Diagnostic performance of CT, MPR and 3DCT imaging in maxillofacial trauma

Fox, Lee A.; Vannier, Michael W.; West, O. Clark; Wilson, Anthony J.; Baran, Gregg A.; Pilgram, Thomas K.

doi:10.1016/0895-6111(95)00022-4

Cited by 75 publications

(41 citation statements)

References 15 publications

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“…According to Mayer et al [6], multiple fractures of the frontal and nasal bones can be observed on the axial images. However, the extent of comminutive fractures is better demonstrated on the 3D-CT, where the size, shape, and displacement of individual fragments are clearly revealed [4,7]. In agreement with these authors, we found low sensitivity of axial method for the analysis of fractures in the orbit region (46.2%).…”

Section: Discussionsupporting

confidence: 91%

Interpretation of craniofacial fractures using multislice CT: establishing a protocol

Cavalcanti

Panella

Santos

et al. 2004

International Congress Series

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Section: Discussionsupporting

confidence: 91%

Interpretation of craniofacial fractures using multislice CT: establishing a protocol

Cavalcanti

Panella

Santos

et al. 2004

International Congress Series

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“…16 FOX also found that 3D reconstructed CT scans were inferior to axial images for evaluating orbital fractures. 17 Coronal images found similar to axial images in naso-orbito-ethmoidal complex fractures. The 3D images were found to be inferior in the assessment of detection, extent and displacement of fractures in the naso-orbito-ethmoid region when compared with coronal and axial images in most patients.…”

Section: Discussionmentioning

confidence: 67%

“…16 Our study results correlated with study done by FOX who found that 3D reconstructed CT scans were interpreted more rapidly and more accurately and that 3D CT was more accurate at assessing zygomatic bone fractures. 17 in case of maxillary fractures, anterior maxillary sinus wall fractures were better detected on axial CT, while both Axial and coronal CT were similar for medial maxillary and lateral maxillary sinus wall fractures.…”

Section: Discussionmentioning

confidence: 87%

Maxillofacial and Orbital Injuries Evaluation by Three Dimensional MDCT

Patil¹,

Melkundi²,

Santosh³

2015

jemds

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There has been considerable increase in maxillofacial and orbital injuries due to road traffic accidents, falls and assaults. There is need for accurate detection of these maxillofacial bony fractures. MDCT is the method of choice in the evaluation of maxillofacial traumas, as it allows accurate determination of the presence, location and extent of fractures especially in cases of communited fractures, rotational deformities and multiple bone fractures also having advantage to diagnose even in patients with facial edema, lacerations and altered sensorium. PURPOSE: The objective of the study is to compare axial, coronal and 3D reformatted CT images for the study of maxillofacial and orbital fractures. MATERIALS AND METHODS: Multislice CT scan was done for 131 patients attending BTGH Gulbarga with history of maxillofacial and orbital trauma during the period of December 2012 to September 2014 using Philips Brilliance 6 slice CT scanner. RESULTS: Majority of the patients were males (85.5%) belonged to age group of 21-30 years (42%). Most common cause of maxillofacial trauma was road traffic accident (78.6%). Fractures of nasal bones were most common followed by walls of maxillary sinuses and least common fractured bone was cribriform plate. Most common type of complex fracture was naso-ethmoido-orbital complex fracture followed by zygomaticomaxillary complex. Lateral wall of the orbit was most commonly fractured followed by medial wall and floor. DISCUSSION: Axial CT was better in diagnosing anterior maxillary wall, zygomatic arch fractures. Coronal CT was better in detecting orbital floor, Orbital roof, Pterygoid plate fractures, Classification of Le Fort fractures and orbital floor blow out fractures. 3D CT was slightly better to 2D CT in evaluating anterior maxillary wall fractures and frontal bone fractures. 2D and 3D CT were almost similar in evaluating fractures of nasal bone, zygomatic bone and zygomatic arch fractures. 3D CT was inferior to 2D in medial wall of maxillary sinus, medial wall of orbit, pterygoid plate fractures. CONCLUSION: MDCT offers excellent spatial resolution, which in turn enables exquisite multiplanar reformations and 3-D reconstructions allowing enhanced diagnostic accuracy and surgical planning.

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“…5 The 3D reconstructions are a valuable aid in assessing complex injury patterns. 24 In conclusion, violence is a very common cause of facial injury. Males are more often involved; they are younger, sustain fractures more often and present highenergy fracture patterns significantly more often.…”

Section: Discussionmentioning

confidence: 99%

Violence-related facial trauma: analysis of multidetector computed tomography findings of 727 patients

Salonen

Koivikko²,

Koskinen³

2010

Dentomaxillofacial Radiology

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Objectives: The multidetector CT (MDCT) findings of facial trauma in victims of interpersonal violence were assessed. Methods: All MDCT requests for suspected facial injury during a 62 month period were retrieved; 727 cases met the inclusion criteria. Images were interpreted by two researchers by consensus. Results: Of the 727 patients (aged 15-86 years old, mean 37), 583 (80.2%) were male and 144 (19.8%) female. Of all the patients, 74% had a fracture, and of these 44% had multiple non-contiguous fractures. Conclusions: Violence is a very common cause of facial injury. Nasal and orbital fractures predominate. Males are more often involved; they are younger, sustain fractures more often and significantly more often present with high-energy fracture patterns. LeFort fractures are often unilateral or asymmetrical, and are frequently accompanied by other, clinically significant fractures. Up to 25% of patients with fractures do not have paranasal sinus effusions.

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Diagnostic performance of CT, MPR and 3DCT imaging in maxillofacial trauma

Cited by 75 publications

References 15 publications

Interpretation of craniofacial fractures using multislice CT: establishing a protocol

Interpretation of craniofacial fractures using multislice CT: establishing a protocol

Maxillofacial and Orbital Injuries Evaluation by Three Dimensional MDCT

Violence-related facial trauma: analysis of multidetector computed tomography findings of 727 patients

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