John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.
Even if a person has an injury to the nose, it is rare that
X-rays will be needed to guide the treatment. A nasal fracture is usually diagnosed by physical exam. The initial care for a nasal injury does not change even if
the patient has a fracture.
If a fracture of the bones high up inside the nose (ethmoid bones) is suspected, the doctor may order a CT scan.
Jaw (mandibular) fracture: If the patient has a possible jaw fracture, the doctor may order an
X-ray. Sometimes a special dental X-ray machine may be used to help in the diagnosis. Not all hospitals have this equipment.
Midface (maxillary) fracture
Because they are most often caused in car accidents, fractures of the midface are often associated with other significant, potentially life-threatening injuries. So diagnosing a facial fracture is often not the most important part of
the patient's early treatment.
After the patient is stabilized, a CT scan of the face is the most useful to check for a midface fracture.
Cheekbone (zygomatic) fracture
If the patient is evaluated immediately, the doctor can usually diagnose these by physical exam. This becomes more difficult with time because of swelling.
Special X-ray views of the zygomatic bone are often helpful. If
the patient has a severe fracture involving other bones of the face, the doctor may also order a CT scan to get more information.
Eye socket (orbital) fracture
X-rays may be helpful in the initial diagnosis.
If a fracture of the eye socket is shown on your X-ray, the patient will probably have a CT scan to get more information.
Temporomandibular joint dislocation
If the dislocation is the result of trauma, an X-ray will be done to rule out a fracture of the jaw.
The patient will not need an X-ray if you have a spontaneous or recurrent dislocation.