Evaluation of Nasal Fractures and Forensic Medicine Approach

Authors

  • İbrahim Sayın Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi KBB Kliniği
  • Oğuzhan Ekizoğlu Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi Adli Tıp Birimi
  • Zahide Mine Yazıcı Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi KBB Kliniği
  • İbrahim Erdim Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi KBB Kliniği
  • Fatma Tülin Kayhan Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi KBB Kliniği

DOI:

https://doi.org/10.17986/blm.2010153714

Keywords:

nasal fracture, etiology, forensic medicine

Abstract

The evaluation of the subjects with nasal fracture and present the current forensic approach. Between the dates January 2009 to January 2010 subjects who were diagnosed and treated with nasal fracture were enrolled for the study. A retrospective chart review was preformed and demographic data as well as etiology, fracture type were recorded. During the study period 580 subjects were identified. The incidence of nasal fractures was 84, 9% (n:580/683) among all the maxillofacial fractures. The mean age was 28,4 years (range between 8 months to 84 years). Four hundred and seventy eight (n:479 -82, 6%) out of 580 subjects were male whereas remaining 101 (17,4%) were female. Most common etiology were interpersonal violence (n:216, 37,2%), falls (n:122, 21%) and traffic accidents (n:34, 5,9%). Forty one (n:41-7,l%) out of 580 fractures were open fractures whereas remaining 539 (%92,9) were closed fractures. Among the closed fractures 205 (35,3%) out of 539 fractures were displaced and the remaining 334 (57,6%) fractures were non displaced. Nasal fracture is a frequent situation among the maxillofacial fractures. Besides short term problems in long term it will cause structural changes within the nose. The etiologies mainly have forensic features that will be interpersonal violence and accidents. In this subjects needed a complete medical recording needed. Besides, physicians also need to know the current forensic approach.

Key words: Nasal fracture, etiology, forensic medicine

Downloads

Download data is not yet available.

References

Balcı Y, Güzel S, Çetin G. Yeni Türk Ceza Kanunu Çerçevesinde Düzenlenecek Adli Raporlar İçin Kılavuz. Yeni Yasalar Çerçevesinde Hekimlerin Hukuki ve Cezai Sorumluluğu, Tıbbi Malpraktis ve Adli Raporların Düzenlenmesi. İÜ Cerrahpaşa Tıp Fakültesi STED no:48 2006;155-84

Topçu İ, Yorgancılar E. Nazal fraktür, septum fraktürü ve septum hematomuna yaklaşım. Türkiye Klinikleri J E.N.T.-Special Topics 2008;l(4):68-76

Ondik MP, Lipinski L, Dezfoli S, Fedok FG. The treatment of nasal fractures: a changing paradigm. Arch Facial Plast Surg 2009; 11 (5) :296-302 DOI: https://doi.org/10.1001/archfacial.2009.65

Reilly MJ, Davison SP. Open vs closed approach to the nasal pyramid for fracture reduction. Arch Facial Plast Surg 2007;9(2):82-6 DOI: https://doi.org/10.1001/archfaci.9.2.82

Montovani JC, de Campos LM, Gomes MA, de Moraes VR, Ferreira FD, Nogueira EA. Etiology and incidence facial fractures in children and adults. Braz J Otorhinolary- ngol 2006;72(2):235-41 DOI: https://doi.org/10.1016/S1808-8694(15)30061-6

Thiede O, Krömer JH, Rudack C, Stoll W, Osada N, Schmäl F. Comparison of ultrasonography and conventional radiography in the diagnosis of nasal fractures. Arch Otolaryngol Head Neck Surg 2005;131(5):434-9 DOI: https://doi.org/10.1001/archotol.131.5.434

Kucik CJ, Clenney T, Phelan J. Management of acute nasal fractures. Am Fam Physician 2004;70(7):1315-20

Cavalcanti AL, Melo TR. Facial and oral injuries in Brazilian children aged 5-17 years: 5-year review. Eur Arch Pa- ediatr Dent 2008;9(2):102-4 DOI: https://doi.org/10.1007/BF03262619

Kim MG, Kim BK, Park JL, et al. The use of bioabsorbab- le plate fixation for nasal fractures under local anaesthesia through open lacerations. J Plast Reconstr Aesthet Surg 2008;61(6):696-9 DOI: https://doi.org/10.1016/j.bjps.2006.12.005

Erdmann D, Follmar KE, Debruijn M, et al. A retrospective analysis of facial fracture etiologies. Ann Plast Surg 2008;60(4):398-403 DOI: https://doi.org/10.1097/SAP.0b013e318133a87b

Cantrill SV. Facial trauma. In: Rosen P, ed. Emergency Medicine: Concepts in Clinical Practice. Vol 1. 4th ed. St. Louis, Mo: Mosby-Year Book; 1998:459

Smith JA. Nasal emergencies and sinusitis. In: Tintinalli JE, Ruiz E, Krome RL, eds. Emergency Medicine: A Comprehensive Study Guide. 4th ed. New York, NY: McGraw-Hill Publishing; 1996:1087-91

Hwang K, You SH, Lee HS. Outcome analysis of sports- related multiple facial fractures. J Craniofac Surg 2009;20(3):825-9 DOI: https://doi.org/10.1097/SCS.0b013e3181a14cda

Afolabi OA, Alabi BS. Aetilogical profile of nasal trauma in Llorin North Central Nigeria. Nijer J Med 2010;19(4):348-51

Fornazieri MA, YamagutiHY, MoreiraJM, Nawarro PL, Heshiki RE, Takemoto LE. Fracture of nasal bones: an epidemiologic analysis. Int Arch Otorhinolaryngol 2008 ; 12(4) :498-501

Aygıt C, Top H, Baş S. 175 yüz kırıklı hastamn retrospek- tif incelenmesi. Cerrahpaşa J Med 2004;35:1-8

Alvi A, Doherty T, Lewen G. Facial fractures and conco- minant injuries in trauma patients. Laryngoscope 2003;113:102-106 DOI: https://doi.org/10.1097/00005537-200301000-00019

Mondin V, Rinaldo A, Ferlito A. Management of nasal bone fractures. Am J Otolaryngol 2005;26:181-185 DOI: https://doi.org/10.1016/j.amjoto.2004.11.006

Nigam A, Goni A, Benjamin A, Dasgupta AR. The value of radiographs in the management of the fractured nose. Arch Emerg Med 1993;10:293-7 DOI: https://doi.org/10.1136/emj.10.4.293

Sharp JF, Denholm S. Routine X-rays in nasal trauma: the influence of audit on clinical practice. J R Soc Med 1994;87:153-4 DOI: https://doi.org/10.1177/014107689408700313

Toygar M, Şenol E, Can İÖ, Karahatay S, Durmaz A, Tuğcu H, Safali M. Burun kemik kırıklarının adli tıp açısından değerlendirilmesi. Türkiye Klinikleri J Foren Med 2007;4:17-22

Motomura H, Muraoka M, Tetsuji MY, Ozawa MT, Nase MK. Changes in nasal fresh bone fractures with time on CT scans. Ann Plast Surg 2001;47:620-24 DOI: https://doi.org/10.1097/00000637-200112000-00007

Downloads

Published

2010-12-01

Issue

Section

Research Article

How to Cite

1.
Sayın İbrahim, Ekizoğlu O, Yazıcı ZM, Erdim İbrahim, Kayhan FT. Evaluation of Nasal Fractures and Forensic Medicine Approach. Bull Leg Med. 2010;15(3):99-103. https://doi.org/10.17986/blm.2010153714