Nasal bone fractures and the use of radiographic imaging: An otolaryngologist perspective |
| |
Authors: | Edward Westfall Benton Nelson Dominic Vernon Mohamad Z Saltagi Avinash V Mantravadi Cecelia Schmalbach Jonathan Y Ting Taha Z Shipchandler |
| |
Abstract: | ObjectiveTo determine radiologic preferences of practicing otolaryngologists regarding isolated nasal bone fractures.Study designAn 8-question survey on isolated nasal bone fractures was designed.SettingSurveys were sent to all otolaryngology residency program directors for distribution among residents and faculty. Additional surveys were distributed to private practice otolaryngology groups.Results140 physicians responded to the survey. 57% of the respondents were practicing otolaryngologists (75% with 10+ years of experience), while 43% of respondents were residents-in-training. 56% of respondents treated 1–5 nasal bone fractures per month. 80% of all respondents reported imaging being performed prior to consultation. If imaging was obtained before consultation, plain films and computed tomography (CT) maxillofacial/sinus scans were the most frequent modalities. 33% of residents and 70% of practicing otolaryngologists report imaging as ‘rarely’ or ‘never’ helpful in guiding management. 42% of residents and 20% of practicing otolaryngologists report asking for imaging when it wasn't already obtained. Decreased use of radiography was associated with greater years in practice and higher frequency of fractures treated.Conclusions and relevanceOtolaryngologists seldom request imaging to evaluate and treat isolated nasal bone fractures. When ordered, imaging is utilized more often among residents-in-training and non-otolaryngology consulting physicians. This study highlights an opportunity to educate primary care and emergency room providers as well as otolaryngology residents on the value of comprehensive physical exam over radiographic imaging in the work-up of isolated nasal fractures. In addition, widespread adoption of a “no x-ray policy” in this setting may result in better resource utilization. |
| |
Keywords: | Corresponding author at: Department of Otolaryngology—Head and Neck Surgery Indiana University Health Physicians Indiana University School of Medicine 1130 W Michigan Street Suite 400 Indianapolis IN 46202 United States of America Isolated Nasal bone fractures Trauma Radiography CT maxillofacial Survey |
本文献已被 ScienceDirect 等数据库收录! |