What is the prevalence of nasal fractures in the US?

Updated: Dec 06, 2018
  • Author: Samuel J Haraldson, MD; Chief Editor: Craig C Young, MD  more...
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Answer

Nasal fractures occur nearly twice as often in males as in females. Athletic injuries and interpersonal altercations account for the greatest proportion of causes. Less common causes include falls and motor vehicle accidents. [7, 8]

In a retrospective study, Erdmann et al investigated the medical records of 437 patients with 929 facial fractures. [3] These authors noted that the most common etiology of facial trauma was assault (36%), followed by motor vehicle collision (MVC, 32%), falls (18%), sports (11%), occupations (3%), and gunshot wounds (2%). Of the facial fractures sustained, the most common fracture type was nasal bone fracture. [3]

A study by Hanba et al found that risk factors for facial fracture included being white, Asian, female, or ≥ 60 years of age. [9]

A study by Plawecki et al evaluated the incidence of 20,519 patients, 55 years of age or older, who went to the ED for recreational activity-associated facial fractures. The study reported that the annual incidence of facial fractures increased by 45.3% from 2011 through 2015. Nasal fractures were the most common site of fracture (65.4%) and cycling (26.6%) was the most common cause in this cohort of older patients. [10]


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