Facial Trauma Affects the Radiological Diagnosis of Nasal Bone Fractures

Daehyun Kim; Joon Taek Oh; Sang Hyeon Ahn; Hyun Jin Kim; Mi Rye Bae

doi:10.1097/SCS.0000000000010248

Facial Trauma Affects the Radiological Diagnosis of Nasal Bone Fractures

J Craniofac Surg. 2024 May 10. doi: 10.1097/SCS.0000000000010248. Online ahead of print.

Authors

Daehyun Kim¹, Joon Taek Oh¹, Sang Hyeon Ahn¹, Hyun Jin Kim², Mi Rye Bae¹

Affiliations

¹ Department of Otorhinolaryngology-Head and Neck Surgery.
² Department of Radiology, Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Republic of Korea.

PMID: 38727235
DOI: 10.1097/SCS.0000000000010248

Abstract

Objectives: Timely and accurate diagnosis of nasal bone fractures (NBFs) is crucial for preserving the cosmetic and functional aspects of the nose. This study aims to identify factors influencing radiographic and computed tomography (CT) diagnosis of NBF in patients with nasal trauma.

Methods: Two hundred six patients with acute nasal trauma underwent both conventional radiography and facial bone CT. An experienced otorhinolaryngologist independently interpreted images. Results were categorized into "Concordance" or "Discrepancy" groups, with demographic and clinical data compared.

Results: The study classified 167 patients into "Concordance" and 39 into "Discrepancy" groups based on radiography and CT interpretations. The "discrepancy group" showed higher rates of previous nasal bone fractures (P=0.044), rhinoplasty history (P=0.044), and concomitant facial bone fractures (P=0.001). Adjusted odds ratios revealed significant associations between discrepancies and a history of nasal bone fracture (OR=5.197, 95% CI 1.165-23.171), rhinoplasty (OR=6.114, 95% CI 1.393-26.847), and concomitant facial bone fractures (OR=3.765, 95% CI 1.663-8.523).

Conclusion: This study highlights the impact of facial trauma, including rhinoplasty, on the radiological diagnosis of NBF. Consequently, in the presence of signs of concurrent facial trauma, previous nasal trauma, or rhinoplasty history, a prompt CT scan and comprehensive evaluation are recommended for accurate diagnosis and timely treatment, ultimately improving the patient's prognosis.