X-ray of the nasal bones

RTG of nasal bones represents a simple, quick, and widely available radiological method used to assess injuries to the bony part of the nose. It is most commonly performed after a blow, fall, or any trauma that causes pain, swelling, or suspicion of a fracture. This examination has been a standard in emergency and ENT diagnostics for years due to its efficiency and low radiation dose.

When Nasal Imaging Recommended

Doctors most often refer patients for RTG when there is suspicion of a fracture. Visible nasal deformity, breathing difficulties, bruising around the eyes, or severe swelling may indicate that imaging is needed. RTG is also used to assess older injuries and in preparation for certain surgical procedures, especially when it is important to determine the condition of bony structures.

Procedure Details

The imaging is extremely simple and takes very little time. The patient stands or sits in front of the RTG machine, and the radiological technician positions the head appropriately. Usually, two projections are made to allow a clearer view of the nasal bones. Exposure lasts only a few seconds, after which the radiologist analyzes the images and assesses whether there is a fracture or displacement of bone fragments.

What Visible on Nasal RTG

RTG provides a clear image of bony structures and enables detection of fractures, cracks, and deformities. It is particularly useful for determining the degree of displacement of nasal bones after trauma. However, cartilage is not visible well on X-ray, so in more complex or unclear cases, a CT scan is sometimes recommended, which allows a much more detailed view of the face and paranasal sinuses.

Advantages

RTG of nasal bones is fast, simple, and very accessible, making it ideal for emergency situations. Radiation is minimal, and the examination itself requires no special preparation. Due to these characteristics, it is most often the initial method of choice when it is necessary to quickly assess the condition after an injury.

Limitations

Although extremely useful, RTG cannot show all types of injuries. Very thin fractures sometimes go unnoticed, and cartilage structures, such as the nasal septum, are not visible. If there is suspicion of a more severe injury or combined fracture, the doctor may recommend CT, as it provides a much more detailed insight into the condition of bones and soft tissues.