Evaluation of Concomitant Orbital Floor Fractures in Patients with Head Trauma Using Conventional Head CT Scan: A Retrospective Study at a Level II Trauma Center

Huang, Li; Tu, Hsi Feng; Jiang, Liang De; Chen, Ying-Yuan; Fu, Chih-Yuan

doi:10.3390/jcm8111852

Cited by 6 publications

(2 citation statements)

References 29 publications

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“…In patients with facial fractures, X-ray and CT was identified as low-value in five studies [ 278 – 282 ], as imaging did not change the management of the patient. One study introduced the use of ultrasound combined with an X-ray, instead of CT in zygomatic arch and mandibular fractures [ 281 ].…”

Section: Resultsmentioning

confidence: 99%

Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review

et al. 2022

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Background Inappropriate and wasteful use of health care resources is a common problem, constituting 10–34% of health services spending in the western world. Even though diagnostic imaging is vital for identifying correct diagnoses and administrating the right treatment, low-value imaging—in which the diagnostic test confers little to no clinical benefit—is common and contributes to inappropriate and wasteful use of health care resources. There is a lack of knowledge on the types and extent of low-value imaging. Accordingly, the objective of this study was to identify, characterize, and quantify the extent of low-value diagnostic imaging examinations for adults and children. Methods A scoping review of the published literature was performed. Medline-Ovid, Embase-Ovid, Scopus, and Cochrane Library were searched for studies published from 2010 to September 2020. The search strategy was built from medical subject headings (Mesh) for Diagnostic imaging/Radiology OR Health service misuse/Medical overuse OR Procedures and Techniques Utilization/Facilities and Services Utilization. Articles in English, German, Dutch, Swedish, Danish, or Norwegian were included. Results A total of 39,986 records were identified and, of these, 370 studies were included in the final synthesis. Eighty-four low-value imaging examinations were identified. Imaging of atraumatic pain, routine imaging in minor head injury, trauma, thrombosis, urolithiasis, after thoracic interventions, fracture follow-up and cancer staging/follow-up were the most frequently identified low-value imaging examinations. The proportion of low-value imaging varied between 2 and 100% inappropriate or unnecessary examinations. Conclusions A comprehensive list of identified low-value radiological examinations for both adults and children are presented. Future research should focus on reasons for low-value imaging utilization and interventions to reduce the use of low-value imaging internationally. Systematic review registration: PROSPERO: CRD42020208072.

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Section: Resultsmentioning

confidence: 99%

Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review

et al. 2022

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“…10 Third, the absence of hemosinus on head computed tomography may be considered an indicator to exclude the presence of paranasal sinus wall fracture, 19,28 and some previous studies have also demonstrated a potential role of existing maxillary hemosinus in the prediction of midfacial fracture. 9,29 However, the maxillary sinus may not be included in the scanning range of routine head computed tomography; therefore, this variable was excluded during the model development to facilitate the general application of our risk-prediction model. Fourth, although the prediction model consisting of an increased number of variables might achieve high diagnostic performance, the related complexity could potentially limit its accessibility for clinical implementation in the trauma setting.…”

Section: Discussionmentioning

confidence: 99%

A Prediction Model for Selective Use of Facial Computed Tomography in Blunt Head Trauma Patients

Huang¹,

Huang²,

Tu³

et al. 2021

Plastic &Amp; Reconstructive Surgery

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acial fractures may arise concurrently with head trauma because of the close anatomical proximity of the facial skeleton and the cranium and their vulnerability to similar injury mechanisms. 1,2 The incidence of concomitant facial fractures in head trauma patients was reported as 12.1 to 21.7 percent in previous studies. [3][4][5] However, the clinical assessment of facial fractures may be impeded if patients arrive unconscious, receive endotracheal intubation, or develop swelling and distortion of the anatomy in the emergency department.Head computed tomography serves as a firstline diagnostic imaging modality for head trauma patients. 6 Thus, there are few reports investigating the surveillance of facial fractures using routine head computed tomography alone. 3,4,7 Unfortunately, the detection rate of concomitant facial fractures by head computed tomography

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The Adelaide Facial Bone Rule: A simple prediction model and clinical guideline for the presence of facial fractures using CT brain scans in victims of minor trauma

Constantine,

Salter,

Louise

et al. 2024

Injury

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Evaluation of Concomitant Orbital Floor Fractures in Patients with Head Trauma Using Conventional Head CT Scan: A Retrospective Study at a Level II Trauma Center

Cited by 6 publications

References 29 publications

Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review

Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review

A Prediction Model for Selective Use of Facial Computed Tomography in Blunt Head Trauma Patients

The Adelaide Facial Bone Rule: A simple prediction model and clinical guideline for the presence of facial fractures using CT brain scans in victims of minor trauma

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