Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-08T09:24:19.405Z Has data issue: false hasContentIssue false
  • English
  • Français

Is there a change in the epidemiology of nasal fractures in females in the UK?

Published online by Cambridge University Press:  17 October 2013

A Trinidade ,
M A Buchanan ,
A Farboud ,
Z Andreou ,
S Ewart ,
G Mochloulis ,
P Kothari ,
A C Frosh  and
P V Vlastarakos
A Trinidade
Affiliation:
ENT Department, Luton and Dunstable Hospital, UK
M A Buchanan
Affiliation:
ENT Department, Lister Hospital, Stevenage, UK
A Farboud
Affiliation:
ENT Department, The Royal United Bath Hospital, UK
Z Andreou
Affiliation:
ENT Department, Luton and Dunstable Hospital, UK
S Ewart
Affiliation:
ENT Department, Lister Hospital, Stevenage, UK
G Mochloulis
Affiliation:
ENT Department, Lister Hospital, Stevenage, UK
P Kothari
Affiliation:
ENT Department, Luton and Dunstable Hospital, UK
A C Frosh
Affiliation:
ENT Department, Lister Hospital, Stevenage, UK
P V Vlastarakos*
Affiliation:
ENT Department, Lister Hospital, Stevenage, UK
*
Address for correspondence: Dr P V Vlastarakos, 33 Wetherby Close, Stevenage, SG1 5RX, UK Fax: 0044 (0)1438 781849 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To determine whether there is a change in the epidemiology of nasal fractures in females in the UK, and the potential contribution of the ‘ladette’ culture.

Methods:

This paper reports a multi-centre retrospective study. Operating theatre data for all females who underwent manipulation of nasal fractures under anaesthesia between 2002 and 2009 were analysed. In addition, the case notes of all females presenting with nasal fractures over a five-year period (2004–2009) were retrospectively reviewed and the cited cause of the fracture was noted.

Results:

From 2002 to 2009, there was an 825 per cent increase in nasal fractures in women aged 13–20 years. Almost one-quarter of all nasal fractures in one centre was attributed to non-domestic violence. The highest incidence of nasal fractures (67 per cent) was amongst white British females.

Conclusion:

There is an increasing trend in the number of women sustaining nasal fractures in the UK. The cause may be multi-factorial, but could be partially attributed to a rise in ladette culture. Further research on the role of alcohol consumption in this phenomenon is needed.

Keywords

Nasal BonesNasal SurgeryFemaleEpidemiologyAlcohol Drinking
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 11 , November 2013 , pp. 1084 - 1087
Copyright
Copyright © JLO (1984) Limited 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Rollin, M. Patterns of referral for fractured nose during major sporting events. Ann R Coll Surg Engl 2008;90:689–91CrossRefGoogle ScholarPubMed
2Oxford Dictionaries – definition of ladette in English. In: http://oxforddictionaries.com/definition/english/ladette [22 November 2012]Google Scholar
3Number of ‘ladette women’ fined for drunk and disorderly behaviour ‘rises by a third’. In: http://www.telegraph.co.uk/news/newstopics/politics/lawandorder/5533344/Number-of-ladette-women-fined-for-drunk-and-disorderly-behaviour-rises-by-a-third.html [15 May 2011]Google Scholar
4Domestic violence statistics – Commons Library Standard Note. In: http://www.parliament.uk/briefing-papers/sn00950 [22 September 2013]Google Scholar
5Ellsberg, M, Heise, L, Peña, R, Agurto, S, Winkvist, A. Researching domestic violence against women: methodological and ethical considerations. Stud Fam Plann 2001;32:1–16CrossRefGoogle ScholarPubMed
6Cannon, CR, Cannon, R, Young, K, Replogle, W, Stringer, S, Gasson, E. Characteristics of nasal injuries incurred during sports activities: analysis of 91 patients. Ear Nose Throat J 2011;90:E8–12CrossRefGoogle ScholarPubMed
7Shaphiro, AJ, Johnson, R, Miller, SF, McCarthy, MC. Facial fractures in a level I trauma centre: the importance of protective devices and alcohol abuse. Injury 2001;32:353–6CrossRefGoogle Scholar
8World Health Organization (WHO). Global Status Report on Alcohol 2004. Geneva: WHO, 2004Google Scholar
9Smith, DJ, McVie, S. Theory and method in the Edinburgh Study of Youth Transitions and Crime. Br J Criminol 2003;43:169–95CrossRefGoogle Scholar
10Farrington, DP, Painter, K. Gender Differences in Risk Factors for Offending (Home Office Findings 196). London: Home Office, 2004Google Scholar
11Sivarajasingam, V, Matthews, K, Shepherd, J. Price of beer and violence-related injury in England and Wales. Injury 2006;37:388–94CrossRefGoogle Scholar
12Resident Population Estimates by Ethnic Group (Percentages) – Stevenage. In: http://www.neighbourhood.statistics.gov.uk/dissemination/LeadTableView.do?a=3&b=276996&c=stevenage&d=13&e=13&g=455858&i=1001x1003x1004&m=0&r=1&s=1206877561799&enc=1&dsFamilyId=1812 [21 November 2012]Google Scholar
13Ethnic Group, 2011 – Luton. In: http://www.neighbourhood.statistics.gov.uk/dissemination/LeadTableView.do?a=7&b=6275157&c=luton&d=13&e=62&g=6394327&i=1001x1003x1032x1004&m=0&r=1&s=1379829952000&enc=1&dsFamilyId=2477&nsjs=true&nsck=false&nssvg=false&nswid=1440 [22 September 2013]Google Scholar
14Hospital episode statistics (HES) online. In: http://www.hesonline.nhs.uk/Ease/servlet/ContentServer?siteID=1937&categoryID=889 [25 May 2011]Google Scholar
15Substance misuse among young people: the data for 2009-10. In: http://www.nta.nhs.uk/uploads/nta_substance_misuse_among_yp_0910.pdf [22 September 2013]Google Scholar
16Self, A, Zealey, L, eds. Social Trends. Basingstoke: Palgrave Macmillan, 2007;88–100Google Scholar
17Rise of “ladette” culture as 241 women arrested each day for violence. In: http://www.telegraph.co.uk/news/uknews/law-and-order/5251042/Rise-of-ladette-culture-as-241-women-arrested-each-day-for-violence.html [15 May 2011]Google Scholar
18Plant, M, Plant, M. Heavy drinking by young British women gives cause for concern. BMJ 2001;323:1183CrossRefGoogle ScholarPubMed
19Payne-James, J, Rogers, D. Drug-facilitated sexual assault, ‘ladettes’ and alcohol. J R Soc Med 2002;95:326–7Google ScholarPubMed
20Larger wine glasses and ladette culture blamed for rise in women drink drivers. In: http://www.telegraph.co.uk/news/uknews/law-and-order/5961119/Larger-wine-glasses-and-ladette-culture-blamed-for-rise-in-women-drink-drivers.html [15 May 2011]Google Scholar
21Randall, CL, Roberts, JS, Del Boca, FK, Carroll, KM, Connors, GJ, Mattson, ME. Telescoping of landmark events associated with drinking: a gender comparison. J Stud Alcohol 1999;60:252–60CrossRefGoogle ScholarPubMed
22Jackson, C, Tinkler, P. ‘Ladettes’ and ‘modern girls’: ‘troublesome’ young femininities. Sociol Rev 2007;55:251–72CrossRefGoogle Scholar