In children less than 3 years of age, do not perform X-rays of the nasal bones if a fracture is suspected.
Although nasal fractures represent about half of facial fractures in pediatric age, the frequency is much lower in children under 3 years of age, in whom the cartilage component of the nasal skeleton prevails (with poor development of the cortical bone component) and...
In infants and children younger than 6 years of age with suspected sinusitis, do not perform X-rays of the sinuses.
The diagnosis of sinusitis is clinical while the evaluation with X-ray is not indicated for the low sensitivity and specificity as the maxillary sinuses before the age of 6 are small and poorly pneumatized. The cavities are commonly opaque, even in healthy children,...
In infants and children with epilepsy do not perform routine CT of the skull and brain.
The diagnosis of epilepsy is clinical and requires integration with electroencephalographic (EEG) data. The CT examination is commonly prescribed after an epileptic episode however it has a limited role due to its low sensitivity in identifying small neoplasms,...
In children, do not prescribe or perform routine X-rays of the contralateral limb in trauma.
The radiological examination after trauma in a limb is prescribed in the clinical suspicion of a fracture and must be routinely performed only on the traumatized side and segment, including at least one of the two adjacent joints. Only in cases in which the...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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