Use of Bedside Ultrasonography for Diagnosis of Nasal Fractures in Emergency Service

Süleyman Ersoy, Turgut Tursem Tokmak, Yeliz Dadalı, Hacı Mehmet Çalışkan, Mustafa Avcu
2021 Eurasian Journal of Emergency Medicine  
Aim: In our study, the reliability of bedside ultrasonography (USG) in fracture diagnosis was evaluated in the cases who applied to emergency service due to nasal traumas. Materials and Methods: Forty cases presented to the emergency department with nasal trauma between 01.01.2016 and 31.12.2017 were evaluated prospectively. The patients' age, gender, physical examination findings, trauma type, causes of trauma, X-ray and USG results were recorded in the study. The physical examination was
more » ... rmed by an emergency medicine specialist, and physical examination and X-ray were accepted as the gold standard for diagnosis. In patients with suspected nasal fracture, physical examination and X-ray results were compared with USG in fracture diagnosis. Results: The median age of the patients was 32.5 [interquartile range (IQR): 31], and 72.5% were male. There was no correlation between fracture presence with age or gender (p>0.05). The most common findings were swelling (62.5%) and ecchymosis (47.5%). 77.5% of patients had isolated trauma, and the most common cause of injury was falls (52.5%). There was no correlation between the presence of fracture with the cause of trauma and the type of trauma (p>0.05). The sensitivity, specificity, positive predictive value and negative predictive value of USG were identified as 88.5%, 78.6%, 88.5% and 78.6%, respectively Conclusion: Bedside USG can be preferred as the first choice in diagnosing nasal fracture in patients applying to the emergency service due to nasal trauma.
doi:10.4274/eajem.galenos.2020.42103 fatcat:y77h5pzggzcm7m47i2bxbruoha