Diagnosis and management of nasal fractures

Bartkiw, Tania P.; Pynn, Bruce R.; Brown, Dale

doi:10.1016/s1079-2104(05)80405-6

Cited by 21 publications

(9 citation statements)

References 8 publications

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“…Plain films of nasal bone fractures have high rates of falsepositive and -negative findings, and are inadequate for an accurate diagnosis of nasal bone fractures [6][7][8][9]. The nasal bone is a small, thin bone in the central part of the face and is the bone fractured most commonly.…”

Section: Discussionmentioning

confidence: 99%

Clinical Utility of Three-Dimensional Facial Computed Tomography in the Treatment of Nasal Bone Fractures: A New Modality Involving an Air-Bone View with a Volume Rendering Technique

Song

Jun

Chae

et al. 2011

Indian J Otolaryngol Head Neck Surg

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To evaluate the utility of three-dimensional (3D) reconstruction when planning the surgical treatment of nasal bone fractures. The axial scan of high-resolution facial bone CT was reconstructed in 3D using the program V-works 4.0 (CyberMed, Seoul, Korea) with a volume and surface rendering technique. For detailed stereoscopic examination of the nasal valve area, an air-bone view with the volume rendering technique was obtained using thresholds for air, cartilage, and bone. In most nasal bone fractures, 2D and 3D CT had similar detection rates. However, to determine the fracture angle and dimpled area, and identify multiple fractures, surgeons can get better information to help with the reduction of the fractured bone from 3D reconstruction images. Additionally, with a septal deformity, this view helps in deciding on the need for septal surgery during nasal reduction. The air view of the nasal passage provides clues to obstruction of the nasal cavity. We could identify the contour and location of the fracture site accurately from 3D CT images. The detection rate of fractures was similar to that of 2D CT. However, 3D CT enabled the accurate determination of the distance and direction of the fractured bony fragment from normal bone structure. Additionally, a stereoscopic image of the fracture site facilitated an understanding of the location and range of reduction. The air-bone view gave more information about the pathological obstruction of the nasal air passage.

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Section: Discussionmentioning

confidence: 99%

Clinical Utility of Three-Dimensional Facial Computed Tomography in the Treatment of Nasal Bone Fractures: A New Modality Involving an Air-Bone View with a Volume Rendering Technique

Song

Jun

Chae

et al. 2011

Indian J Otolaryngol Head Neck Surg

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“…Nasal fractures can be alone or in combination with other head and face injuries [21]. Diagnosis of nasal fractures mainly basis on clinical.…”

Section: Imaging Studiesmentioning

confidence: 99%

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2015

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“…Being the nose, the most prominent projection of the face, nasal fractures sustain the largest number of fractures accounting for significant percentage of maxillofacial injuries (20). This type of fracture is usually apparent on clinical examination.…”

Section: Nasal Fracturesmentioning

confidence: 99%

Applications of cone‐beam computed tomography in fractures of the maxillofacial complex

Shintaku

Venturin

Azevedo

et al. 2009

Dental Traumatology

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-Imaging plays an essential role in the evaluation of maxillofacial fractures both pre-and postoperatively. Several studies support the use of conventional two-dimensional imaging for traumas involving mainly the mandible, but for more complex situations advanced imaging modalities such as computed tomography (CT) and magnetic resonance imaging have higher indication. Nowadays, besides CT, cone-beam computed tomography (CBCT) has appeared as a reasonable and reliable alternative considering radiation dosage, image quality and comfort for the patient. The purpose of this study was to review the fracture patterns involving the maxillofacial complex, provide a technical and practical comparison between CT and CBCT, and finally present the potential applications of CBCT illustrated with clinical examples.

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Diagnosis and management of nasal fractures

Cited by 21 publications

References 8 publications

Clinical Utility of Three-Dimensional Facial Computed Tomography in the Treatment of Nasal Bone Fractures: A New Modality Involving an Air-Bone View with a Volume Rendering Technique

Clinical Utility of Three-Dimensional Facial Computed Tomography in the Treatment of Nasal Bone Fractures: A New Modality Involving an Air-Bone View with a Volume Rendering Technique

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Applications of cone‐beam computed tomography in fractures of the maxillofacial complex

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