Aetiological profile of nasal trauma in Ilorin North-Central Nigeria

Afolabi OA FWACS, FMCORL, Alabi BS FWACS, FMCORL

Available online Jul 13, 2018.

[ Review ] Volume 19, Issue 4, 2010, Pages 348-351


Abstract

Background: The nose being the most prominent part of
the face is easily traumatized in facial injuries and these
has been found to be common among the Caucasians
compared to the Africans and Asians. The aim is to
highlight the Aetiological profile of nasal trauma in Ilorin
north-central Nigeria.
Method: A prospective study was carried out at the
University of Ilorin Teaching Hospital Ilorin, Ilorin, north
central Nigeria over a period of one and half years of all
trauma cases seen at the A/E department of the hospital
and those with nasal trauma were further studied. The
data retrieved include demographic data, clinical
presentation, and timing of presentation, examination
findings, intervention offered and the outcome. Data were
entered into SPSS 11.0 and analyzed descriptively.


Results : A total of one hundred and six (106) patients
with nasal trauma were seen during the study period with
a prevalence rate of 7%. The age range 6months to
65years with the majority of the patients in the age range
21-34 years (35.8%). The Male to female ratio was 1.7:1.0
and most patients were students ( 28.3%), followed by
the traders ( 22.6%) the least were children (8.5%).Road
traffic injury (RTI) constituted the highest cause of the
nasal trauma ( 57.5%),assaults (17%),falls from heights (
8.5%) and others were 17%.Majority of the patients
presented within 1-6hours of occurrence of the injury
(61.3%) and only 24.5% presented less than an hour of
the incidence. The common forms of presentation were
epistaxis (40.6%), nasal lacerations and epistaxis
(25.5%) and nasal fractures in only 10.4%.Involvement of
both the passengers and the pedestrians was (57.5%)
and most of them, 44.3% had surgical intervention and
40.6% had conservative treatment with a mortality rate of
0.9%.


Conclusions: The prevalence of nasal trauma is 7% with
RTI being the commonest cause in nearly two thirds of
cases and cases of assaults only accounted for 17%.The
commonest forms of presentation were epistaxis,nasal
lacerations and nasal fractures in that order and most of
them were surgically treated. Measures should be
adopted to reduce incidence of RTI, with regulations
enforced to protect pedestrians most of whom were the victims of these injuries.


Keywords

Nasal trauma, North-central, RTI, Epistaxis.,

October - December 2010

Volume 19 | Issue 4

Page Nos. 348-351

Online since Jul 13, 2018

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