K Prabhusankar, P Arundheepan, T Vigneswaran, Ps Priyadharsana, Edsor Effie, S Vigneshwar, K Vignesh
Department of Oral and Maxillofacial Surgery, RVS Dental College and Hospital, Coimbatore, IND.
Cureus. 2025 Aug 5;17(8):e89405. doi: 10.7759/cureus.89405. eCollection 2025 Aug.
Introduction Accurate imaging of nasal bone fractures is essential for proper diagnosis and management. Traditional methods such as lateral cephalograms and standard radiographs often suffer from limitations in resolution and positioning accuracy. This study introduces and evaluates a novel radiographic technique, that is, NASO-RVG (NR), utilizing radiovisiography (RVG) in combination with a portable X-ray unit for the improved visualization of nasal bone structures. Objective This study aimed to assess the efficacy and diagnostic clarity of the NR technique in nasal bone imaging when compared with conventional lateral cephalometric radiography. Methods A pilot study was conducted on 20 patients presenting with nasal bone fractures. Group A (n=10) underwent radiographic assessment using the NR technique, while Group B (n=10) received standard lateral cephalogram imaging. Parameters evaluated included image clarity, anatomical detail, ease of positioning, and diagnostic confidence, rated by blinded radiologists using a standardized scoring system. Results The NR technique demonstrated significantly improved visualization of fracture lines, better delineation of nasal bone contours, and higher diagnostic confidence scores (p<0.05) compared to the conventional lateral cephalogram. Additionally, patient positioning was easier and more reproducible with the NR technique. Conclusion The NR technique offers a reliable, high-resolution, and portable alternative for nasal bone imaging, with potential benefits in both emergency and outpatient settings. Further large-scale studies are recommended to validate these findings and establish clinical protocols.
引言
鼻骨骨折的精确成像对于正确的诊断和治疗至关重要。传统方法如头颅侧位片和标准X线片在分辨率和定位准确性方面常常存在局限性。本研究介绍并评估了一种新型的放射成像技术,即鼻骨放射成像(NASO-RVG,NR),它利用放射影像成像(RVG)结合便携式X射线设备来改善鼻骨结构的可视化。
目的
本研究旨在评估与传统头颅侧位X线摄影相比,NR技术在鼻骨成像中的有效性和诊断清晰度。
方法
对20例鼻骨骨折患者进行了一项初步研究。A组(n = 10)采用NR技术进行放射学评估,而B组(n = 10)接受标准头颅侧位片成像。评估的参数包括图像清晰度、解剖细节、定位的难易程度和诊断信心,由不知情的放射科医生使用标准化评分系统进行评分。
结果
与传统头颅侧位片相比,NR技术在骨折线的可视化方面有显著改善,鼻骨轮廓的描绘更好,诊断信心评分更高(p < 0.05)。此外,NR技术使患者定位更容易且更可重复。
结论
NR技术为鼻骨成像提供了一种可靠、高分辨率且便携的替代方法,在急诊和门诊环境中都有潜在优势。建议进一步开展大规模研究以验证这些发现并制定临床方案。