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Article | IMSEAR | ID: sea-209180

RÉSUMÉ

Background: As the most prominent position organ is the face, nose is the most affected location in this trauma and it ispossible to compare the nasal trauma etiology separately with that of the facial trauma.Materials and Methods: This hospital-based retrospective study was conducted in the Department of ENT, SMGS Hospital,Jammu, from August 2016 to September 2019. The records of patients with nasal fracture diagnosis were retrospectivelyevaluated. The diagnosis was based on the clinical history, physical examination, and nasal bones radiography. Clinicalassessment of patient included inspection of the face, paying attention to the presence of any swelling, and/or deviation of thenasal axis. Then, nasal cavity is examined with anterior rhinoscopy for septal hematoma and/or fracture, and presence and/orlocation of epistaxis. Moreover, the nasal dorsum is palpated to detect any sign of crepitation. The presence of crepitation,radiologic findings, swelling, septal hematoma/fracture, and causes of trauma was all documented.Results: The mean age was 23 ± 3 years. The male-to-female ratio was 2.12:1. The frequently affected age group was21–30 years constituting 44% of total cases. The most common clinical finding was nasal crepitation seen in 100 (80%) patients,followed by epistaxis (76.8%), swelling of dorsum (70.4%), laceration of skin (32%), and septal hematoma (9.6%). The mostcommon cause was aggression seen in 40 (32%) patients followed by road traffic accidents (28.8%). The correlation betweennasal crepitus, swelling of nasal dorsum, and septal hematoma was found statistically significant (P < 0.05).Conclusion: Men in the 2nd and 3rd decades are more affected by nasal bone fractures (NBFs). X-ray nasal bones along withfindings such as nasal crepitations, swelling of nasal dorsum, and septal hematoma are strongly suggestive of NBFs.

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