Sonographie von Orbitabodenfrakturen: Eine Alternative zur Computertomographie?*

Klinger, M.; Danter, J.; Siegert, R.

doi:10.1055/s-2007-997569

Cited by 14 publications

(6 citation statements)

References 1 publication

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“…[28][29][30][31][32][33] To obviate this concern, some investigators have suggested orbital ultrasonography as an alternative, with a sensitivity, specificity, positive-predictive value and negative-predictive value ranging from 85% to 95%, 57% to 100%, 57% to 100% and 60% to 91%, respectively. [10][11][12]15,16,18,19 In the present study, the corresponding values were 87.2%, 100%, 100% and 94.2%, respectively; suggesting a high diagnostic accuracy of ultrasonography in detecting orbital floor fractures. Using a recent cuttingedge ultrasonography equipment, larger sample size and CT-confirmed diagnoses for all patients are major advantages of the present study over the mentioned reports.…”

Section: Discussionsupporting

confidence: 52%

“…The available reports, however, are not uniform in terms of its accuracy, [11][12][13][14][15][16][17] probably because of imperfect methodologies and using outdated ultrasonography equipment in older series. [18][19][20] Another suggested alternative to conventional CT in detecting orbital fractures is CBCT. 21 The most prominent advantage of CBCT over conventional CT in maxillofacial imaging is lower patient radiation doses for the former.…”

Section: Introductionmentioning

confidence: 99%

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A comparable study of the diagnostic performance of orbital ultrasonography and CBCT in patients with suspected orbital floor fractures

Johari‬¹,

Ghavimi²,

Mahmoudian³

et al. 2016

Dentomaxillofacial Radiology

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Objectives: To compare the diagnostic performance of ultrasonography and CBCT against CT in detecting orbital floor fractures. Methods: A total of 120 orbits with clinical suspicion of isolated orbital floor fractures underwent multislice CT scanning with coronal reconstruction; orbital ultrasonography using a standard machine equipped with a 7-to 10-MHz linear transducer; and CBCT. Patients with severe head and face injuries were not included. The diagnostic performance of ultrasonography and CBCT was reported assuming conventional CT as the imaging method of choice. Results: According to CT findings, fractures of the floor were present in 39 orbits. The sensitivity, specificity, positive-predictive value and negative-predictive value of ultrasonography in detecting orbital floor fractures were 87.2%, 100%, 100% and 94.2%, respectively. The corresponding values for CBCT were 97.4%, 97.5%, 95.0%, and 98.8%, respectively. Areas under the receiver operator characteristics curves of orbital floor fracture detection were 0.94 for ultrasonography and 0.98 for CBCT. Conclusions: When conventional CT cannot be performed in patients with clinically suspected orbital floor fracture and no severe or complex head and face injuries, CBCT could be used in detecting fractures as a reliable surrogate. Because of a lower sensitivity of ultrasonography, however, its use is limited in this regard.

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Section: Discussionsupporting

confidence: 52%

Section: Introductionmentioning

confidence: 99%

A comparable study of the diagnostic performance of orbital ultrasonography and CBCT in patients with suspected orbital floor fractures

Johari‬¹,

Ghavimi²,

Mahmoudian³

et al. 2016

Dentomaxillofacial Radiology

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“…The value of ultrasonography as a diagnostic tool for the detection of "bone" fractures (eg, in congenital hip dislocation, fractures of the radial or clavicular bone, or fractures of the ribs or skull) has been proven in various studies. [5][6][7][8] To our knowledge, only 4 studies [9][10][11][12] have dealt with the diagnosis of nasal fractures by ultrasound imaging. Danter et al an ultrasound device to investigate nasal fractures in 18 patients.…”

mentioning

confidence: 99%

Comparison of Ultrasonography and Conventional Radiography in the Diagnosis of Nasal Fractures

