Forensic Analysis of 95 Nasal Bone Fracture Cases Caused by Blunt Instrument / 法医学杂志

ABSTRACT

ObjectiveTo explore the characteristics of nasal bone fracture caused by blunt instrument, including the fracture types, the fracture repair, and the difference of manifestations between X-ray and CT. To provide reference for the identification.MethodsThe information of basic situation, fracture site, injury manner, diagnosis method, expert opinion of 95 adult nasal fracture cases caused by blunt object, which occurred in Gutian county of Fujian province from January 1999 to December 2013, were ana-lyzed by descriptive statistics. The identification conclusions of different injuries were compared accord-ing to new and old standards as well.ResultsThere were total 95 adults including 87 male and 8 fe-male. The fracture site and quantity have significant correlation with the nasal bone anatomical relations and the direction and size of the force. Compound fracture was most common. The fracture that could not be determined by X-ray could be clearly diagnosed by CT examination. According to new and old standards, different fracture types have different identification conclusions.ConclusionThere are gender differences in nasal bone fracture cases. Larger external force is easy to cause compound fracture. CT examination is significantly better than X-ray examination.