Treatment was conservative with proposition of ENT consultation a few days later (not sure if the patient has seen the specialist).

Facial trauma in the elderly people is not simple to evaluate. Fractures can be missed, some deformities are old, fractures or osteoarthritis sequelae. Positioning on the X-ray plates is not always simple.

Often it's easier to do a CT-scan with brain and facial slices (sometimes cervical too) because they often are under anticoagulants or antiplatelet therapies.

In this case, the mechanism was simple and no cranial trauma was suspected.