Clinical Criteria for Obtaining Maxillofacial Computed Tomographic Scans in Trauma Patients

Sitzman, Thomas J.; Hanson, Summer E.; Alsheik, Nila; Gentry, Lindell R.; Doyle, John F.; Gutowski, K.A.

doi:10.1097/prs.0b013e3182043ad8

Cited by 28 publications

(47 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Interestingly, Sitzman et al [31] noted an NPV of 87.8% for facial fracture when using the Wisconsin criteria; the NPV for fractures requiring operative management was 100% [31]. For our cohort, the absence of any abnormal facial examination findings had a 96.4% NPV for the exclusion of fracture and also did not fail to identify any fracture requiring operative repair.…”

Section: Ct Of Facial Fracturementioning

confidence: 78%

“…In a relatively recent study, Sitzman et al [31] sought to create a clinical decision instrument to assist physicians in the ordering of maxillofacial CT in the setting of trauma. Five specific physical examination criteria (referred to as the "Wisconsin criteria") were identified: bony stepoff or instability, malocclusion, periorbital swelling or contusion, tooth absence, and GCS score of less than 14.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Facial Fracture in the Setting of Whole-Body CT for Trauma: Incidence and Clinical Predictors

Whitesell

Steenburg

Shen

et al. 2015

American Journal of Roentgenology

View full text Add to dashboard Cite

show abstract

Section: Ct Of Facial Fracturementioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Facial Fracture in the Setting of Whole-Body CT for Trauma: Incidence and Clinical Predictors

Whitesell

Steenburg

Shen

et al. 2015

American Journal of Roentgenology

View full text Add to dashboard Cite

show abstract

“…sugerują badanie u chorych z uszkodzeniem warg, nosa i jamy ustnej oraz ze stłuczeniem okolicy okołooczodołowej [24]. Obecnie największą akceptację zyskały kryteria podane przez członków Uniwersytetu Wisconsin, a ustalone na podstawie badań dużej grupy pacjentów, w tym dzieci [25]. Objawy sugerujące złamanie twarzoczaszki (ZTC) notowano u 29 dzieci.…”

Section: Dyskusjaunclassified

“…W materiale Sitzmana i wsp. 42% chorych z ZTC miało obrażenia OUN [25]. W badaniu własnym obrażenia mózgowia stwierdzono u 33% chorych z ZTC, co uzasadnia wykonywanie TKGbK u dzieci z objawami klinicznymi ZTC.…”

Section: Dyskusjaunclassified

Kryteria kliniczne kwalifikacji dziecka z lekkim urazem głowy do badania tomografii komputerowej ocenione w materiale własnym

Rosołowicz

Wolan

Puciło

et al. 2018

Pomeranian J Life Sci

View full text Add to dashboard Cite

Introduction:The aim of the study was to identify clinical indications for head computed tomography (HCT) in children with mild head injuries (MHI). Materials and methods:A retrospective analysis of medical documentation for 1615 children treated between 2010-2015 due to head injuries was carried out. Only patients with MHI and HCT were included in the study. Mild head injuries was defined as blunt trauma of the head with minimally altered mental status measured by the Glasgow Coma Scale (GCS, 14/15) and/or loss of consciousness (LOC) less than 5 min and no focal neurologic deficit (Scandinavian Neurotrauma Committee). Mental status was assessed with GCS for adults/children depending on the patient's age. The demographic characteristics of the children including age, sex, mechanism of the trauma, findings on history, physical examinations, and HCT scans were documented. Statistical analysis was preformed to find the relationship between clinical signs and abnormal HCT scan. Results: The mean age was 9 years and 10 months, and 98 (60%) of the children were male. The vast majority of the children (149.92%) had a GCS score of 15. The most common mechanism of injury was a fall from a height (25%) and vehicle crash (22%). The most common indications for HCT scan were headache (50%) and LOC (39%). The incidence of positive HCT findings was 31%. Only 7 (4%) children required neurosurgical intervention. There was a significant correlation between abnormal HCT in the vehicle crash mechanism of injury, vomiting, and clinical signs of basilar/maxillofacial skull fracture. Conclusions: Head computed tomography is indicated in children with MHI caused by vehicle crash, presence of vomiting, and clinical signs of basilar/maxillofacial fracture.

show abstract

“…Any patient with a bony step off or instability, periorbital swelling or contusion, Glasgow Coma Scale score less than 14, malocclusion, or tooth absence is at high risk for an associated facial fracture and CT scanning is warranted. 11 Although patients with traumatic facial injuries often present with extremely disfigured appearances, their injuries are seldom life-threatening. Treat each patient who presents with significant traumatic facial injuries as a trauma patient in accordance with ATLS protocol.…”

Section: -10mentioning

confidence: 99%

Cheek Hematoma: A Rare Presentation

Devasamudra¹,

Sagar²

2015

Panamerican Journal of Trauma, Critical Care &Amp; Emergency Surgery

View full text Add to dashboard Cite

Background: A 28-year-old lady presented with cheek hematoma on the right side after the self-fall. This patient had severe facial disfigurement due to diffuse swelling of cheek, discoloration of facial skin and sclera. The facial expressions were also compromised. Materials and methods:Detailed history taken, examination done to rule out motor vehicle accident (MVA), domestic violence and central nervous system (CNS) involvement. Computed tomography scan was done to know the extent of hematoma and to rule out the oromaxillofacial bone fractures. Incision and drainage was done to remove the blood clot from the buccal space. Incision was given in the buccal mucosa to avoid external scar.Result: Swelling was completely reduced on 3rd postoperative day. Facial movements and expressions were regained. Conclusion:Intraoral Incision and drainage is the treatment of choice for cheek hematoma to reduce the size of the swelling and avoid external scar. Source of support: Nil Conflict of interest: None RESUMENAntecedentes: Una señora de 28 años de edad se presentó con la mejilla. Hematoma en el lado derecho después de la auto-otoño. Este paciente tenía. desfiguración facial severa debido a difundir hinchazón de la mejilla, decoloración de la piel facial y la esclerótica. Las expresiones faciales también fueron comprometida.

show abstract

Clinical Criteria for Obtaining Maxillofacial Computed Tomographic Scans in Trauma Patients

Abstract: A decision instrument based on clinical criteria can ensure appropriate screening of patients at high risk for facial fracture. Application of this instrument may reduce unnecessary maxillofacial imaging.

Cited by 28 publications

References 19 publications

Facial Fracture in the Setting of Whole-Body CT for Trauma: Incidence and Clinical Predictors

Facial Fracture in the Setting of Whole-Body CT for Trauma: Incidence and Clinical Predictors

Kryteria kliniczne kwalifikacji dziecka z lekkim urazem głowy do badania tomografii komputerowej ocenione w materiale własnym

Cheek Hematoma: A Rare Presentation

Contact Info

Product

Resources

About