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접수번호 - 890034 RHOP-16 |
| Diagnostic Value of Ultrasonography in the Diagnosis of Nasal
Fractures |
| Otorhinolaryngology research center, Dept. of Otolaryngology Head & Neck Surgery, Shahid Sadoughi Univ. of Medical Sciences,Yazd,Iran1,Dept. of Otolaryngology, Head & Neck Surgery of Birjand Univ. of Medical Sciences and Health Services, Birjand, Iran2,Dept. of Radiology, Shahid Sadoughi Univ. of Medical Sciences, Yazd, Iran3,Dept. of Otolaryngology, Head & Neck Surgery, Shiraz Univ. of Medical Sciences, Shiraz, Iran4,Dept. of Otolaryngology, Head & Neck Surgery of Shohada-E- Kargar Hosp., Yazd, Iran.5,Dept. of Otolaryngology Head & Neck Surgery, Ilam Univ. of Medical Sciences, Ilam, Iran6 |
| Mohammad FARAMARZI,
Saeid ATIGHECHI1, Mohammad Hossein BARADARANFAR1,Mohammad Hossein DADGARNIA1,Mohammad Reza VAHIDI1,Najmeh BARKHORDARI1,Nasim BEHNIAFARD1,Abbas MIRVAKILI1,Ali MORADI1,Ghasem KARIMI2,Hamid Reza MANSOORIAN3,Mohammad FARAMARZI4,Mohsen FANI5,Safar Ali AMIRI ANDI6
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목적: This study examined the diagnostic value of ultrasound and
radiography
compared with clinical examinations as the method to determine
whether
ultrasound can be used for diagnosis of nasal fracture 방법:This study was conducted on 128 nasal fracture patients.
Radiography
in patients was performed by 2 different radiologists on Waters
and
lateral view with a 10-MHz ultrasound probe, and clinical
examinations
were done by an Otorhinolaryngologist. Radiography and
ultrasound
findings were compared with the final diagnosis which was based
on
clinical examinations 결과:In the ultrasound assessment of fracture, sensitivity was 84%,
specificity 75%, accuracy 82%, positive predictive value 91%, and
negative predictive value 61%. In the radiologic assessment of
fracture on lateral view, sensitivity was 50%, specificity 72%,
accuracy 55%, positive predictive value 84%, and negative predictive
value 32%. On Waters view, sensitivity was 53%, specificity 65%,
accuracy 56%, positive predictive value 82%, and negative predictive
value 31%. On lateral-waters view, sensitivity was 64%, specificity
58%, accuracy 62%, positive predictive value 82%, and negative
predictive value 34%. Fracture diagnosis by ultrasound was
significantly better as compared with radiography. 결론:The nasal bone ultrasound is a useful in determining the nasal
fracture
and radiography can be replaced with ultrasound in diagnosis of
fracture |
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