 1. The average patient's satisfaction score for closed reduction was 2.62. Twenty-four patients (75%) had scored 3, 4 (12.5%) patients had scored 2, and 4 (12.5%) patients had scored 1. The average patient's satisfaction score for ultrasonic assisted group was 2.78. Twenty-six patients (81%) scored 3, 5 (16%) patients scored 2, and one (3%) patient scored 1. Patients undergoing ultrasonic nasal bone reduction scored significantly better nasal profile scores than patients undergoing simple closed reduction, on the other hand, patient satisfaction scores had no significant difference between both groups. Treating nasal bone fractures with the assistance of intra-operative ultrasound resulted in a significantly better nasal profile appearance, than treating it by simple closed reduction.

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Section: Discussionmentioning

confidence: 91%

Role of intra-operative ultrasound-guided reduction of nasal bone fracture in patient satisfaction and patient nasal profile (a randomized clinical trial)

Abu-Samra

Selmi

Mansy

et al. 2010

Eur Arch Otorhinolaryngol

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“…High-resolution ultrasonography was found to be more sensitive than both CT and radiography in a study of 140 patients and in another study of 87 patients. 11,20 Other studies have suggested that the diagnostic accuracy of CT scan for nasal trauma can be enhanced by the addition of sagittal multiplanar reconstruction CT. 21 This study has some inherent limitations due to its retrospective approach. Future studies could prospectively compare rates of operative and nonoperative treatment in patients with CT and other imaging modalities in the setting of isolated acute nasal trauma.…”

Section: Discussionmentioning

confidence: 99%

Utility of Computed Tomography Scans in Predicting Need for Surgery in Nasal Injuries

Peterson

Doerr

2013

Craniomaxillofacial Trauma & Reconstruction

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In many centers, computed tomography (CT) scan is preferred over plain film radiographs in the setting of acute nasal injury because CT scan is thought to be more sensitive in predicting nasal bone fracture. However, the usefulness of CT scans in predicting the need for surgery in acute nasal injury has not been well-studied. We conducted a retrospective review of 232 patients with known nasal bone fracture and found very similar rates of surgery in patients with a diagnosis of nasal fracture by CT scan as by nasal radiographs (41 and 37%, respectively). This suggests that experienced clinical examination remains the gold standard for determining the need for surgery in isolated nasal trauma, regardless of CT findings.

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“…It inflicts no radiation and provides various imaging planes without positional change. High resolution ultrasonographic imaging especially provides more accurate diagnosis in low grade nasal fractures than computerized tomography (8). Another prospective study compared the diagnostic value of high-resolution ultrasonography and conventional radiography in the evaluation of suspected nasal fractures.…”

Section: Discussionmentioning

confidence: 99%

Nasal Bone Fracture Detected by Bedside Emergency Department Ultrasonography

Bektaş

Söyüncü²

2010

JAEM

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Yirmi yaşında erkek, acil servise darp nedeniyle getirildi. Hastanın yapılan yatak başı acil ultrasonografi sinde nazal kemikteki kırık hattı irregüler hiperekojen ir hat olarak gösterildi. Nazal kemik kırıklarının acil serviste yatak başı ultrasonografi k olarak belirlenmesi, basit, ucuz, radyasyona maruz kalmadan yapılan bir yöntemdir. (JAEM 2010; 9: 148-9) Key words: Nazal kırık, ultrasonografi , acil tıp ÖzetA 20-year-old man presented to the emergency department with nasal fracture after a personal assault. The nasal bone appeared as a hyperecogenic structure on ultrasonographic examination and the irregularity and displacement of the bone was recognized. The evaluation of nasal bone fractures by ultrasonography is a proposed method involving no radiation exposure, rapid topographic evaluation and bedside application.

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Comparison of High-Resolution Ultrasonography and Computed Tomography in the Diagnosis of Nasal Fractures

Abstract: Compared with HRUS, CT had lower accuracy, especially in low-grade nasal fractures. Thus, HRUS is a reliable diagnostic tool for the evaluation of nasal fractures.

Cited by 48 publications

References 13 publications

Role of intra-operative ultrasound-guided reduction of nasal bone fracture in patient satisfaction and patient nasal profile (a randomized clinical trial)

Role of intra-operative ultrasound-guided reduction of nasal bone fracture in patient satisfaction and patient nasal profile (a randomized clinical trial)

Utility of Computed Tomography Scans in Predicting Need for Surgery in Nasal Injuries

Nasal Bone Fracture Detected by Bedside Emergency Department Ultrasonography

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