Work

Resolution Comparison of a Standoff Gel Pad Versus a Liquid Gel Barrier for Nasal Bone Fracture Sonography: A Standardized Crossover Study

Year: 2025

Type: article

Abstract: Background/Objectives: High-frequency ultrasonography (US) is increasingly used to guide closed reduction of nasal bone fractures, but near-field resolution over the curved nasal dorsum depends critically on the acoustic coupling medium. We aimed to determine whether a semi-solid standoff gel pad (PAD) provides superior image contrast and signal stability compared with a liquid gel barrier (LGB) during intraoperative nasal bone fracture sonography. Methods: In this prospective, single-center, within-subject crossover study, 30 adults with isolated nasal bone fractures underwent intraoperative high-frequency US of the nasal dorsum under two coupling conditions differing only in the medium: a 7-mm hydrogel standoff pad (PAD) and a custom 7-mm liquid gel barrier (LGB). All scans were acquired on the same platform using fixed B-mode presets (10 MHz, 4.0 cm depth, single focal zone at the cortex). Rectangular regions of interest (ROIs) were placed on the cortical interface (bone ROI) and adjacent soft tissue (soft-tissue ROI) at matched depth. For each subject and condition, contrast-to-noise ratio (CNR) and two signal-to-noise ratios (SNR_bone, SNR_bg-ref) were derived from ROI gray-level statistics and compared using paired t-tests. Results: PAD yielded significantly higher CNR at the cortical interface than LGB (3.46 ± 0.17 vs. 2.50 ± 0.19; mean paired difference 0.96, 95% CI 0.88–1.04; p < 0.0001). SNR_bone was also higher with PAD (4.31 ± 0.35 vs. 3.63 ± 0.34; difference 0.68, 95% CI 0.52–0.83; p < 0.0001). Using the soft-tissue ROI as the noise reference (SNR_bg-ref), PAD again outperformed LGB (7.64 ± 0.73 vs. 6.68 ± 0.78; difference 0.96, 95% CI 0.59–1.33; p = 0.000012). Conclusions: Compared with a liquid gel barrier of similar thickness, a semi-solid standoff gel pad provides higher near-field CNR and SNR at the nasal cortical interface, supporting its routine use as a practical and effective coupling medium for real-time ultrasound guidance during closed reduction of nasal bone fractures.

Source: Diagnostics

DOI: 10.3390/diagnostics16010092

Authors: Dong Gyu Kim, Kyung Ah Lee

Institution: Inje University Haeundae Paik Hospital

Language: English

Topic: Facial Trauma and Fracture Management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,137