EVALUATION OF USE OF X-RAYS IN NASAL TRAUMA

Khurshid Anwar, Chaudhry Amjad Ali, Junaid Alam, Rabia Sajjad

Abstract


Background: The most common site of fracture in face is nasal bones. The objective of the study was to evaluate the use of x-rays of nasal bone in nasal trauma especially in children.
Material & Methods: This cross-sectional study was conducted from 2010 to 2012 in ENT Department of Combined Military Hospital, Attock, Pakistan. Patients were recruited via convenience sampling. Sample size was composed of 104 patients of both sexes and all age groups with the history of nasal trauma. All the patients reporting in ENT OPD with x-ray nasal bone advised by other physicians were included. Those advised x-ray nasal bone in this OPD were excluded. Diagnosis of fracture on x-ray nose was made by clinician. Data was collected regarding history of nasal trauma and finding in x-ray. Demographic variables were gender, age and age group. Research variables were presence of fracture on x-ray. All variables were analyzed through SPSS version 16.0.
Results: Out of a total of 104 patients 73.07% were male. Mean age was 12 years with a range from 1-27 years. 61.3% of patients were <12 years and x-rays nasal bone was positive only in 18.75% patients out of these. 38.7% of patients were >12 years and x-ray nasal bone was positive in 70% patients out of these. 38.46% patients’ x-rays were positive and 61.54% patients x-rays were negative.
Conclusion: In the majority of young patients of nasal trauma x-rays nasal bones were negative as compared to adults. Hence it is recommended that x-ray nasal bone should be reserved in those children with nasal deformity, swelling of nose and epistsaxis.

Keywords


Trauma; X-ray; Nasal bones; fracture; Children.

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