Thiede

Krömer²,

Rudack³

et al. 2005

Arch Otolaryngol Head Neck Surg

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To compare the diagnostic findings of ultrasonography and radiography in nasal fractures. Design and Main Outcome Measures:In this prospective study, 63 patients (23 female and 40 male; mean age, 26.8 years) with clinical signs of a nasal bone fracture were investigated. All patients underwent radiography (lateral view of the nose plus occipitomental view) and ultrasonography (10-MHz ultrasound scanner) of the nasal dorsum and the lateral nasal walls and a clinical examination by 2 consultants. Thirty-six patients underwent nasal fracture reduction. Two radiographs and 3 ultrasound images of each patient were analyzed by 2 experienced readers at different times. After assessing the nasal dorsum and lateral nasal walls in radiographs and ultrasound images, they decided whether the nose was fractured or not or whether the results were uncertain.The results were analyzed by various statistical testing methods (for sensitivity, specificity, positive and negative predictive value, and accuracy).Results: Assessment of the lateral nasal walls revealed that ultrasonography was statistically superior (P=.04) to radiography. In contrast, assessment of the nasal dorsum showed radiography to be statistically superior (P=.01) to ultrasonography. Assessment of the nasal pyramid revealed no statistical difference between radiography and ultrasonography (P =.91). Conclusion:In assessment of the nasal pyramid, ultrasonography can be considered an alternative to radiography, with equivalent diagnostic performance.

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“…Die Diagnose ist nur histologisch zu stellen, so daß bei verdächtiger Symptomatik (Lymphknotenvergrößerungen, dermale Papeln, dermatologische Erkrankungen (seborrhoisches Ekzem, M. Darier) und andere Erkrankungen im HNO-Bereich gedacht werden (Otitiden; Cholesteatome; physiologisch vergrößerte Antrumzellen im Mittelohr; HLK-Vergrößerungen anderer Genese, wie virale Lymphadenopathien, Kikuchi-Syndrom oder Metastasen anderer Neoplasien) [18,20,21,27]. Die Diagnose ist nur histologisch zu stellen, so daß bei verdächtiger Symptomatik (Lymphknotenvergrößerungen, dermale Papeln, dermatologische Erkrankungen (seborrhoisches Ekzem, M. Darier) und andere Erkrankungen im HNO-Bereich gedacht werden (Otitiden; Cholesteatome; physiologisch vergrößerte Antrumzellen im Mittelohr; HLK-Vergrößerungen anderer Genese, wie virale Lymphadenopathien, Kikuchi-Syndrom oder Metastasen anderer Neoplasien) [18,20,21,27].…”

Section: Kasuistikunclassified

Die isolierte Histiozytosis X als seltene Differentialdiagnose der unklaren Halslymphknotenschwellungen

kühl¹,

Danter²,

Wagner

et al. 1997

HNO

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Cervical lymphadenopathies are widespread diseases in otorhinolaryngology. There are many differential diagnoses which have to be considered when swelling persists. To gain further information it is advisable to perform sonographically controlled fine needle aspiration biopsy (FNP). If there is no reliable result, it is necessary to remove a lymph node. We report on the rare case of isolated histiocytosis X in lymph nodes. A 63-year-old male had noticed a swelling of the right side of the neck about 6 weeks previously. The preliminary examinations (FNP/blood examinations) revealed no pathological findings. Only the histological examination delivered the diagnosis of histiocytosis X. Systemic manifestation was excluded by staging examinations. No further therapy was necessary after lymph node extirpation. The report demonstrates how to diagnose and treat this rare disease.

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Sonographie von Orbitabodenfrakturen: Eine Alternative zur Computertomographie?*

Cited by 14 publications

References 1 publication

A comparable study of the diagnostic performance of orbital ultrasonography and CBCT in patients with suspected orbital floor fractures

A comparable study of the diagnostic performance of orbital ultrasonography and CBCT in patients with suspected orbital floor fractures

Comparison of Ultrasonography and Conventional Radiography in the Diagnosis of Nasal Fractures

Die isolierte Histiozytosis X als seltene Differentialdiagnose der unklaren Halslymphknotenschwellungen

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