A Comparison of Radiological and Clinical Findings in the Diagnosis of Nasal Fractures in People Referred to Yasuj's Legal Medicine Bureau

Abstract

Background: Nasal bone fractures are the most common type of facial fractures. Diagnosis of nasal fracture is usually easy, but it sometimes turns into a complicated medical problem. The aim of the present study was to compare radiological and medical findings in the diagnosis of nasal fractures in people referred to legal medicine center. Materials and methods: In this cross-sectional descriptive study, 117 people who have been referred to the legal medicine bureau in Boyer-Ahmad County in the first six months of 2017 were examined. Results: Most of the subjects were male (75.2%). Most of them were in the range of 20 to 30 years old, and their education level was often a diploma or lower. 37.6% of the subjects were self-employed, and lived in the city. The most common cause of nasal fractures was accident. The time interval between a sudden impact to nose and examination was often 1 to 5 days. In the specialized examination of the ear, throat and nose, nasal fracture was confirmed in 95.7% of cases, while in radiological reports, nasal fracture was confirmed in 73.5% of cases. Common source of nasal fractures positive symptoms in medical settings include FX (95.7%), Creptitus (83.7%), Deformity (39.3%) and Ecchymosis (20.5%). About 83.7% of findings of clinical and radiographic examinations were consistent, but 16.3 of this consistency was not observed. Conclusion: The results of clinical and radiographic finding were not consistent with one-fifth of those with a nasal trauma; thus, simultaneous clinical and radiographic observations are necessary. It also recommended to determine which type of diagnosis in legal medicine should be preferred. © 2019, Advanced Scientific Research. All rights reserved.