Comparison Between The Sensitivity Of  Ultrasoundand Conventional X-Rays In Diagnosing Nasal Bone Fracture

Haleem Al-SaadM, Raed; Athab AL-Zubiadi, Ahmed; Aziz Jabbar, Rajaa

	Comparison Between The Sensitivity Of Ultrasoundand Conventional X-Rays In Diagnosing Nasal Bone Fracture
kufa Journal for Nursing sciences
Article 1, Volume 3, Issue 1, 2013, Pages 131-141
Authors
Raed Haleem Al-SaadM; Ahmed Athab AL-Zubiadi; Rajaa Aziz Jabbar
Abstract
A cross-sectional study was conducted in AL- Sadir medical city in AL Najaf-Iraq, during the period between July 2011 to March 2012, 35 patients aged 1 to 45 years with nasal bone fracture who underwent physical examination Aim: To evaluate the sensitivity of ultrasound in the diagnosis of nasal bone fracture in comparison with conventional X ray sensitivity. Aim of study: to evaluate the sensitivity of ultrasound in the diagnosis of nasal bone fracture versus sensitivity of X-ray. Patient & method: these patients were examined by conventional lateral nasal bone radiography followed by sonography without knowing the result of x-ray report and physical examination. Results: In this study a 35 patients who had nasal bone fracture according to physical examination were investigated by sonography and radiography.Of these patients, 30 were men and 5 were women, with mean age of patients was 18.63 years. The current study revealed an x ray sensitivity approaching 60% , specificity was 86.7%. respectively. While the results showed that ultrasonography sensitivity was 80% , specificity was 6.7%.compared with clinical examination. The present study showed comparison of both tests that ultrasonography sensitivity was 80% , specificity was 6.7% ,while x-ray was 60%, 86.7% .Also the results showed patients gender distribution of the nasal bone fracture with female and male percentage of 14.3% and 85.7% respectively. The results showed depending on trauma type domestic , RTA, and direct, the percentage rate was 34.3%, 11.4% and 54.3 % respectively. Also the results showed that frontal trauma associated with nasal bone fracture is 62.9% while a lateral trauma associated with nasal bone fracture is 37.1% . Conclusions : Ultrasound is more sensitive test than x-rays in the diagnosis of nasal bonefracture and males are more exposed to nasal bone fracture than females with direct trauma is the predominant cause for nasal bone fracture. Recommendation: Using ultrasound to confirm nasal bone fracture after clinical examination especially in children and pregnancy because it safer, cheaper , more sensitive and real time scan& to expanding the study to include follow up of patient after treatment .
Keywords
nasal bone fracture; ray; ultrasound

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