Comparative Evaluation of Ultrasonography and Lateral Radiography in Nasal Fractures Diagnosis | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2024, Issue 7, July 2024 | ||||
| DOI: 10.58675/2682-339X.2557 | ||||
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| Authors | ||||
| Moustafa Mohamed1; Ali Abd El Rahman1; Ahmed Elsheikh1; Mohamed Elfeshawy2 | ||||
| 1Otorhinolaryngology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| 2Diagnostic Intervention Radiology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: The nasal bone is the face's primary and prominent central feature, and the most frequent facial fracture occurs in this area. The rising incidence of such injuries underscores the necessity for appropriate imaging of nasal fractures based on the cause of the fracture. Aim: To compare Ultrasonography and lateral radiography in nasal fracture diagnosis. Patients and Methods: This comparative research included 70 cases selected from attendees of the Otorhinolaryngology clinics of Al Azhar University Hospitals, and the study period varied from six to twelve months. Results: No significant disparity was observed in age, sex, and body Mass Index (BMI) among people with and without fractures. Individuals with fractures exhibited a significant increase in respiratory rate (RR), heart rate (HR), and systolic blood pressure (BP) in comparison with those without fractures. There was a statistically significant high rate of agreement between fracture detection using physical examination, Ultrasonography and X-ray. Among our studied population, physical examination detected fracture in 62.9% of cases, similar to X-ray, while the US could detect fracture in 60% of cases. X-rays have a sensitivity of 100% and a specificity of 100% when predicting fractures. Ultrasonography has a sensitivity of 95% and a specificity of 100% for predicting fracture. Conclusion: This study's findings suggest that Ultrasound can be utilized as a main diagnostic tool in the vast majority of cases to identify nasal bone fractures, avoiding the unwanted dangers and problems of X-rays. | ||||
| Keywords | ||||
| Ultrasonography; Lateral Radiography; Nasal Fract | ||||
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