{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T18:08:07Z","timestamp":1754158087599,"version":"3.41.2"},"reference-count":8,"publisher":"Emerald","issue":"2","license":[{"start":{"date-parts":[[2000,6,1]],"date-time":"2000-06-01T00:00:00Z","timestamp":959817600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2000,6,1]]},"abstract":"<jats:p>Objective \u2013 to assess the reasons behind the widespread use of X\u2010ray in the management of nasal trauma despite the fact that it has no useful purpose, comparing the responses of doctors in Accident and Emergency (A&amp;E) departments between the District General Hospitals (DGH) and the Teaching Hospitals. Method \u2013 a multiple\u2010choice questionnaire was sent to all doctors in Accidents and Emergency departments in the North\u2010West Region of England. Result \u2013 212 questionnaires were sent out and 159 were returned. Amongst the 92 (57.9 per cent) doctors who use nasal radiographs, the overall most common reason is medico\u2010legal in 48 (52.1 per cent). A high proportion of DGH doctors use radiographs for diagnostic purposes and 35 (28.9 per cent) will refer patients based on X\u2010ray demonstration of nasal bone fracture. Other stated reasons included detection of unsuspected facial fracture, diagnosis of compound nasal fracture and foreign body detection. Conclusion \u2013 doctors need to be better informed that nasal radiography has no useful value. A clear clinical guideline should be set up nationwide to protect patients from unnecessary exposure to radiation. This will also save the time of the doctors, radiographers and patients. It will prevent inappropriate referrals. Money and other resources will therefore be better utilized.<\/jats:p>","DOI":"10.1108\/14664100010343872","type":"journal-article","created":{"date-parts":[[2002,7,28]],"date-time":"2002-07-28T18:49:34Z","timestamp":1027882174000},"page":"83-85","source":"Crossref","is-referenced-by-count":10,"title":["Management of nasal trauma \u2013 widespread misuse of radiographs"],"prefix":"10.1108","volume":"5","author":[{"given":"A.F.","family":"Oluwasanmi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.L.","family":"Pinto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"140","reference":[{"key":"key2022020820051699200_B1","doi-asserted-by":"crossref","unstructured":"Clayton, M.I. and Lesser, T.H.J. (1986), \u201cThe role of radiography in the management of nasal fracture\u201d, Journal of Laryngology and Otology, Vol. 100, pp. 797\u2010801.","DOI":"10.1017\/S002221510010009X"},{"key":"key2022020820051699200_B2","doi-asserted-by":"crossref","unstructured":"De Lacey, G.J., Wignall, B.K., Hussein, S. and Reidy, J.R (1977), \u201cThe radiology of nasal injuries: problem of interpretation and clinical relevance\u201d, British Journal of Radiology, Vol. 50, pp. 412\u201014.","DOI":"10.1259\/0007-1285-50-594-412"},{"key":"key2022020820051699200_B3","doi-asserted-by":"crossref","unstructured":"Fielding, J.A. (1990), \u201cImproving accident and emergency radiology\u201d, Clinical Radiology, Vol. 41, pp. 149\u201051.","DOI":"10.1016\/S0009-9260(05)80956-0"},{"key":"key2022020820051699200_B4","unstructured":"Illum, P. (1991), \u201cLegal aspects in nasal fracture\u201d, Rhinology, Vol. 29, pp. 263\u20106."},{"key":"key2022020820051699200_B5","doi-asserted-by":"crossref","unstructured":"Logan, M., O\u2019Driscoll, K. and Maslesson, J. (1994), \u201cThe utility of nasal bone radiography in nasal trauma\u201d, Clinical Radiology, Vol. 49, pp. 192\u20104.","DOI":"10.1016\/S0009-9260(05)81775-1"},{"key":"key2022020820051699200_B6","doi-asserted-by":"crossref","unstructured":"Nigam, A., Goni, A., Benjamin, A. and Dasgupta, A.R. (1993), \u201cThe value of radiography in the management of the fractured nose\u201d, Archives of Emergency Medicine, Vol. 10, pp. 293\u20107.","DOI":"10.1136\/emj.10.4.293"},{"key":"key2022020820051699200_B7","doi-asserted-by":"crossref","unstructured":"Sharp, J.F. and Dernholm, S. (1994), \u201cRoutine X\u2010ray in nasal trauma: the influence of audit on clinical practice\u201d, Journal of the Royal Society of Medicine, Vol. 87, pp. 153\u20104.","DOI":"10.1177\/014107689408700313"},{"key":"key2022020820051699200_B8","unstructured":"Stephanie, L.I., Blake, P. and Brown, D.H. (1996), \u201cValue of nasal radiography in nasal trauma management\u201d, The Journal of Otolaryngology, Vol. 25 No. 3, pp. 162\u20103."}],"container-title":["British Journal of Clinical Governance"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.emeraldinsight.com\/doi\/full-xml\/10.1108\/14664100010343872","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/14664100010343872\/full\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/14664100010343872\/full\/html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:37:00Z","timestamp":1753403820000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.emerald.com\/ijhg\/article\/5\/2\/83-85\/31351"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,6,1]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2000,6,1]]}},"alternative-id":["10.1108\/14664100010343872"],"URL":"https:\/\/doi.org\/10.1108\/14664100010343872","relation":{},"ISSN":["1466-4100"],"issn-type":[{"type":"print","value":"1466-4100"}],"subject":[],"published":{"date-parts":[[2000,6,1]]}}}