The Journal of Laryngology & Otology

Main Articles

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

A Trinidadea1, M A Buchanana2, A Farbouda3, Z Andreoua1, S Ewarta2, G Mochloulisa2, P Kotharia1, A C Frosha2 and P V Vlastarakosa2 c1

a1 ENT Department, Luton and Dunstable Hospital, UK

a2 ENT Department, Lister Hospital, Stevenage, UK

a3 ENT Department, The Royal United Bath Hospital, UK


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.

(Accepted February 24 2013)

(Online publication October 17 2013)

Key words

  • Nasal Bones;
  • Nasal Surgery;
  • Female;
  • Epidemiology;
  • Alcohol Drinking


c1 Address for correspondence: Dr P V Vlastarakos, 33 Wetherby Close, Stevenage, SG1 5RX, UK Fax: 0044 (0)1438 781849 E-mail:


  Dr P V Vlastarakos takes responsibility for the integrity of the content of the paper

Competing interests: None declared